Reducing normative bias in health technology assessment: interactive evaluation and casuistry

Health technology assessment (HTA) is often biased in the sense that it neglects relevant perspectives on the technology in question. To incorporate different perspectives in HTA, we should pursue agreement about what are relevant, plausible, and feasible research questions; interactive technology a...

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Bibliographic Details
Published in:Medicine, health care, and philosophy health care, and philosophy, 1999, Vol.2 (3), p.255-263
Main Authors: Reuzel, R P, van der Wilt, G J, ten Have, H A, de Vries Robbé, P F
Format: Article
Language:English
Subjects:
Bioethics
Casuistry
Child
Child Welfare
Cochlear Implants
Ethics, Medical
Humans
Interprofessional Relations
Morals
Netherlands
Social Values
Technology Assessment, Biomedical - methods
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Summary:Health technology assessment (HTA) is often biased in the sense that it neglects relevant perspectives on the technology in question. To incorporate different perspectives in HTA, we should pursue agreement about what are relevant, plausible, and feasible research questions; interactive technology assessment (iTA) might be suitable for this goal. In this way a kind of procedural ethics is established. Currently, ethics too often is focussed on the application of general principles, which leaves a lot of confusion as to what really is the matter in specific cases; in an iTA clashes of values should not be approached by use of such ethics. Instead, casuistry, as a tool used within the framework of iTA, should help to articulate and clarify what is the matter, as to make room for explication and consensus building.
ISSN:1386-7423
1572-8633
DOI:10.1023/A:1009963018813