ArticleJournal of medical ethics2021
Sustainability principle for the ethics of healthcare resource allocation.
Article in Journal of medical ethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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The trial behind it
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Who cites it
16 citing papers in PubMed.
- The 3D Value Framework for Sustainable Access to Effective Antibiotics.Health care analysis : HCA : journal of health philosophy and policy · 2026Article
- Security governance and health inequity in contemporary crises: a critical discourse analysis of securitization, exception-making, and responsibility displacement.Globalization and health · 2026Article
- Intergenerational healthcare ethics: considering conceptualizations of generations and their collective and temporal dimensions.Medicine, health care, and philosophy · 2026Article
- Impact of Community-Oriented Medical Education on Medical Students' Perceptions of Community Health Care: Qualitative Study.JMIR medical education · 2026Article
- Reducing carbon emissions in the healthcare sector: a real-time delphi on challenges and enablers.Global bioethics = Problemi di bioetica · 2026Article
- Establishing and Defining an Approach to Climate Conscious Clinical Medical Ethics.The American journal of bioethics : AJOB · 2025Article
- Healthcare exceptionalism: should healthcare be treated differently when it comes to reducing greenhouse gas emissions?Medicine, health care, and philosophy · 2025Article
- Justification of principles for healthcare priority setting: the relevance and roles of empirical studies exploring public values.Journal of medical ethics · 2025Article
- Sustainability as an Intrinsic Moral Concern for Solidaristic Health Care.Health care analysis : HCA : journal of health philosophy and policy · 2024Article
- Environmental risk and market approval for human pharmaceuticals.Monash bioethics review · 2024Article
- Cost-effectiveness of consolidation durvalumab for inoperable stage III non-small cell lung cancer in Vietnam.BMJ open · 2024Article
- Awareness, Attitude, and Fertility Desire in Elective Oocyte Cryopreservation of Adults in Four Areas of China.International journal of general medicine · 2024Article
- Safety risks and ethical governance of biomedical applications of synthetic biology.Frontiers in bioengineering and biotechnology · 2023Article
- Data science in the intensive care unit.World journal of critical care medicine · 2022Article
- Sustainable biobanks: a case study for a green global bioethics.Global bioethics = Problemi di bioetica · 2022Article
- Antimicrobial Resistance, One Health Interventions and the Least Restrictive Alternative Principle.Public health ethicsReview
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We propose a principle of sustainability to complement established principles used for justifying healthcare resource allocation. We argue that the application of established principles of equal treatment, need, prognosis and cost-effectiveness gives rise to what we call negative dynamics: a gradual depletion of the value possible to generate through healthcare. These principles should therefore be complemented by a sustainability principle, making the prospect of negative dynamics a further factor to consider, and possibly outweigh considerations highlighted by the other principles. We demonstrate how this principle may take different forms, and show that a commitment to sustainability is supported by considerations internal to the ethical principles already guiding healthcare resource allocation. We also consider two objections. The first of these, we argue, is either based on implausible assumptions or begs the question, whereas the second can be adequately accommodated by the principle we propose.
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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.