ArticleJournal of medical ethics2022
Priority setting and personal health responsibility: an analysis of Norwegian key policy documents.
Article in Journal of medical ethics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The trial behind it
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Why a responsibility sensitive healthcare system is not disrespectful.Medicine, health care, and philosophy · 2025Article
- A System Model and Requirements for Transformation to Human-Centric Digital Health.Journal of medical Internet research · 2025Review
- How stable are moral judgements? A longitudinal study of context dependency in attitudes towards patient responsibility.BMC medical ethics · 2024Article
- A scoping review of individual health responsibility: A context-base concept.Journal of education and health promotion · 2024Article
- On the person in personal health responsibility.BMC medical ethics · 2022Article
- Viewpoints among experts and the public in the Netherlands on including a lifestyle criterion in the healthcare priority setting.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- 'There is no such thing as getting sick justly or unjustly' - a qualitative study of clinicians' beliefs on the relevance of personal responsibility as a basis for health prioritisation.BMC health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe idea that individuals are responsible for their health has been the focus of debate in the theoretical literature and in its concrete application to healthcare policy in many countries. Controversies persist regarding the form, substance and fairness of allocating health responsibility to the individual, particularly in universal, need-based healthcare systems.
objectiveTo examine how personal health responsibility has been framed and rationalised in Norwegian key policy documents on priority setting.
methodsDocuments issued or published by the Ministry of Health and Care Services between 1987 and 2018 were thematically analysed (n=14). We developed a predefined conceptual framework that guided the analysis. The framework included: (1) the subject and object of responsibility, (2) the level of conceptual abstraction, (3) temporality, (4) normative justificatory arguments and (5) objections to the application of personal health responsibility.
resultsAs an additional criterion, personal health responsibility has been interpreted as relevant if: (A) the patient's harmful behaviour is repeated after receiving treatment (retrospectively), and if (B) the success of the treatment is conditional on the patient's behavioural change (prospectively). When discussed as a retrospective criterion, considerations of reciprocal fairness have been dominant. When discussed as a prospective criterion, the expected benefit of treatment justified its relevance.
conclusionPersonal health responsibility appears to challenge core values of equality, inclusion and solidarity in the Norwegian context and has been repeatedly rejected as a necessary criterion for priority setting. However, the responsibility criterion seems to have some relevance in particular priority setting decisions.
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What OpenQuestion holds
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.