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The ethics of assessing health technologies

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Author: Wilt, G.J. van der · Reuzel, R. · Banta, H.D.
Type:article
Date:2000
Institution: TNO Preventie en Gezondheid
Source:Theoretical Medicine and Bioethics, 1, 21, 103-115
Identifier: 235624
Keywords: Health · Cochlear implantation · Ethics · Health technology assessment · Interactive evaluation · Biomedical technology assessment · Child · Cochlea prosthesis · Hearing impairment · Implantation · Medical decision making · Medical ethics · School child · Social desirability · Treatment outcome · Validation process · Accountability · Analytical Approach · Cultural Pluralism · Evaluation · Health Care and Public Health · Medical Devices · Risks And Benefits · Technology Assessment · Values · Beneficence · Cochlear Implants · Cultural Diversity · Ethics · Humans · Risk Assessment · Social Responsibility · Social Values · Technology Assessment, Biomedical

Abstract

Health technology assessment (HTA) consists of the systematic study of the consequences of the introduction or continued use of the technology in a particular context, with the explicit objective to arrive at a judgment of the value or merit of the technology. Ideally, it is aimed at assessing all aspects of a given technology or group of technologies, including non-technical, e.g. socio-ethical, aspects. However, methods for assessing socio-ethical implications of health technology are relatively undeveloped and few mechanisms exist to take action based on the results of such evaluations. Still, the examples of cochlear inplants (CI) and other cases illustrate that HTA is not a matter of merely collecting the facts about a technology. The facts must be plausible and relevant from a particular framework, which is not always shared by different groups. It is here that socio-ethical aspects are encountered. If health technology assessment aims to enhance the accountability of the decision making process regarding funding and use of health technology, it is a major challenge to assessor of health technologies to deal adequately with existing value pluralism. In this respect interactive evaluation may have something to offer.