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KMID : 1170320150210020125
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Korean Journal of Health Economics and Policy
2015 Volume.21 No. 2 p.125 ~ p.148
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Ethical issues in allocating health care resource for severely ill patients
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Bae Eun-Young
Lim Min-Kyeong
Bae Seung-Jin
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Abstract
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This paper sought to explore the trends of rationing health care for very severe disease, by investigating the ethical principles and empirical analyses in setting priority based on disease severity. Contrary to the conventional belief, insufficient theoretical and empirical evidence was found regarding rationing health care based on life expectancy. Rather, not only life expectancy, but also the age of the patients significantly influence in setting priority, and age actually plays more critical role than life expectancy when both factors were considered simultaneously. However, when age was not considered separately, disease severity was substantially considered in setting priority; however, if we focus on patients with cancer of terminal disease, few studies suggested that “being terminally ill” or “having cancer” should have higher priority given disease severity are similar. Our study suggested that current “evidence-based decision making” should strive to derive public preferences on specific conditions such as terminal diseases or cancer, rather than handling “disease severity” as a general and inclusive term.
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KEYWORD
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rationing health care, severity, priority-setting, end-of-life, fair innings, social value
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