Decisions on how to set limits and what limits to set must be made in all healthcare systems, explicitly or implicitly, efficiently or inefficiently, fairly or unfairly.
This thesis explores the delicate matter of finding justifiable grounds for saying no in the context of health care, which will be achieved by focusing on four core conceptual themes: individual responsibility, paternalism, incentives and inequality.
The thesis is based on the following four papers:
I. Individual Responsibility for What? – A Conceptual Framework for Exploring the Suitability of Private Financing in a Publicly Funded Health-Care System (G. Tinghög, C. H. Lyttkens and P. Carlsson) II. Discounting, Preferences, and Paternalism in Cost-Effectiveness
Analysis (G. Tinghög)
III. Incentivizing Deceased Organ Donation: a Swedish Priority Setting Perspective (F. Omar, G. Tinghög and S. Wellin)
IV. Horizontal Inequality when Rationing by Waiting Lists (G. Tinghög, D. Andersson, P. Tinghög and C. H. Lyttkens)
The Art of Saying No
The Economics and Ethics
of Healthcare Rationing
Gustav Tinghög
Department of Medical and Health Sciences Linköping University, Sweden Linköping Dissertation on Health Sciences Thesis No. 1215
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Gustav
Tinghög
The Art of Saying No
The Economics and Ethics
of Healthcare Rationing
Gustav Tinghög
Linköping University Medical Dissertations No. 1215
Th
e
A
rt
o
f S
ay
in
g
N
o
Gustav
Tinghög
The Art of Saying No
The Economics and Ethics of Healthcare Rationing
Decisions on how to set limits and what limits to set must be made in all health-care systems, explicitly or implicitly, efficiently or inefficiently, fairly or unfairly. Focusing on four, core conceptual themes – individual responsibility, paternalism, incentives, and inequality – this thesis explores the delicate matter of finding justi-fiable grounds for saying no in the context of health care.
Four papers form the foundation for the thesis:
I. Individual Responsibility for What? – A Conceptual Framework for Exploring the Suitability of Private Financing in a Publicly ded Healthcare System. (G. Tinghög, C. H. Lyttkens, and P. Carlsson) II. Discounting, Preferences, and Paternalism in
Effectiveness Analysis. (G. Tinghög)
III. Incentivizing Deceased Organ Donation: A Swedish rity Setting Perspective. (F. Omar, G. Tinghög, and S. Welin) IV. Horizontal Inequality When Rationing by Waiting Lists. (G. Tinghög, D. Andersson, P. Tinghög, and C. H. Lyttkens)
Department of Medical and Health Sciences, Faculty of Health Sciences,
Linköping University, Sweden Linköping 2010
Decisions on how to set limits and what limits to set must be made in all healthcare systems, explicitly or implicitly, efficiently or inefficiently, fairly or unfairly.
This thesis explores the delicate matter of finding justifiable grounds for saying no in the context of health care, which will be achieved by focusing on four core conceptual themes: individual responsibility, paternalism, incentives and inequality.
The thesis is based on the following four papers:
I. Individual Responsibility for What? – A Conceptual Framework for Exploring the Suitability of Private Financing in a Publicly Funded Health-Care System (G. Tinghög, C. H. Lyttkens and P. Carlsson) II. Discounting, Preferences, and Paternalism in Cost-Effectiveness
Analysis (G. Tinghög)
III. Incentivizing Deceased Organ Donation: a Swedish Priority Setting Perspective (F. Omar, G. Tinghög and S. Wellin)
IV. Horizontal Inequality when Rationing by Waiting Lists (G. Tinghög, D. Andersson, P. Tinghög and C. H. Lyttkens)
The Art of Saying No
The Economics and Ethics
of Healthcare Rationing
Gustav Tinghög
Department of Medical and Health Sciences Linköping University, Sweden Linköping Dissertation on Health Sciences Thesis No. 1215
Th
e
A
rt
o
f S
ay
in
g
N
o
Gustav
Tinghög
The Art of Saying No
The Economics and Ethics
of Healthcare Rationing
Gustav Tinghög
Linköping University Medical Dissertations No. 1215
Th
e
A
rt
o
f S
ay
in
g
N
o
Gustav
Tinghög
The Art of Saying No
The Economics and Ethics of Healthcare Rationing
Decisions on how to set limits and what limits to set must be made in all health-care systems, explicitly or implicitly, efficiently or inefficiently, fairly or unfairly. Focusing on four, core conceptual themes – individual responsibility, paternalism, incentives, and inequality – this thesis explores the delicate matter of finding justi-fiable grounds for saying no in the context of health care.
Four papers form the foundation for the thesis:
I. Individual Responsibility for What? – A Conceptual Framework for Exploring the Suitability of Private Financing in a Publicly ded Healthcare System. (G. Tinghög, C. H. Lyttkens, and P. Carlsson) II. Discounting, Preferences, and Paternalism in
Effectiveness Analysis. (G. Tinghög)
III. Incentivizing Deceased Organ Donation: A Swedish rity Setting Perspective. (F. Omar, G. Tinghög, and S. Welin) IV. Horizontal Inequality When Rationing by Waiting Lists. (G. Tinghög, D. Andersson, P. Tinghög, and C. H. Lyttkens)
Department of Medical and Health Sciences, Faculty of Health Sciences,
Linköping University, Sweden Linköping 2010
