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Ethical perspectives on health technology assessment

Published online by Cambridge University Press:  23 April 2004

Henk ten Have
Affiliation:
University Medical Centre Nijmegen

Abstract

This study analyses why ethical aspects play a minor role in health technology assessment (HTA) studies, even when comprehensive approaches of technology assessment are advocated. Technology is often regarded as a value-neutral tool. At the same time, bioethics is dominated by an engineering model. Ethical contributions to evaluation of medical technology should go beyond issues of application in clinical practice and focus also on the definition of problems, the demarcation of technical and nontechnical issues, and the morally problematic implications of technologies.

Type
Research Article
Copyright
© 2004 Cambridge University Press

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References

Bayer R, Caplan AL, Daniels D. 1983 In search of equity. Health needs and the health care system. New York, London: Plenum Press;
Berg M, van der Grinten T, Klazinga N. 2004 Technology assessment, priority setting, and appropriate care in Dutch health care. Int J Technol Assess Health Care. 20: 3543.Google Scholar
Callahan D. 1990 What kind of life. The limits of medical progress. New York: Simon and Schuster;
Carlsson P. 2004 Health technology assessment and priority setting for health policy in Sweden. Int J Technol Assess Health Care. 20: 4454.Google Scholar
Devettere RJ. 1995 Practical decision making in health care ethics. Cases and concepts Washington DC: Georgetown University Press;
Elliott C. 1999 A philosophical disease: Bioethics, culture and identity. New York, London: Routledge;
Fox RD, Swazey JP. 1992 Spare parts. Organ replacement in American society. New York, Oxford: Oxford University Press;
Gillon R, ed. 1994 Principles of health care ethics. Chichester: John Wiley & Sons;
Hofman B. 2001 On the value-ladenness of technology in medicine. Med Health Care Philos. 4: 335346.Google Scholar
Hofman B. 2002 Technological medicine and the autonomy of man. Med Health Care Philos. 5: 157167.Google Scholar
Jonsen AR. 1990 The new medicine and the old ethics. Cambridge, MA, London: Harvard University Press;
Jonsen AR. 1998 The birth of bioethics. New York, Oxford: Oxford University Press;
Kilner JF. 1990 Who lives? Who dies? Ethical criteria in patient selection. New Haven, London: Yale University Press;
Kirejczyk M. 1996 Met technologie gezegend? Gender en de omstreden invoering van in vitro fertilisatie in de Nederlandse gezondheidszorg. Utrecht: Uitgeverij Jan van Arkel;
Orvain J, Xerri B, Matillon Y. 2004 Overview of health technology assessment in France. Int J Technol Assess Health Care. 20: 2534.Google Scholar
Reiser SJ. 1978 Medicine and the reign of technology. Cambridge: Cambridge University Press;
Reuzel RPB. 2002 Health technology assessment and interactive evaluation: different perspectives. Thesis. University of Nijmegen: Nijmegen;
Rothman DJ. 1991 Strangers at the bedside. A history of how law and bioethics transformed medical decision making. New York: Basicbooks;
Stephenson P, Wagner MG. 1993 Tough choices. In vitro fertilization and the reproductive technologies. Philadelphia: Temple University Press;
Stevens A, Milne R. 2004 Health technology assessment in England and Wales. Int J Technol Assess Health Care. 20: 1124.Google Scholar
ten Have HAMJ, Kimsma GK. 1987 Geneeskunde tussen droom en drama. Voortplanting, ethiek en vooruitgang. Kampen: Kok Agora;
ten Have HAMJ. 1995 Letters to Dr Frankenstein? Ethics and the new reproductive technologies. Soc Sci Med. 40: 141146.Google Scholar
ten Have HAMJ, Lelie A. 1998 Medical ethics research between theory and practice. Theor Med Bioethics. 19: 263276.Google Scholar
ten Have HAMJ, Welie JVM, eds. 1998 Ownership of the human body. Philosophical considerations on the use of the human body and its parts in healthcare. Dordrecht, Boston, London: Kluwer Academic Publishers;
ten Have HAMJ. 1995 Medical technology assessment and ethics. Ambivalent relations. Hastings Center Report, 25: 1319.Google Scholar
ten Have HAMJ, Gordijn B, eds. 2001 Bioethics in a European perspective. Dordrecht, Boston, London: Kluwer Academic Publishers;
Wackers GL. 1994 Constructivist medicine. Maastricht: Universitaire Pers;
Wever CC. 2002 Parenting deaf children in the era of cochlear implantation. A narrative-ethical analysis. Thesis. University of Nijmegen: Nijmegen;

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