在制定医疗保健优先事项时,应该考虑关系效应吗?
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
概括
考虑患者的间接健康益处.
科学领域:
- 生物伦理学生物伦理学
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 传统上,医疗保健优先设置主要关注患者的直接利益.
- 对患者的家庭和社交网络的间接影响往往被忽视.
- 阿尔茨海默病的治疗方法凸显了这些关系效应的复杂性.
研究的目的:
- 探索包括关系效应在医疗保健优先设置中的伦理考虑.
- 分析与间接患者福利相关的道德权重和反对意见.
- 用疾病修饰药物治疗阿尔茨海默病作为一个案例研究.
主要方法:
- 对道德论据的道德分析,包括关系效应.
- 审查在优先设定中考虑间接利益的反对意见.
- 使用阿尔茨海默病治疗方法的案例研究应用.
主要成果:
- 首先,在确定医疗保健优先级时考虑关系效应的存在.
- 包含关系效应的某些反对意见可以被驳回.
- 关于包括关系效应,仍然存在重大的伦理挑战.
结论:
- 将关系效应纳入医疗保健优先设定中的伦理理由是复杂的.
- 对阿尔茨海默病的疾病修饰药物说明了评估间接收益的挑战.
- 需要进一步的伦理审议来解决在优先设定中对关系效应的反对意见.
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