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  1. On the Anatomy of Health-related Actions for Which People Could Reasonably be Held Responsible: A Framework.Kristine Bærøe, Andreas Albertsen & Cornelius Cappelen - 2023 - Journal of Medicine and Philosophy 48 (4):384-399.
    Should we let personal responsibility for health-related behavior influence the allocation of healthcare resources? In this paper, we clarify what it means to be responsible for an action. We rely on a crucial conceptual distinction between being responsible and holding someone responsible, and show that even though we might be considered responsible and blameworthy for our health-related actions, there could still be well-justified reasons for not considering it reasonable to hold us responsible by giving us lower priority. We transform these (...)
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  • The values and ethical commitments of doctors engaging in macroallocation: a qualitative and evaluative analysis.Siun Gallagher, Miles Little & Claire Hooker - 2018 - BMC Medical Ethics 19 (1):75.
    In most socialised health systems there are formal processes that manage resource scarcity and determine the allocation of funds to health services in accordance with their priority. In this analysis, part of a larger qualitative study examining the ethical issues entailed in doctors’ participation as technical experts in priority setting, we describe the values and ethical commitments of doctors who engage in priority setting and make an empirically derived contribution towards the identification of an ethical framework for doctors’ macroallocation work. (...)
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  • Indeterminacy and the principle of need.Herlitz Anders - 2017 - Theoretical Medicine and Bioethics 38 (1):1-14.
    The principle of need—the idea that resources should be allocated according to need—is often invoked in priority setting in the health care sector. In this article, I argue that a reasonable principle of need must be indeterminate, and examine three different ways that this can be dealt with: appendicizing the principle with further principles, imposing determinacy, or empowering decision makers. I argue that need must be conceptualized as a composite property composed of at least two factors: health shortfall and capacity (...)
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  • Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health Care.Ann-Charlotte Nedlund & Kristine Bærøe - 2014 - Public Health Ethics 7 (2):123-133.
    The concept of legitimacy is often used and emphasized in the context of setting limits in health care, but rarely described is what is actually meant by its use. Moreover, it is seldom explicitly stated how health-care workers can contribute to the matter, nor what weight should be apportioned to their viewpoints. Instead the discussion has focused on whether they should take on the role of the patients’ advocate or that of gatekeeper to the society’s resources. In this article, we (...)
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  • Public Health Ethics: Resource Allocation and the Ethics of Legitimacy.Kristine Bærøe - 2013 - Journal of Clinical Research and Bioethics 4 (1).
    Public health ethics is a relatively new academic field. Crucially, it is distinguished from traditional medical ethics by its focus on populations rather than individuals. Still, the ethics of public health cannot be perceived completely detached from the ethics of individuals, as populations are made up of individuals. One issue that clearly falls within the intersection of a population- and an individual based perspective on ethics is resource allocation. Resource allocation takes place at various stages within the organisation of healthcare, (...)
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  • Can clinical ethics committees be legitimate actors in bedside rationing?Morten Magelssen & Kristine Bærøe - 2019 - BMC Medical Ethics 20 (1):1-8.
    Background Rationing and allocation decisions at the clinical level – bedside rationing – entail complex dilemmas that clinicians and managers often find difficult to handle. There is a lack of mechanisms and aids for promoting fair decisions, especially in hard cases. Reports indicate that clinical ethics committees sometimes handle cases that involve bedside rationing dilemmas. Can CECs have a legitimate role to play in bedside rationing? Main text Aided by two frameworks for legitimate priority setting, we discuss how CECs can (...)
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  • Legitimate Healthcare Limit Setting in a Real-World Setting: Integrating Accountability for Reasonableness and Multi-Criteria Decision Analysis.K. Baeroe & R. Baltussen - 2014 - Public Health Ethics 7 (2):98-111.
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  • Legitimate Healthcare Limit Setting in a Real-World Setting: Integrating Accountability for Reasonableness and Multi-Criteria Decision Analysis.Kristine Bærøe & Rob Baltussen - 2014 - Public Health Ethics 7 (2):98-111.
    The overall aim of this article is to discuss the organization of limit setting in healthcare in terms of legitimacy. We argue there is a strong ethical demand that such processes should be arranged to provide adversely affected people well-justified reasons to confer legitimacy to the processes despite favouring a different decision-making outcome. Two increasingly popular approaches, Accountability for Reasonableness (A4R) and Multi-Criteria Decision Analysis (MCDA), can both be applied to support legitimate decision-making processes. However, the role played by ‘fair-minded (...)
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  • Microlevel Prioritizations and Incommensurability.Anders Herlitz - 2018 - Cambridge Quarterly of Healthcare Ethics 27 (1):75-86.
    This article addresses the prioritization questions that arise when people attempt to institutionalize reasonable ethical principles and create guidelines for microlevel decisions. I propose that this instantiates an incommensurability problem, and suggest two different kinds of practical solutions for dealing with this issue.
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  • Legitimate Policymaking: The Importance of Including Health-care Workers in Limit-Setting Decisions in Health Care.A. -C. Nedlund & K. Baeroe - 2014 - Public Health Ethics 7 (2):123-133.
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  • Rationing conscience.Dominic Wilkinson - 2017 - Journal of Medical Ethics 43 (4):226-229.
    Decisions about allocation of limited healthcare resources are frequently controversial. These decisions are usually based on careful analysis of medical, scientific and health economic evidence. Yet, decisions are also necessarily based on value judgements. There may be differing views among health professionals about how to allocate resources or how to evaluate existing evidence. In specific cases, professionals may have strong personal views (contrary to professional or societal norms) that treatment should or should not be provided. Could these disagreements rise to (...)
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  • Just healthcare and human flourishing: Why resource allocation is not just enough.Jayne Hewitt - 2019 - Nursing Ethics 26 (2):405-417.
    Over many years, different theories have been developed to guide the social practices and policies of institutions so that they demonstrate equal concern and respect for all, and satisfy the requirements of justice. Although the normative principles described in a theory may support just institutions, whether this results in just outcomes will depend on how the decisions that implement the principles are made and actioned. As a societal institution charged with caring for people, ensuring just outcomes is a distinct concern (...)
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