Integration of ethical considerations into HTA reports: an analysis of integration levels using a systematic review
| Autor: | Jean-Pierre Béland, Pierre Dagenais, Louise Bernier, Hubert Gagnon, Monelle Parent, Georges-Auguste Legault, Johane Patenaude, Charles-Étienne Daniel, Suzanne Kocsis-Bédard, Christian Bellemare |
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| Rok vydání: | 2021 |
| Předmět: |
Technology Assessment
Biomedical Ethical issues 030503 health policy & services Health Policy Perspective (graphical) Health technology Bioethics Morals 03 medical and health sciences 0302 clinical medicine Engineering ethics 030212 general & internal medicine Norm (social) Descriptive research 0305 other medical science Psychology Ethical Analysis Ethical analysis Qualitative research |
| Zdroj: | International Journal of Technology Assessment in Health Care. 37 |
| ISSN: | 1471-6348 0266-4623 |
| DOI: | 10.1017/s0266462321000325 |
| Popis: | Objective To describe the type and level of ethical integration in published health technology assessment (HTA) reports and systematically identify the ethical approaches utilized. Methods A literature search was conducted with the Google™ search engine using the keyword “ethic” between 1 January 2015 and 20 August 2019. Only HTA assessment reports with a section on ethics were retained and classified according to their level of ethical integration: no ethical analysis, ethical issues highlighted, assessments according to legal or social norms, and assessments from a moral or axiological perspective—using a qualitative methodology to distinguish such integration. Results This review yielded 188 reports with a section identified as being on ethics, produced by seventeen HTA agencies in eleven countries. One hundred and thirty-six reports did not develop an ethical analysis, thirty-one highlighted ethical issues, seventeen conducted a norm-based ethical assessment using a descriptive approach grounded in social norms, and four developed an assessment grounded in a moral or axiological perspective. The bioethical “four-principles” framework was used, but mainly for presenting ethical issues and not as a moral framework. Conclusions The majority of reports featuring a section on ethics mention ethical considerations without ethical analysis. Ethical issues are grouped with legal, social, and organizational issues and treated as contextual considerations that decision makers should be aware of. When reports present systematic norm-based ethical assessments from a descriptive perspective or ethical assessment based on a moral or axiological perspective, there is a tendency to ground these analyses in frameworks created for the purpose and reliant on a concept of ethics supporting them. |
| Databáze: | OpenAIRE |
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