Evidence map›Paper›PMID 18535922›Full record

ArticleTheoretical medicine and bioethics2008

Principles versus procedures in making health care coverage decisions: addressing inevitable conflicts.

Lindsay M Sabik, Reidar K Lie

Abstract read
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In one paragraph

Article in Theoretical medicine and bioethics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Solidarity and cost management: Swiss citizens' reasons for priorities regarding health insurance coverage.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Lindsay M SabikDepartment of Bioethics, National Institutes of Health, Bethesda, MD 20892, USA.
Reidar K Lie

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

It has been suggested that focusing on procedures when setting priorities for health care avoids the conflicts that arise when attempting to agree on principles. A prominent example of this approach is "accountability for reasonableness." We will argue that the same problem arises with procedural accounts; reasonable people will disagree about central elements in the process. We consider the procedural condition of appeal process and three examples of conflicts over coverage decisions: a patients' rights law in Norway, health technologies coverage recommendations in the UK, and care withheld by HMOs in the US. In each case a process is at the center of controversy, illustrating the difficulties in establishing procedures that are widely accepted as legitimate. Further work must be done in developing procedural frameworks.

Indexed as

Conflict of InterestDecision MakingPrinciple-Based EthicsConflict, PsychologicalEthical AnalysisEthical TheoryHealth Care RationingHealth Maintenance OrganizationsHumansInsurance CoverageMedical Laboratory ScienceNorwayPatient RightsSocial JusticeSocial ResponsibilityUnited Kingdom

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.