Evaluation of ethical aspects in health technology assessment: more methods than applications?

Hofmann, Bjørn; Lysdahl, Kristin Bakke; Droste, Sigrid

doi:10.1586/14737167.2015.990886

Cited by 6 publications

(5 citation statements)

References 10 publications

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“…integrate and improve ethics assessment of health technology (6)(7)(8). However, applications remain relatively rare and the role actually played by ethical analyses in the decision-making process is poorly documented.…”

Section: And Numerous Methods Have Been Developed Tomentioning

confidence: 99%

“…This observation creates the opportunity to make explicit the role played by ethical issues in the decision. Indeed taking into account ethical aspects is increasingly requested (3–5) and numerous methods have been developed to integrate and improve ethics assessment of health technology (6–8). However, applications remain relatively rare and the role actually played by ethical analyses in the decision-making process is poorly documented.…”

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confidence: 99%

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Ethics Evaluation Revealing Decision-Maker Motives: A Case of Neonatal Screening

Raimond¹,

Sambuc²,

Pibouleau³

2018

Int J Technol Assess Health Care

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Section: And Numerous Methods Have Been Developed Tomentioning

confidence: 99%

mentioning

confidence: 99%

Ethics Evaluation Revealing Decision-Maker Motives: A Case of Neonatal Screening

Raimond¹,

Sambuc²,

Pibouleau³

2018

Int J Technol Assess Health Care

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“…Disse tilnaermingene baserer seg blant annet på en fremgangsmåte som er utviklet ved Senter for medisinsk metodevurdering og Nasjonalt kunnskapssenter for helsetjenesten i Norge (Hofmann, 2005(Hofmann, , 2008, som har vaert brukt til å vurdere helseteknologier, som for eksempel nyfødtscreening, fedmekirurgi, HPV-vaksine, stamcelletransplanatasjon, ultralydscreening av gravide, intracytoplasmatisk spermieinjeksjon, palliativ kirurgi og noninvasiv prenatal diagnostikk (Hofmann, Lysdahl, & Droste, 2015). Den har også blitt brukt for smart-briller (Hofmann, Haustein, & Landeweerd, 2016) og velferdsteknologi (Hofmann, 2010, 2013).…”

Section: Verdianalyserunclassified

“…Dette lille utvalget viser at det finnes en rekke metoder for å belyse og adressere normative utfordringer ved helseteknologi, som også kan egne seg for velferdsteknologi. Det kan hevdes at det finnes flere metoder enn anvendelser (Droste, Dintsios, & Gerber, 2010;Hofmann et al, 2015). Gjennomgangen viser også hvordan empirisk kunnskap om bruken og virkningen av teknologi kombineres med tradisjonelle filosofiske perspektiver eller nye former for samproduksjon for å vurdere etiske aspekter ved teknologi.…”

Section: Verdianalyserunclassified

Hvordan vurdere etiske aspekter ved modernehelse- og velferdsteknologi?

Hofmann

2019

TFO

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Hvordan skal vi innføre helse-og velferdsteknologi i den kommunale helse-og omsorgstjenesten på en god måte? Hvordan skal vi vurdere de etiske aspektene ved slik teknologi? Dette er hovedspørsmålene i denne artikkelen, som starter med å gi et overblikk over metoder som i dag brukes for å drøfte etiske aspekter innen helseteknologivurdering. Den viser hvordan metodene kombinerer empirisk kunnskap med ulike former for filosofisk analyse, og drøfter hva som gjør metodene egnede. Til slutt diskuteres ulike utviklingstrekk: Vurderinger av helse-og velferdsteknologi synes å gå fra en puristisk forståelse av teknologi, som et verdinøytralt middel for et teknologi-eksternt formål, til å se teknologi som verdibaerende; fra eksterne isolerte analyser, til deltagende og interaktive metoder; fra å vaere beslutningsnøytrale, til å bli anbefalende; fra å vaere generelle metoder og til å bli spesifikke og «skreddersydde» tilnaerminger. Vurderingen av de etiske aspektene ved helse-og velferdsteknologi innen den kommunale helse-og omsorgstjenesten vil bli viktig i tiden som kommer. Vi vil ikke ha mulighet til å implementere alle teknologiene, og må derfor velge. De beste. Også etisk sett. Denne artikkelen forsøker å presentere en rekke relevante metoder som man kan velge blant for å finne de beste teknologiene-implementert på best mulig måte.

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“…Furthermore, there are several attempts to strengthen the quality of bioethical methodology, for example, regarding applied philosophical bioethics [18], empirical-ethical research [19, 20] or (un-)systematic reviews, both empirical and reason-based [21, 22, 23, 24]. In addition, more practice-oriented aspects of the quality of bioethics are being currently discussed, for example, concerning Clinical Ethics Support Services [25, 26, 27], ELSI (ethical, legal and social issues) research [28], or ethics in HTA (health technology assessment) [29, 30]. Besides quality, however, also the “social value” of research—as vague the term often is [31]—can be of importance, as social value could be low even when quality is sufficient.…”

Section: Introductionmentioning

confidence: 99%

The value of bioethical research: A qualitative literature analysis of researchers’ statements

2019

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Introduction Value and waste in preclinical and clinical research projects are intensively debated in biomedicine at present. Such different aspects as the need for setting objectives and priorities, improving study design, quality of reporting, and problematic incentives of the academic reward system are addressed. While this debate is also fueled by ethical considerations and thus informed by bioethical research, up to now, the field of bioethics lacks a similar extensive debate. Nonetheless, bioethical research should not go unquestioned regarding its scientific or social value. What exactly constitutes the value of bioethical research, however, remains widely unclear so far. Methods This explorative study investigated possible value dimensions for bioethical research by conducting a qualitative literature analysis of researchers’ statements about the value of their studies. 40 bioethics articles published 2015 in four relevant journals ( The American Journal of Bioethics , Bioethics , BMC Medical Ethics and Journal of Medical Ethics ) were analyzed. The value dimensions of “advancing knowledge” (e.g. research results that are relevant for science itself and for further research) and “application” (e.g. increasing applicability of research results in practice) were used as main deductive categories for the analysis. Further subcategories were inductively generated. Results The analysis resulted in 62 subcategories representing a wide range of value dimensions for bioethical research. Of these, 45 were subcategories of “advancing knowledge” and 17 of “application”. In 21 articles, no value dimensions related to “application” was found; the remaining 19 articles mentioned “advancing knowledge” as well as “application”. The value dimensions related to “advancing knowledge” were, in general, more fine-grained. Conclusions Even though limitations arise regarding the sample, the study revealed a plethora of value dimensions that can inform further debates about what makes bioethical research valuable for science and society. Besides theoretical reflections on the value of bioethics more meta-research in bioethics is needed.

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Evaluation of ethical aspects in health technology assessment: more methods than applications?

Cited by 6 publications

References 10 publications

Ethics Evaluation Revealing Decision-Maker Motives: A Case of Neonatal Screening

Ethics Evaluation Revealing Decision-Maker Motives: A Case of Neonatal Screening

Hvordan vurdere etiske aspekter ved modernehelse- og velferdsteknologi?

The value of bioethical research: A qualitative literature analysis of researchers’ statements

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