RT Journal Article
SR Electronic
T1 Justice and the NICE approach
JF Journal of Medical Ethics
JO J Med Ethics
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP 99
OP 102
DO 10.1136/medethics-2014-102386
VO 41
IS 1
A1 Richard Cookson
YR 2015
UL http://jme.bmj.com/content/41/1/99.abstract
AB When thinking about population level healthcare priority setting decisions, such as those made by the National Institute for Health and Care Excellence, good medical ethics requires attention to three main principles of health justice: (1) cost-effectiveness, an aspect of beneficence, (2) non-discrimination, and (3) priority to the worse off in terms of both current severity of illness and lifetime health. Applying these principles requires consideration of the identified patients who benefit from decisions and the unidentified patients who bear the opportunity costs.