Erik Gustavsson

Erik Gustavsson
Linköping University | LiU · Department of Culture and Communication (IKK)

About

21
Publications
1,473
Reads
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134
Citations
Citations since 2017
16 Research Items
115 Citations
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Publications

Publications (21)
Article
Preexposure prophylaxis for HIV is a drug that reduces the risk for an HIV-negative person to acquire HIV if taken prior to sex. It has been suggested that it is important for resource allocation decisions that there are alternatives (such as abstinence, masturbation, etc.) for individuals potentially benefitted by this prophylaxis. In this paper w...
Article
Full-text available
Current studies indicate that robotic-assisted surgery is not inferior to laparoscopic or open surgery regarding oncologic or functional outcomes. An exception may be uterine cervix cancer, where the survival after minimal invasive surgery might not be as good as after open surgery. There is less bleeding and need for blood transfusion after roboti...
Conference Paper
Full-text available
As a consequence of several changes in the world, health care systems are put under considerable strain. The ongoing pandemic is one example. The strained situation calls for several immediate actions. However, and perhaps more importantly, it raises questions about how to strengthen the robustness of health care systems to withstand future challen...
Conference Paper
Full-text available
When people have equal claims to a non-divisible good, such as a life-saving drug or ventilator, a lottery procedure is sometimes used to ‘break the tie’ and determine who receives the good. However, within the context of healthcare resource allocation decisions, a lottery seems to do much more than provide a unique tie-breaking mechanism: it accou...
Article
Full-text available
Intensive research is carried out to develop a disease-modifying drug for Alzheimer’s disease (AD). The development of drug candidates that reduce Aß or tau in the brain seems particularly promising. However, these drugs target people at risk for AD, who must be identified before they have any, or only moderate, symptoms associated with the disease...
Article
Full-text available
Background Genetic testing is moving from targeted investigations of monogenetic diseases to broader testing that may provide more information. For example, recent health economic studies of genetic testing for an increased risk of breast cancer suggest that it is associated with higher cost-effectiveness to screen for pathogenic variants in a seve...
Article
Full-text available
In recent years, the issue of accepting a higher cost per health improvement for orphan drugs has been the subject of discussion in health care policy agencies and the academic literature. This article aims to provide an analysis of broadly egalitarian arguments for and against accepting higher costs per health improvement. More specifically, we ai...
Article
Full-text available
Granulocyte transfusions have been administered to patients with life-threatening infections for more than five decades. However, to what extent this should be the case is far from established. On the one hand, the clinical effects of these transfusions are difficult to prove in clinical studies, and the donors of granulocytes may be exposed to cer...
Article
Full-text available
How to balance the maximization of health and concerns for the worse off remains a challenge for health care decision makers when setting priorities. In regulatory guidelines these concerns are typically specified in terms of priority setting according to needs and priority setting according to cost-effectiveness. Still, it is often unclear when an...
Article
Full-text available
Caveat: The first posted pdf of this paper contained extensive misreferencing. Please download this updated version. Priority setting in health care is ubiquitous and health authorities are increasingly recognising the need for priority setting guidelines to ensure efficient, fair, and equitable resource allocation. While cost-effectiveness concer...
Article
In a recent extended essay, philosopher Daniel Hausman goes a long way towards dismissing severity as a morally relevant attribute in the context of priority setting in healthcare. In this response, we argue that although Hausman certainly points to real problems with how severity is often interpreted and operationalised within the priority setting...
Article
Full-text available
Principles of need are constantly referred to in health care priority setting. The common denominator for any principle of need is that it will ascribe some kind of special normative weight to people being worse off. However, this common ground does not answer the question how a plausible principle of need should relate to the aggregation of benefi...
Article
There is a growing body of literature which suggests that decisions about healthcare priority setting should take into account the extent to which patients are worse off. However, such decisions are often based on how badly off patients are with respect to the condition targeted by the treatment whose priority is under consideration (condition‐spec...
Article
Full-text available
How to handle orphan drugs for rare diseases is a pressing problem in current health-care. Due to the group size of patients affecting the cost of treatment, they risk being disadvantaged in relation to existing cost-effectiveness thresholds. In an article by Niklas Juth it has been argued that it is irrelevant to take indirectly operative factors...
Article
Full-text available
Given health care resource constraints, voices are raised to hold patients responsible for their health-choices. In parallel, there is a growing trend towards shared decision-making, aiming to empower patients and give them more control over health care decisions. More power and control over decisions is usually taken to mean more responsibility fo...
Article
Full-text available
In the editorial published in this journal, Daniels and colleagues argue that his and Sabin’s accountability for reasonableness (A4R) framework should be used to handle ethical issues in the health technology assessment (HTA)-process, especially concerning fairness. In contrast to this suggestion, it is argued that such an approach risks suffering...
Article
Full-text available
Det finns ett ökat intresse för patientinflytande i vården. Ett sådant fokus kan dock komma i konflikt med ett antal värden/praktiker inom vården. I denna artikel identifierar vi att följande värden/praktiker kan påverkas: Idén om patientens vårdbehov förefaller tappa sin moraliska och politiska ställning. Prioriteringar på gruppnivå kan bli sv...
Article
In this paper we explore the relation between health-care needs and patients' desires within shared decision-making (SDM) in a context of priority setting in health care. We begin by outlining some general characteristics of the concept of health-care need as well as the notions of SDM and desire. Secondly we will discuss how to distinguish between...
Article
One generally considered plausible way to allocate resources in health care is according to people's needs. In this paper I focus on a somewhat overlooked issue, that is the conceptual structure of health care needs. It is argued that what conceptual understanding of needs one has is decisive in the assessment of what qualifies as a health care nee...

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Projects

Projects (3)
Project
The aim of SEVPRI is to achieve a better public discussion about priority setting. It is about understanding how peoples’ values impact their views on priority setting in health care, and about translating this into criteria for priority setting that achieve the ideal of democratic, open, and fair priority setting in health care.
Archived project
This FORTE/VR 4 year program assembles researchers from Karolinska Institutet, Linköping University, Royal Institute of Technology, Stock University and the University of Gothenburg. Read more here: http://personcentred.se