Project Details
Projekt
FOR 655: Prioritising in Medicine: A Theoretical and Empirical Analysis in Consideration of the Public Health Insurance System
Subject Area
Social and Behavioural Sciences
Humanities
Medicine
Humanities
Medicine
Term
from 2007 to 2015
Project identifier
Deutsche Forschungsgemeinschaft (DFG) - Project number 15070313
Priorities have always been set in health care in the public health insurance system by medical and political decision-makers, often depending on the pragmatic considerations arising from the specific situation and without explicitly presenting the values and principles, on which these priorities and subsequent decisions are based. Clear, transparent and established procedures of ways, in which information should be generated and processed systematically in order to serve as a basis for such important decisions, continue to be lacking. The goal of the Research Unit is to fill this gap by identifying these principles and answering questions related to prioritising through theoretical and empirical research projects that are transdisciplinary in nature. The essential innovative aspect of this research endeavour stems not only from the simultaneous attention that is given to the theoretical and general as well as the empirical and specific aspects of various disciplines but also the systematic focus on the desires and interests of those who are actually concerned, namely patients, medical practitioners and citizens.
In particular, a distinction is made between vertical and horizontal prioritising. Vertical prioritising, on the one hand, refers to the establishment of a hierarchy within an area of specialty or disease category. Such a decision requires prioritising regarding the needs of people within a group of patients. Horizontal prioritising, on the other hand, refers to the setting of priorities between different areas of specialty or between different disease groups. Three main aspects are of particular importance:
(1) Empirical investigations, i.e., different from any current approaches, this research endeavour focuses systematically on the needs and interests of various stakeholders. To this end, several methods are utilised, ranging from qualitative interviews to a representative survey of the German population and from conjoint analysis to sophisticated mathematical models such as random utility models.
(2) The development of appropriate prioritising criteria based on particular prioritising problems for specific diseases, namely haemophilia, organ allocation and arterial occlusion. The developed criteria and decision-making processes are subsequently to be tested for their robustness.
(3) The philosophical, juridical and economical deliberations of prioritising provide the broader framework for the theoretically as well as empirically generated results.
In particular, a distinction is made between vertical and horizontal prioritising. Vertical prioritising, on the one hand, refers to the establishment of a hierarchy within an area of specialty or disease category. Such a decision requires prioritising regarding the needs of people within a group of patients. Horizontal prioritising, on the other hand, refers to the setting of priorities between different areas of specialty or between different disease groups. Three main aspects are of particular importance:
(1) Empirical investigations, i.e., different from any current approaches, this research endeavour focuses systematically on the needs and interests of various stakeholders. To this end, several methods are utilised, ranging from qualitative interviews to a representative survey of the German population and from conjoint analysis to sophisticated mathematical models such as random utility models.
(2) The development of appropriate prioritising criteria based on particular prioritising problems for specific diseases, namely haemophilia, organ allocation and arterial occlusion. The developed criteria and decision-making processes are subsequently to be tested for their robustness.
(3) The philosophical, juridical and economical deliberations of prioritising provide the broader framework for the theoretically as well as empirically generated results.
DFG Programme
Research Units
Projects
- Anonymitätsgrade der Betroffenen in der Priorisierung (Applicant Felder, Stefan )
- Effizienz als normativ kritisiertes Priorisierungskriterium: eine systematisch-konstruktive Analyse der aktuellen Kontroversen (Applicant Schöne-Seifert, Bettina )
- Evidenzbasierte Medizin und gesundheitsbezogene Lebensqualität als Priorisierungskriterien am Beispiel der peripheren arteriellen Verschlusskrankheiten (Applicant Freitag, Michael )
- "Fairness-Präferenzen". Begrifflich-theoretische Hintergründe der Deutung von Betroffenenurteilen zur medizinischen Ressourcenallokation. (Applicant Lübbe, Weyma )
- Koordination der Forschungsgruppe 655 (Applicant Nagel, Eckhard )
- Kriterien und Betroffenenpräferenzen bei der Organallokation am Beispiel der Herz-, Leber- und Nierentransplantation: Eine empirische Untersuchung mit Hilfe der Conjoint-Analyse (Applicant Nagel, Eckhard )
- Kriterien und Präferenzen in der Priorisierung medizinischer Leistungen: Eine empirische Untersuchung (Applicant Diederich, Adele )
- Notwendigkeiten und Wege der Prioritätsänderung im Eurotransplant Kidney Allocation System (ETKAS) - Eine empirische und normative Studie (Applicants Ahlert, Marlies ; Kliemt, Hartmut ; Nagel, Eckhard )
- Praxis und Theorie der Prioritätensetzung in der Medizinischen Rehabilitation (Applicant Raspe, Heiner )
- Priorisierungskriterien in juristischer Perspektive: Interdependenzen und Konkretisierung (Applicants Dannecker, Gerhard ; Huster, Stefan ; Katzenmeier, Christian )
- Prioritäten, Chancengleichheit, Gerechtigkeit und Effizienz bei der Allokation von medizinischen Ressourcen - Theorie und Experiment (Applicants Ahlert, Marlies ; Felder, Stefan )
- Untersuchung verschiedener Priorisierungskriterien und ihre Kontextabhängigkeit: Meinungen und Meinungsbildungsprozesse von Laien und Experten (Applicants Nagel, Eckhard ; Wohlgemuth, Walter A. )
Spokesperson
Professor Dr. Eckhard Nagel
