Health technology assessment implementation: the politics of ethics.

TitleHealth technology assessment implementation: the politics of ethics.
Publication TypeJournal Article
Year of Publication2012
AuthorsCallahan D
JournalMedical decision making : an international journal of the Society for Medical Decision Making
Volume32
Issue1
PaginationE13-9
Date Published2012 Jan-Feb
ISSN1552-681X
KeywordsBreast Neoplasms; Female; Humans; Mammography; Middle Aged; Politics; Technology Assessment, Biomedical; United States
AbstractUsing a 2009 American debate on a federal public health recommendation on mammography screening for women under the age of 50 as a case study, it is argued that public acceptance of health technology assessment (HTA) depends on the ethical acceptability of its recommendations. At the same time, that acceptability cannot be separated from the politics and values of the health care system of which it is part. In the United States, those values display a sharp ideological split between a conservative individual-based ethic and a liberal community-oriented ethic. A clash of this kind cannot be solved by invocation of ethical principles when it is those principles themselves that are in conflict. Inevitably HTA acceptance is threatened by this conflict as is the fate of health care reform.
DOI10.1177/0272989X11418672
Alternate JournalMed Decis Making