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  1. Disability discrimination and misdirected criticism of the quality-adjusted life year framework.David G. T. Whitehurst & Lidia Engel - 2018 - Journal of Medical Ethics 44 (11):793-795.
    Whose values should count – those of patients or the general public – when adopting the quality-adjusted life year framework for healthcare decision making is a long-standing debate. Specific disciplines, such as economics, are not wedded to a particular side of the debate, and arguments for and against the use of patient values have been discussed at length in the literature. In 2012, Sinclair proposed an approach, grounded within patient preference theory, which sought to avoid a perceived unfair discrimination against (...)
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  • How to avoid unfair discrimination against disabled patients in healthcare resource allocation.Sean Sinclair - 2012 - Journal of Medical Ethics 38 (3):158-162.
    The paper proposes a new method of researching public opinion for the purposes of valuing the outcomes of healthcare interventions. The issue I address is that, under the quality-adjusted life-year system, disabled patients face a higher cost-effectiveness hurdle than able-bodied patients. This seems inequitable. The author considers the alternative approaches to valuing healthcare interventions that have been proposed, and shows that all of them face the same problem. It is proposed that to value an outcome, instead of researching the general (...)
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