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Beyond the Black Box Approach to Ethics! Comment on "Expanded HTA: Enhancing Fairness and Legitimacy".
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. (Prioriteringscentrum)
Linköping University, Department of Culture and Communication, Arts and Humanities. Linköping University, Faculty of Arts and Sciences. (Prioriteringscentrum)
2016 (English)In: International Journal of Health Policy and Management, ISSN 2322-5939, E-ISSN 2322-5939, Vol. 5, no 6, 393-394 p.Article in journal (Refereed) Published
Abstract [en]

In the editorial published in this journal, Daniels and colleagues argue that his and Sabin's accountability for reasonableness (A4R) framework should be used to handle ethical issues in the health technology assessment (HTA)-process, especially concerning fairness. In contrast to this suggestion, it is argued that such an approach risks suffering from the irrrelevance or insufficiency they warn against. This is for a number of reasons: lack of comprehensiveness, lack of guidance for how to assess ethical issues within the "black box" of A4R as to issues covered, competence and legitimate arguments and finally seemingly accepting consensus as the final verdict on ethical issues. We argue that the HTA community is already in a position to move beyond this black box approach.

Place, publisher, year, edition, pages
2016. Vol. 5, no 6, 393-394 p.
Keyword [en]
Accountability for Reasonableness (A4R); Ethical Analysis; Ethical Competence; Ethics; Health Technology Assessment (HTA)
National Category
Medical Ethics
URN: urn:nbn:se:liu:diva-130499DOI: 10.15171/ijhpm.2016.43PubMedID: 27285520OAI: diva2:952031
Available from: 2016-08-11 Created: 2016-08-11 Last updated: 2016-08-29

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Sandman, LarsGustavsson, Erik
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