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Justice Principles, Prioritization in the Healthcare Sector, and the Effect of Framing

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Priority of Needs?

Abstract

Prioritizing who to provide healthcare services seems unavoidable under conditions of scarce resources. Triage is one of the best-known approaches for establishing the criteria for healthcare allocation. Here we utilize justice distribution principles, i.e., equity, equality, and need as prioritization criteria and investigate the effects of attribute framing on healthcare allocation decisions. In particular, we discuss psychological theory and previous research on framing effects in terms of delivering and withholding services. We also present recent empirical findings demonstrating that framing influences people’s preferences for justice distribution principles in healthcare.

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Notes

  1. 1.

    In contrast to prioritization, which is the specific act of ordering items based on predefined criteria, priority setting is the process of establishing a systematic approach to determine importance across various healthcare interventions.

  2. 2.

    ETKAS was installed in 1996 and emerged from the XCOMB model by Wujciak and Opelz (1993a,b). Since then, it has been modified many times. We do not consider the modified versions here.

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Acknowledgements

The chapter presents results from the project “Framing in need determination,” funded by the German Research Foundation (DFG) (DI506 13–2). It was part of the DFG research group FOR 2104 “Need-based Justice and Distributive Procedures.”

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Diederich, A., Wyszynski, M. (2024). Justice Principles, Prioritization in the Healthcare Sector, and the Effect of Framing. In: Kittel, B., Traub, S. (eds) Priority of Needs?. Springer, Cham. https://doi.org/10.1007/978-3-031-53051-7_10

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