Analysing health outcomes

Dowie, J; (2001) Analysing health outcomes. Journal of medical ethics, 27 (4). pp. 245-50. ISSN 0306-6800

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If we cross-classify the absolutist-consequentialist distinction with an intuitive-analytical one we can see that economists probably attract the hostility of those in the other three cells as a result of being analytical consequentialists, as much as because of their concern with "costs". Suggesting that some sources of utility (either "outcome" or "process" in origin) are to be regarded as rights cannot, says the analytical consequentialist, overcome the fact that fulfilling and respecting rights is a resource-consuming activity, one that will inevitably have consequences, in resource-constrained situations, for the fulfillment of the rights of others. Within the analytical consequentialist framework QALY-type measures of health outcome have the unique advantage of allowing technical and allocative efficiency to be addressed simultaneously, while differential weighting of QALYs accruing to different groups means that efficiency and equity can be merged into the necessary single maximand. But what if such key concepts of the analytical consequentialist are not part of the discursive equipment of others? Are they to be disqualified from using them on this ground? Is it ethical for intuition to be privileged in ethical discourse, or is the analyst entitled to "equal opportunities" in the face of "analysisism", the cognitive equivalent of "racism" and "sexism"?

Item Type: Article
Keywords: Cost-Benefit Analysis, Delivery of Health Care/economics/standards, Ethics, Institutional, Great Britain, Health Care Rationing/*standards, Health Policy, Human, *Outcome and Process Assessment (Health Care), Quality-Adjusted Life Years, *Resource Allocation, Social Justice, State Medicine/*economics/*standards, Cost-Benefit Analysis, Delivery of Health Care, economics, standards, Ethics, Institutional, Great Britain, Health Care Rationing, standards, Health Policy, Human, Outcome and Process Assessment (Health Care), Quality-Adjusted Life Years, Social Justice, State Medicine, economics, standards
Faculty and Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
PubMed ID: 11479355
Web of Science ID: 170295100006


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