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Burden of disease study and priority setting in Korea: An ethical perspective

  • Burden of disease study and priority setting in Korea: An ethical perspective
  • Park, So-Youn; Kwon, Ivo; Oh, In-Hwan
  • [Seoul] : The Korean Academy of Medical Sciences
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Title Burden of disease study and priority setting in Korea: An ethical perspective
Author Park, So-Youn; Kwon, Ivo; Oh, In-Hwan
Publisher [Seoul] : The Korean Academy of Medical Sciences
Publication Date 2016 - 01
Material Type Article
Country South Korea Holding The Korean Academy of Medical Sciences
Language English License

Abstract

When thinking about priority setting in access to healthcare resources, decision-making requires that cost-effectiveness is balanced against medical ethics. The burden of disease has emerged as an important approach to the assessment of health needs for political decision-making. However, the disability adjusted life years approach hides conceptual and methodological issues regarding the claims and value of disabled people. In this article, we discuss ethical issues that are raised as a consequence of the introduction of evidence-based health policy, such as economic evidence, in establishing resource allocation priorities. In terms of ethical values in health priority setting in Korea, there is no reliable rationale for the judgment used in decision-making as well as for setting separate and distinct priorities for different government bodies. An important question, therefore, is which ethical values guiding the practice of decision-making should be reconciled with the economic evidence found in Korean healthcare. (The rest omitted)

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