Ethics has been identified as a key element in Health Technology Assessment (HTA) since its conception. However, ethical issues are still not frequently addressed explicitly in HTA. Several valuable reasons have been identified. The basis of the article is the claim that ethics is often not part of HTA for "epistemological reasons". Hence, the main aim of the contribution is to explore in more details and emphasize them by using the fact/value dichotomy. Our conclusion is that current HTA configuration is predominantly based on the comparison among objective and empirically testable "facts", whilst ethics is not empirically testable. In this sense, there is a sort of "epistemological gap", which can explain why it is so difficult to integrate ethics in HTA. We suggest that the epistemological differences among the various domains of HTA are addressed more explicitly.

Refolo, P., Sacchini, D., Brereton, L., Gerhardus, A., Hofmann, B., Lysdahl, K. B., Mozygemba, K., Oortwijn, W., Tummers, M., Van Der Wilt, G. J., Wahlster, P., Spagnolo, A. G., Why is it so difficult to integrate ethics in Health Technology Assessment (HTA)? The epistemological viewpoint, <<EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES>>, 2016; 20 (20): 4202-4208 [http://hdl.handle.net/10807/87063]

Why is it so difficult to integrate ethics in Health Technology Assessment (HTA)? The epistemological viewpoint

Refolo, Pietro
Primo
;
Sacchini, Dario
Secondo
;
Spagnolo, A. G.
2016

Abstract

Ethics has been identified as a key element in Health Technology Assessment (HTA) since its conception. However, ethical issues are still not frequently addressed explicitly in HTA. Several valuable reasons have been identified. The basis of the article is the claim that ethics is often not part of HTA for "epistemological reasons". Hence, the main aim of the contribution is to explore in more details and emphasize them by using the fact/value dichotomy. Our conclusion is that current HTA configuration is predominantly based on the comparison among objective and empirically testable "facts", whilst ethics is not empirically testable. In this sense, there is a sort of "epistemological gap", which can explain why it is so difficult to integrate ethics in HTA. We suggest that the epistemological differences among the various domains of HTA are addressed more explicitly.
Inglese
Refolo, P., Sacchini, D., Brereton, L., Gerhardus, A., Hofmann, B., Lysdahl, K. B., Mozygemba, K., Oortwijn, W., Tummers, M., Van Der Wilt, G. J., Wahlster, P., Spagnolo, A. G., Why is it so difficult to integrate ethics in Health Technology Assessment (HTA)? The epistemological viewpoint, <<EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES>>, 2016; 20 (20): 4202-4208 [http://hdl.handle.net/10807/87063]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/87063
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 10
  • ???jsp.display-item.citation.isi??? ND
social impact