加拿大卫生技术评估中的伦理问题：描述性综述。
Ethics in Canadian health technology assessment: a descriptive review.
机构信息
Health Research Methodology Programme, McMaster University, Ontario, Canada.
出版信息
Int J Technol Assess Health Care. 2009 Oct;25(4):463-9. doi: 10.1017/S0266462309990390.
BACKGROUND
Despite the mandate to examine the medical, ethical, and economic implications of the development and use of health technology, health technology assessment (HTA) reports often emphasize the epidemiologic and economic aspects, and omit ethical considerations. This study examines both whether and how ethical issues are incorporated into HTA.
OBJECTIVES
We aim to (i) review a set of Canadian HTA reports for ethics content, (ii) describe the strategies used to incorporate ethically relevant information into HTA, and (iii) determine the presence of implicit ethical issues in a sample of HTA reports.
METHODS
Descriptive and qualitative content analysis of 608 HTA reports produced by six Canadian HTA agencies from January 1997 to December 2006.
RESULTS
We found that (i) a minority (17 percent) of Canadian HTA reports addressed ethical issues, (ii) secondary research predominates while primary analysis is rare, (iii) implicit ethical issues are present in HTA reports that do not purport to address ethics.
CONCLUSIONS
Canadian HTA reports rarely explicitly, and then only superficially, address ethics, though implicit ethical issues abound.
背景
尽管有义务审查卫生技术的开发和使用所带来的医学、伦理和经济影响，但卫生技术评估（HTA）报告往往强调流行病学和经济学方面，而忽略了伦理考虑。本研究考察了是否以及如何将伦理问题纳入 HTA。
目的
我们旨在（i）审查一组加拿大 HTA 报告中的伦理内容，（ii）描述将与伦理相关的信息纳入 HTA 的策略，以及（iii）确定在一组 HTA 报告中存在的隐含伦理问题。
方法
对 6 个加拿大 HTA 机构从 1997 年 1 月至 2006 年 12 月期间制作的 608 份 HTA 报告进行描述性和定性内容分析。
结果
我们发现（i）少数（17%）的加拿大 HTA 报告涉及伦理问题，（ii）次要研究占主导地位，而初步分析则很少，（iii）HTA 报告中存在隐含的伦理问题，尽管这些报告声称不涉及伦理问题。
结论
加拿大 HTA 报告很少明确、甚至只是表面地涉及伦理问题，尽管隐含的伦理问题比比皆是。
Zotero 插件