ArticleHealth care analysis : HCA : journal of health philosophy and policy2020
Severity as a Priority Setting Criterion: Setting a Challenging Research Agenda.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methodological procedures for priority setting mental health research: a systematic review summarising the methods, designs and frameworks involved with priority setting.Health research policy and systems · 2023Pooled it
- Supervised Exercise for Patients With Metastatic Breast Cancer: A Cost-Utility Analysis Alongside the PREFERABLE-EFFECT Randomized Controlled Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025Trial
- Cost-effectiveness, pharmaceutical pricing and the value flower - doing some gardening.Medicine, health care, and philosophy · 2026Article
- Article
- Double Threshold Prioritarianism - Some Problems and Solutions.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Agreement in Qualitative and Quantitative Assessments of Disease Severity: Evidence from Pharmaceutical Reimbursement in Sweden.Applied health economics and health policy · 2026Article
- Towards a Less Ideal Theory About Well-being-The Case of Post COVID Condition.Journal of bioethical inquiry · 2026Article
- The Ethical Basis of Severity as a Priority Setting Criterion in Healthcare-Egalitarian or Prioritarian?Journal of bioethical inquiry · 2026Article
- Implicit ethical choices in ultra-rare therapy development: researchers' perspectives on patient selection and communication, therapy value, and accessibility.BMC medical ethics · 2026Article
- Severity as a Criterion for Prioritizing Diagnostic Measures.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Reassessing onco-exceptionalism: equity and resource allocation in immunotherapeutic cancer treatments.Journal of medical ethics · 2026Article
- Political prioritization of prevention of mother-to-child transmission of HIV and syphilis: a qualitative comparative policy analysis in Ghana, Mozambique, and Sudan.Frontiers in public health · 2026Article
- Unpacking the notion of "serious" genetic conditions: towards implementation in reproductive decision-making?European journal of human genetics : EJHG · 2025Review
- Severity in the genomic age: the significance of lived experience to understandings of severity.European journal of human genetics : EJHG · 2025Article
- Should the scope of NIPT be limited by a 'threshold of seriousness'?European journal of human genetics : EJHG · 2025Article
- Defining disease severity in atopic dermatitis and psoriasis for the application to biomarker research: an interdisciplinary perspective.The British journal of dermatology · 2024Review
- Severity and death.Medicine, health care, and philosophy · 2024Article
- Needs assessment in long-term care: expression of national principles for priority setting in service allocation.BMC health services research · 2024Article
- "It's hard to say anything definitive about what severity really is": lay conceptualisations of severity in a healthcare context.BMC health services research · 2024Article
- A QALY is [still] a QALY is [still] a QALY? : Evaluating proportional shortfall as the answer to the problem of equity in healthcare allocations.BMC medical ethics · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Priority setting in health care is ubiquitous and health authorities are increasingly recognising the need for priority setting guidelines to ensure efficient, fair, and equitable resource allocation. While cost-effectiveness concerns seem to dominate many policies, the tension between utilitarian and deontological concerns is salient to many, and various severity criteria appear to fill this gap. Severity, then, must be subjected to rigorous ethical and philosophical analysis. Here we first give a brief history of the path to today's severity criteria in Norway and Sweden. The Scandinavian perspective on severity might be conducive to the international discussion, given its long-standing use as a priority setting criterion, despite having reached rather different conclusions so far. We then argue that severity can be viewed as a multidimensional concept, drawing on accounts of need, urgency, fairness, duty to save lives, and human dignity. Such concerns will often be relative to local mores, and the weighting placed on the various dimensions cannot be expected to be fixed. Thirdly, we present what we think are the most pertinent questions to answer about severity in order to facilitate decision making in the coming years of increased scarcity, and to further the understanding of underlying assumptions and values that go into these decisions. We conclude that severity is poorly understood, and that the topic needs substantial further inquiry; thus we hope this article may set a challenging and important research agenda.
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Registered trials
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.