严重程度和死亡情况.
1Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics (CRB), Uppsala University, Uppsala, Sweden. adam.ehlert@crb.uu.se.
Medicine, health care, and philosophy
|February 8, 2024
概括
这项研究将死亡的坏处理论与医疗保健优先设置联系起来. 生活比较账户支持绝对缺口,有助于医疗保健中的严重性评估.
科学领域:
- 生物伦理学生物伦理学
- 卫生经济学 卫生经济学
- 关于死亡的哲学
背景情况:
- 医疗保健优先级设置需要可靠的方法来评估严重程度.
- 现有的关于死亡坏处的理论为这些评估提供了潜在的框架.
- "生命比较论"和"渐进论"是关于死亡的坏处的著名理论.
研究的目的:
- 探讨死亡的恶性理论与在医疗保健中运行严重性的方法之间的关系.
- 确定关于死亡的坏处的哲学解释是否可以为医疗保健优先设定标准提供信息.
主要方法:
- 关于死亡的坏处的哲学理论的比较分析 (生活比较账户,渐进主义账户).
- 评估医疗保健重点设定方法的严重程度 (绝对缺陷,比例缺陷).
- 评估死亡恶性理论与严重性操作化方法之间的一致性.
主要成果:
- 对于死亡的坏处的生命比较账户和严重程度的绝对缺陷方法之间存在着很强的概念对齐.
- 生活比较账户的合理性支持在优先设定中使用绝对缺口.
- 从死亡恶性理论中发现对比例缺陷方法的支持有限.
- 渐进主义者对死亡的恶性描述缺乏严重性评估理论的明确支持.
结论:
- 生活比较账户为在医疗保健优先级设定中使用绝对缺口方法提供了哲学基础.
- 在这种情况下,当前的哲学理论对比例缺口方法和渐进主义账户的支持较少.
- 整合死亡的伦理理论可以在资源分配决策中改进严重性测量.
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