Ethics in HTA: Examining the 'Need for Expansion'

Abrishami P, Oortwijn W, Hofmann B. Ethics in HTA: examining the “need for expansion.” Int J Health Policy Manag. 2017;6(x):x–x. doi:10.15171/ijhpm.2017.43

Posted: 19 Apr 2017

See all articles by Payam Abrishami

Payam Abrishami

National Health Care Institute; Maastricht University

Wija Oortwijn

Independent

Bjørn Hofmann

Independent

Date Written: April 18, 2017

Abstract

The article by Daniels and colleagues on expanding the scope of health technology assessment (HTA) to embrace ethical analysis has received endorsement and criticism from commentators in this journal. Referring to this debate, we examine in this article the extent and locus of ethical analysis in HTA processes. An expansion/no-expansion framing of HTA is, in our view, not very fruitful. We argue that meaningfulness and relevance to the needs of the population are what should determine the extent of ethics in HTA. Once ‘relevance’ is the guiding principle, engaging in ethical analysis becomes inevitable as values are all over the place in HTA, also in how assessors frame research questions. We also challenge dividing the locus of ethical analysis into assessment and appraisal as this would detach HTA from its purpose, ie, supporting legitimate decision-making. Ethical analysis should therefore be considered integral to the HTA process.

JEL Classification: D63, D78, I18

Suggested Citation

Abrishami, Payam and Oortwijn, Wija and Hofmann, Bjørn, Ethics in HTA: Examining the 'Need for Expansion' (April 18, 2017). Abrishami P, Oortwijn W, Hofmann B. Ethics in HTA: examining the “need for expansion.” Int J Health Policy Manag. 2017;6(x):x–x. doi:10.15171/ijhpm.2017.43, Available at SSRN: https://ssrn.com/abstract=2954451

Payam Abrishami (Contact Author)

National Health Care Institute ( email )

Diemen
Netherlands
+31 20 797 85 55 (Phone)

HOME PAGE: http://www.zorginstituutnederland.nl

Maastricht University

P.O. Box 616
Maastricht, 6200MD
Netherlands

Wija Oortwijn

Independent ( email )

Bjørn Hofmann

Independent ( email )

Here is the Coronavirus
related research on SSRN

Paper statistics

Abstract Views
65
PlumX Metrics