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Responsibility for Funding Refractive Correction in Publicly Funded Health Care Systems: An Ethical Analysis

Färdow, Joakim LU orcid ; Broström, Linus LU and Johansson, Mats LU orcid (2021) In Health Care Analysis 29(1). p.59-77
Abstract
Allocating on the basis of need is a distinguishing principle in publicly funded health care systems. Resources ought to be directed to patients, or the health program, where the need is considered greatest. In Sweden support of this principle can be found in health care legislation. Today however some domains of what appear to be health care needs are excluded from the responsibilities of the publicly funded health care system. Corrections of eye disorders known as refractive errors is one such domain. In this article the moral legitimacy of this exception is explored. Individuals with refractive errors need spectacles, contact lenses or refractive surgery to do all kinds of thing, including participating in everyday activities, managing... (More)
Allocating on the basis of need is a distinguishing principle in publicly funded health care systems. Resources ought to be directed to patients, or the health program, where the need is considered greatest. In Sweden support of this principle can be found in health care legislation. Today however some domains of what appear to be health care needs are excluded from the responsibilities of the publicly funded health care system. Corrections of eye disorders known as refractive errors is one such domain. In this article the moral legitimacy of this exception is explored. Individuals with refractive errors need spectacles, contact lenses or refractive surgery to do all kinds of thing, including participating in everyday activities, managing certain jobs, and accomplishing various goals in life. The relief of correctable visual impairments fits well into the category of what we typically consider a health care need. The study of refractive errors does belong to the field of medical science, interventions to correct such errors can be performed by medical means, and the skills of registered health care professionals are required when it comes to correcting refractive error. As visual impairments caused by other conditions than refractive errors are treated and funded within the public health care system in Sweden this is an inconsistency that needs to be addressed. (Less)
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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Health Care Analysis
volume
29
issue
1
pages
59 - 77
publisher
Springer
external identifiers
  • scopus:85099502247
  • pmid:33367979
ISSN
1573-3394
DOI
10.1007/s10728-020-00423-9
language
English
LU publication?
yes
additional info
© The Author(s) 2020
id
401311c9-808b-4986-be06-e57a5429159e
date added to LUP
2020-12-26 10:58:55
date last changed
2022-04-26 22:47:32
@article{401311c9-808b-4986-be06-e57a5429159e,
  abstract     = {{Allocating on the basis of need is a distinguishing principle in publicly funded health care systems. Resources ought to be directed to patients, or the health program, where the need is considered greatest. In Sweden support of this principle can be found in health care legislation. Today however some domains of what appear to be health care needs are excluded from the responsibilities of the publicly funded health care system. Corrections of eye disorders known as refractive errors is one such domain. In this article the moral legitimacy of this exception is explored. Individuals with refractive errors need spectacles, contact lenses or refractive surgery to do all kinds of thing, including participating in everyday activities, managing certain jobs, and accomplishing various goals in life. The relief of correctable visual impairments fits well into the category of what we typically consider a health care need. The study of refractive errors does belong to the field of medical science, interventions to correct such errors can be performed by medical means, and the skills of registered health care professionals are required when it comes to correcting refractive error. As visual impairments caused by other conditions than refractive errors are treated and funded within the public health care system in Sweden this is an inconsistency that needs to be addressed.}},
  author       = {{Färdow, Joakim and Broström, Linus and Johansson, Mats}},
  issn         = {{1573-3394}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{59--77}},
  publisher    = {{Springer}},
  series       = {{Health Care Analysis}},
  title        = {{Responsibility for Funding Refractive Correction in Publicly Funded Health Care Systems: An Ethical Analysis}},
  url          = {{http://dx.doi.org/10.1007/s10728-020-00423-9}},
  doi          = {{10.1007/s10728-020-00423-9}},
  volume       = {{29}},
  year         = {{2021}},
}