Photo of Liam Strand

Liam Strand

PhD student

My research focuses on how the healthcare should handle new patients in relation those who have previous received treatments now deemed cost ineffective.

About my research

New and often expensive treatments are continually emerging, and patients sometimes gain access to these treatments before official recommendation are made about whether the healthcare system should offer them. When it turns out that a treatment is not cost-effective, several ethical challenges arise:

1. Should we withdraw the treatment from patients who have already received it?
2. Should we withhold the treatment from new patients who may need it?
3. Is it ethically justifiable to treat new patients and existing patients differently, or should the healthcare systems handle both groups in the same way by withdrawing and withhold treatments equally?

In my thesis, I combine interview studies with psychological experiments to investigate attitudes of physicians-, patient organization representatives-, and other stakeholders toward this dilemma. I examine factors influencing these attitudes, their robust attitudes are, and whether they can be manipulated. My aim is to use these insights to develop ethically sound recommendations adapted to stable traits of human psychology. Additionally, I explore people’s attitudes towards ethical principles in healthcare during crises, as well as their robustness.

If you find this topic interesting or would like to know more, please feel free to reach out to me!

 


Publications

2024

Liam Strand, Lars Sandman, Emil Persson, David Andersson, Ann-Charlotte Nedlund, Gustav Tinghög (2024) Withdrawing versus Withholding Treatments in Medical Reimbursement Decisions: A Study on Public Attitudes Medical decision making, Vol. 44, p. 641-648 (Article in journal) Continue to DOI

2022

Gustav Tinghög, Liam Strand (2022) Public Attitudes Toward Priority Setting Principles in Health Care During COVID-19 Frontiers in Health Services, Vol. 2 (Article in journal) Continue to DOI
Liam Strand, Lars Sandman, Gustav Tinghög, Ann-Charlotte Nedlund (2022) Withdrawing or withholding treatments in health care rationing: an interview study on ethical views and implications BMC Medical Ethics, Vol. 23, Article 63 (Article in journal) Continue to DOI
Gustav Tinghög, Liam Strand (2022) Medical Decision Style and COVID-19 Behavior Medical decision making, Vol. 42, p. 776-782, Article 0272989X221079354 (Article in journal) Continue to DOI

Organisation