Burden of disease study and priority setting in Korea: An ethical perspective
- 주제(키워드) Burden of Disease , Cost of Illness , Ethical Analysis , Health Policy , Korea
- 발행기관 Korean Academy of Medical Science
- 발행년도 2016
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000139482
- 본문언어 영어
- Published As http://dx.doi.org/10.3346/jkms.2016.31.S2.S108
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
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 evidencebased 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 health technology assessment core model from the European network for Health Technology Assessment (EUnetHTA) project is a good example of incorporating ethical values into decision-making. We suggest that a fair distribution of scarce healthcare resources in South Korea can be achieved by considering the ethical aspects of healthcare. © 2016 The Korean Academy of Medical Sciences.
more