{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T16:53:18Z","timestamp":1760547198434,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Ethics"],"published-print":{"date-parts":[[2001,8]]},"abstract":"<jats:p>If we cross-classify the absolutist-consequentialist distinction with an intuitive-analytical one we can see that economists probably attract the hostility of those in the other three cells as a result of being analytical consequentialists, as much as because of their concern with \u201ccosts\u201d. Suggesting that some sources of utility (either \u201coutcome\u201d or \u201cprocess\u201d in origin) are to be regarded as rights cannot, says the analytical consequentialist, overcome the fact that fulfilling and respecting rights is a resource-consuming activity, one that will inevitably have consequences, in resource-constrained situations, for the fulfilment of the rights of others. Within the analytical consequentialist framework QALY-type measures of health outcome have the unique advantage of allowing technical and allocative efficiency to be addressed simultaneously, while differential weighting of QALYs accruing to different groups means that efficiency and equity can be merged into the necessary single maximand. But what if such key concepts of the analytical consequentialist are not part of the discursive equipment of others? Are they to be disqualified from using them on this ground? Is it ethical for intuition to be privileged in ethical discourse, or is the analyst entitled to \u201cequal opportunities\u201d in the face of \u201canalysisism\u201d, the cognitive equivalent of \u201cracism\u201d and \u201csexism\u201d?<\/jats:p>","DOI":"10.1136\/jme.27.4.245","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T06:37:59Z","timestamp":1027751879000},"page":"245-250","source":"Crossref","is-referenced-by-count":11,"title":["Analysing health outcomes"],"prefix":"10.1136","volume":"27","author":[{"given":"Jack","family":"Dowie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2001,8,1]]},"reference":[{"key":"2025092415131833000_27.4.245.1","first-page":"97","volume":"8","year":"1963","journal-title":"Behavioral Science"},{"doi-asserted-by":"crossref","unstructured":"Hammond KR. Human judgment and social policy: irreducible uncertainty, inevitable error, unavoidable injustice. New York: Oxford University Press, 1996.","key":"2025092415131833000_27.4.245.2","DOI":"10.1093\/oso\/9780195097344.001.0001"},{"doi-asserted-by":"publisher","key":"2025092415131833000_27.4.245.3","DOI":"10.1002\/(SICI)1099-1042(199806)6:2<99::AID-HCA250>3.0.CO;2-U"},{"doi-asserted-by":"crossref","unstructured":"Seedhouse D. Ethics: the heart of health care. Chichester: Wiley, 1998.","key":"2025092415131833000_27.4.245.4","DOI":"10.1007\/BF02678110"},{"unstructured":"Habermas J. Theory and practice. London: Heinemann, 1971.","key":"2025092415131833000_27.4.245.5"}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme.27.4.245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T22:13:21Z","timestamp":1758752001000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme.27.4.245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,8]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2001,8,1]]},"published-print":{"date-parts":[[2001,8]]}},"alternative-id":["10.1136\/jme.27.4.245"],"URL":"https:\/\/doi.org\/10.1136\/jme.27.4.245","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"type":"print","value":"0306-6800"},{"type":"electronic","value":"1473-4257"}],"subject":[],"published":{"date-parts":[[2001,8]]}}}