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Reconciling cost-effectiveness with the rule of rescue: the institutional division of moral labour

Orr, S; Wolff, J; (2014) Reconciling cost-effectiveness with the rule of rescue: the institutional division of moral labour. Theory and Decision 10.1007/s11238-014-9434-3. Green and gold open access

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Abstract

Cost-effectiveness analysis suggests that a society should allocate its health care budget in order to achieve the greatest total health for its budget. However, in 'rescue' cases, where an individual's life is in immediate peril, reasoning in terms of cost-effectiveness can appear inhumane. Hence considerations of cost-effectiveness and of rescue appear to be in tension. However, by attending to the division of labour in medical decision making it is possible to see how cost-effectiveness analysis and rescue-style reasoning are commonly combined in an ethically acceptable fashion. © 2014 The Author(s).

Type:Article
Title:Reconciling cost-effectiveness with the rule of rescue: the institutional division of moral labour
Open access status:An open access publication. A version is also available from UCL Discovery.
DOI:10.1007/s11238-014-9434-3
Publisher version:http://dx.doi.org/10.1007/s11238-014-9434-3
Additional information:© 2014 The Authors. This article is published with open access at Springerlink.com.
UCL classification:UCL > School of Arts and Social Sciences > Faculty of Arts and Humanities > Philosophy
UCL > School of BEAMS > Faculty of Engineering Science > Civil, Environmental and Geomatic Engineering

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