Beyond the Black Box Approach to Ethics! Comment on “Expanded HTA: Enhancing Fairness and Legitimacy”
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,...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2016-06-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/pdf_3187_b3e04cbeccbb5921197749b11850fdfd.html |
| Summary: | 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. |
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| ISSN: | 2322-5939 2322-5939 |