Health technology assessment between our health care system and our health: Exploring the potential of reflexive HTA
Graduate studies at Western
Poiesis and Praxis 2 (s 2-3):157-174 (2004)
|Abstract||In this contribution, I wish to explore the potential of health technology assessment and ethics for increasing our capacity to pre-empt the shortcomings and undesired consequences of modern health care while maintaining its benefits. Central is the presumption that in case of some health problems this cannot be done unless we explicitly reconsider some features of the modern health care system, especially those related to its strong reliance on scientific rationality and the strong role played by medical professionals.So as to both maintain the benefits of advanced health care and ensure that it produces less reason for concern, we need to reconsider our approach to rationality—and maybe even the way in which we build our health care system around that rationality. That is, we need to introduce an element of reflexivity. Two types of circumstances are being explored in which such reflexivity may prove worthwhile: controversies on side effects, and persistent problems encountered in optimising health care. Drawing on brief discussions of typical cases, we explore the potential of reflexive HTA and its methodical prerequisites.We conclude that ethicists may contribute to reflexive HTA, if they combine a hermeneutic—and often also participative—methodology with a solid understanding of the relation between the health problem under scrutiny and more general critique of the health care system. Insights from the areas of science and technology studies, as well as from social philosophy may be critical items in their tool kit|
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
|Through your library||Configure|
Similar books and articles
Jessica Pierce (2002). Can Bioethics Survive in a Dying World? Journal of Medical Humanities 23 (1):3-6.
Lorian E. Hardcastle, Katherine L. Record, Peter D. Jacobson & Lawrence O. Gostin (2011). Improving the Population's Health: The Affordable Care Act and the Importance of Integration. Journal of Law, Medicine and Ethics 39 (3):317-327.
Ren-Zong Qiu (1989). Equity and Public Health Care in China. Journal of Medicine and Philosophy 14 (3):283-287.
Laurence B. McCullough (1994). Should We Create a Health Care System in the United States? Journal of Medicine and Philosophy 19 (5):483-490.
Elin Palm (2013). Who Cares? Moral Obligations in Formal and Informal Care Provision in the Light of ICT-Based Home Care. Health Care Analysis 21 (2):171-188.
Robert A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1):79-96.
Daniel Callahan (2001). Health Care for Children: A Community Perspective. Journal of Medicine and Philosophy 26 (2):137 – 146.
Larry R. Churchill (1999). The United States Health Care System Under Managed Care: How the Commodification of Health Care Distorts Ethics and Threatens Equity. [REVIEW] Health Care Analysis 7 (4):393-411.
Dan W. Brock (2001). Children's Rights to Health Care. Journal of Medicine and Philosophy 26 (2):163 – 177.
Bjørn Hofmann (2005). On Value-Judgements and Ethics in Health Technology Assessment. Poiesis and Praxis 3 (4):277-295.
Added to index2009-01-28
Total downloads5 ( #170,270 of 739,359 )
Recent downloads (6 months)0
How can I increase my downloads?