Linköping University

In a recent article published in the program by Lars Sandman, Christian Munthe and Erik Gustavsson it is argued that shared decision-making can handle some of the criticisms against making patient responsible for choices affecting their health in a priority setting context. The main focus of the argument is that shared decision-making empowers the patient and take into consideration patient preferences in a way that could enable responsibility. However, it is also acknowledged that the two ideas about shared decision-making and making patients responsible for health choices do not share a common rationale and thereby do not support each other independently.
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Currently members of the program (Sandman, Helgesson and Juth) are also working on an article exploring whether shared decision-making could also handle arguments against co-payment from the patient within generally publicly financed health-care systems.

Lars Sandman has been involved in a government project for the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) regarding patient participation in health care for chronically diseased patients where a report is due in the beginning of 2017.


Sandman L, Liliemark J. 2017. From evidence-based to hope-based medicine? Ethical aspects on conditional market authorization of and early access to new cancer drugs. Seminars in Cancer Biology. Volume: 45   Pages: 58-63
Sandman, L. 2017. Prioritizing, Ranking and Resource Implementation - a Normative Analysis. International Journal of Health Policy and Management. Published online:
Sandman L. 2017. Ethics in Quality Improvement within Health Care - Focusing on the Improvement. Open Medicine Journal. 04: 48-56
Sandman, L. 2018. The Importance of Being Pregnant – On the Health-Care Need for Uterus Transplantation. Bioethics
Hofmann B, Bond K, Sandman L. 2018. Evaluating Facts and Facting Evaluations: On the fact-value-relationship in HTA. Journal of Evaluation in Clinical Practice. DOI:10.1111/jep.12920