| Different methods for ethical analysis in health technology assessment: An empirical study. | |
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MedLine Citation:
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PMID: 22004770 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Objectives: Ethical analysis can highlight important ethical issues related to implementing a technology, values inherent in the technology itself, and value-decisions underlying the health technology assessment (HTA) process. Ethical analysis is a well-acknowledged part of HTA, yet seldom included in practice. One reason for this is lack of knowledge about the properties and differences between the methods available. This study compares different methods for ethical analysis within HTA.Methods: Ethical issues related to bariatric (obesity) surgery were independently evaluated using axiological, casuist, principlist, and EUnetHTA models for ethical analysis within HTA. The methods and results are presented and compared.Results: Despite varying theoretical underpinnings and practical approaches, the four methods identified similar themes: personal responsibility, self-infliction, discrimination, justice, public funding, and stakeholder involvement. The axiological and EUnetHTA models identified a wider range of arguments, whereas casuistry and principlism concentrated more on analyzing a narrower set of arguments deemed more important.Conclusions: Different methods can be successfully used for conducting ethical analysis within HTA. Although our study does not show that different methods in ethics always produce similar results, it supports the view that different methods of ethics can yield relevantly similar results. This suggests that the key conclusions of ethical analyses within HTA can be transferable between methods and countries. The systematic and transparent use of some method of ethics appears more important than the choice of the exact method. |
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Authors:
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Samuli I Saarni; Annette Braunack-Mayer; Bjørn Hofmann; Gert Jan van der Wilt |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of technology assessment in health care Volume: 27 ISSN: 1471-6348 ISO Abbreviation: Int J Technol Assess Health Care Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508113 Medline TA: Int J Technol Assess Health Care Country: England |
Other Details:
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Languages: eng Pagination: 305-12 Citation Subset: IM |
Affiliation:
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National Institute for Health and Welfare; the Finnish Office for Health Technology Assessment; and University of Helsinki and Helsinki University Central Hospital. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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