ArticleTheoretical medicine and bioethics2019
Toward a Pellegrino-inspired theory of value in health care.
Article in Theoretical medicine and bioethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Revisiting the Meaning of 'Value' in Value-Based Healthcare: A Concept Analysis.Journal of advanced nursing · 2026Article
- Ontology of doctor and patient relationship and bioethics: from Aristotle's teleology to Pellegrino's philosophy of medicine.Medicine, health care, and philosophy · 2025Article
- Defining value in health care: a scoping review of the literature.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Article
- Engaging Pellegrino's philosophy of medicine: Can one of the founders of the field still help us today?Theoretical medicine and bioethics · 2019Article
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Abstract
Contemporary medical practice and health policy are increasingly animated by the concept of providing high value care. Nevertheless, there can be disagreements about how value is defined and from whose perspective. Individual patients suffering from terminal cancer, for example, may have a different perception of the value of an expensive chemotherapy when compared to health policymakers, insurers, or others responsible for the financial solvency of health care organizations. Thus it seems reasonable to ask what is meant by "value" in high value care. In light of Edmund Pellegrino's significant contributions to the philosophy of medicine, medical humanities, and bioethics, it seems equally reasonable to examine how he might answer it. This paper describes a Pellegrino-inspired theory of (health care) value that is instrumental, agent relative, and pluralistic. It then compares and contrasts this to the contemporary view and argues that only when individual patients incorporate concern for societal-level value into their conceptions of the highest good can the Pellegrino-inspired and contemporary views of value be reconciled.
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