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Should relational effects be considered in health care priority setting?
Erik Gustavsson1,2, Niklas Juth3, Gerd Lärfars4
1Department of Culture and Society, Division of Philosophy and Applied Ethics, Linköping University, Linköping, Sweden.
Bioethics
|June 21, 2023
Summary
Considering indirect health benefits for patients
Area of Science:
- Bioethics
- Health Economics
- Public Health Policy
Background:
- Health care priority setting traditionally focuses on direct patient benefits.
- Indirect effects on patients' families and social networks are often overlooked.
- Alzheimer's disease treatments highlight the complexity of these relational effects.
Purpose of the Study:
- To explore the ethical considerations of including relational effects in health care priority setting.
- To analyze the moral weight and objections related to indirect patient benefits.
- To use disease-modifying drugs for Alzheimer's disease as a case study.
Main Methods:
- Ethical analysis of moral arguments for and against including relational effects.
- Examination of objections to considering indirect benefits in priority setting.
- Case study application using Alzheimer's disease treatments.
Main Results:
- A prima facie case exists for considering relational effects in health care priority setting.
- Certain objections to including relational effects can be dismissed.
- Significant ethical challenges remain regarding the inclusion of relational effects.
Conclusions:
- The ethical justification for including relational effects in health care priority setting is complex.
- Disease-modifying drugs for Alzheimer's disease exemplify the challenges in valuing indirect benefits.
- Further ethical deliberation is needed to address the objections to relational effects in priority setting.
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