| Tackling ethical issues in health technology assessment: A proposed framework. | |
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MedLine Citation:
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PMID: 21736860 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives: Values are intrinsic to the use of health technology assessments (HTAs) in health policy, but neglecting value assumptions in HTA makes their results appear more robust or normatively neutral than may be the case. Results of a 2003 survey by the International Network of Agencies for Health Technology Assessment (INAHTA) revealed the existence of disparate methods for making values and ethical issues explicit when conducting HTA.Methods: An Ethics Working Group, with representation from sixteen agencies, was established to develop a framework for addressing ethical issues in HTA. Using an iterative approach, with email exchanges and face-to-face workshops, a report on Handling Ethical Issues was produced.Results: This study describes the development process and the agreed upon framework for reflexive ethical analysis that aims to uncover and explore the ethical implications of technologies through an integrated, context-sensitive approach and situates the proposed framework within previous work in the development of ethics analysis in HTA.Conclusions: It is important that methodological approaches to address ethical reflection in HTA be integrative and context sensitive. The question-based approach described and recommended here is meant to elicit this type of reflection in a way that can be used by HTA agencies. The questions proposed are considered only as a starting point for handling ethics issues, but their use would represent a significant improvement over much of the existing practice. |
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Authors:
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Amanda Burls; Lorraine Caron; Ghislaine Cleret de Langavant; Wybo Dondorp; Christa Harstall; Ela Pathak-Sen; Bjørn Hofmann |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-7-8 |
Journal Detail:
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Title: International journal of technology assessment in health care Volume: - ISSN: 1471-6348 ISO Abbreviation: - Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-7-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508113 Medline TA: Int J Technol Assess Health Care Country: - |
Other Details:
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Languages: ENG Pagination: 1-8 Citation Subset: - |
Affiliation:
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University of Oxford and Oxfordshire Primary Care Trust. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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