Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-15T21:15:13.708Z Has data issue: false hasContentIssue false
  • English
  • Français

How does HTA addresses current social expectations? An international survey

Part of: Special Collection - Methods

Published online by Cambridge University Press:  28 October 2020

Hubert Gagnon ,
Georges-Auguste Legault ,
Christian A. Bellemare ,
Monelle Parent ,
Pierre Dagenais Open the ORCID record for Pierre Dagenais [Opens in a new window] ,
Suzanne K.-Bédard ,
Danielle Tapin ,
Louise Bernier ,
Jean-Pierre Béland  and
Charles-Étienne Daniel
...Show all authors
Hubert Gagnon
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5
Georges-Auguste Legault
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Faculté de Droit, Université de Sherbrooke, 2500 Boul. de l'Université, Sherbrooke, QC, Canada, J1K 2R1
Christian A. Bellemare
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Centre Intégré Universitaire de Santé et Services Sociaux (CIUSSS) de l'Estrie – Centre Hospitalier de l'Université de Sherbrooke (CHUS), 580 rue Bowen sud, Sherbrooke, QC, Canada
Monelle Parent
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5
Pierre Dagenais
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Centre Intégré Universitaire de Santé et Services Sociaux (CIUSSS) de l'Estrie – Centre Hospitalier de l'Université de Sherbrooke (CHUS), Centre de Recherche Clinique du CHUS, 3001, 12e Avenue nord Sherbrooke, QC, Canada, J1H 5N4 Faculté de Médecine et des Sciences de la Santé de l'Université de Sherbrooke, Sherbrooke, QC, Canada, J1K 2R1
Suzanne K.-Bédard
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Centre Intégré Universitaire de Santé et Services Sociaux (CIUSSS) de l'Estrie – Centre Hospitalier de l'Université de Sherbrooke (CHUS), 580 rue Bowen sud, Sherbrooke, QC, Canada
Danielle Tapin
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5
Louise Bernier
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Faculté de Droit, Université de Sherbrooke, 2500 Boul. de l'Université, Sherbrooke, QC, Canada, J1K 2R1
Jean-Pierre Béland
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Unité d'Enseignement en Éthique, Département des Sciences Humaines, Université du Québec à Chicoutimi (UQAC), Chicoutimi, QC, Canada, G7X 2B1
Charles-Étienne Daniel
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Faculté de Droit, Université de Sherbrooke, 2500 Boul. de l'Université, Sherbrooke, QC, Canada, J1K 2R1
Johane Patenaude*
Affiliation:
Institut Interdisciplinaire d'Innovation Technologique (3IT) de l'Université de Sherbrooke, Parc Innovation P2, 3000 boulevard de l'Université Sherbrooke, Sherbrooke, QC, Canada, J1K 0A5 Faculté de Médecine et des Sciences de la Santé de l'Université de Sherbrooke, Sherbrooke, QC, Canada, J1K 2R1
*
Author for correspondence: Johane Patenaude, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

Integration of ethics into technology assessment in healthcare (HTA) reports is directly linked to the need of decision makers to provide rational grounds justifying their social choices. In a decision-making paradigm, facts and values are intertwined and the social role of HTA reports is to provide relevant information to decision makers. Since 2003, numerous surveys and discussions have addressed different aspects of the integration of ethics into HTA. This study aims to clarify how HTA professionals consider the integration of ethics into HTA, so an international survey was conducted in 2018 and the results are reported here.

Methods

A survey comprising twenty-two questions was designed and carried out from April 2018 to July 2018. Three hundred and twenty-eight HTA agencies from seventy-five countries were invited to participate in this survey.

Results

Eighty-nine participants completed the survey, representing a participation rate of twenty-seven percent. As to how HTA reports should fulfill their social role, over 84 percent of respondents agreed upon the necessity to address this role for decision makers, patients, and citizens. At a lower level, the same was found regarding the necessity to make value-judgments explicit in different report sections, including ethical analysis. This contrasts with the response-variability obtained on the status of ethical analysis with the exception of the expertise required. Variability in stakeholder-participation usefulness was also observed.

Conclusions

This study reveals the importance of a three-phase approach, including assessment, contextual data, and recommendations, and highlights the necessity to make explicit value-judgments and have a systematic ethical analysis in order to fulfill HTA's social role in guiding decision makers.

Keywords

Ethicshealth technology assessmentsocial needssurveyvalue judgments
Type
Method
Information
International Journal of Technology Assessment in Health Care , Volume 37 , Issue 1 , 2021 , e9
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

International Network of Agencies for Health Technology Assessment (INAHTA). 2003 Survey on Handling of Ethical Issues. Available from: http://www.inahta.org/wp-content/uploads/2014/04/INAHTA_Survey_Ethical-Issues_2003.pdfGoogle Scholar
International Network of Agencies for Health Technology Assessment (INAHTA). 2005 INAHTA's Working Group on Handling Ethical Issues, Final report. 2005. Available from: http://www.inahta.org/wp-content/uploads/2014/03/Final-report-Ethics-in-HTA-Nov-07.pdf.Google Scholar
Burls, A, Caron, L, de Langavant G, C, Dondorp, W, Harstall, C, Pathak-Sen, E et al. Tackling ethical issues in health technology assessment: A proposed framework. Int J Technol Assess Health Care 2011;27:230–37 .CrossRefGoogle ScholarPubMed
Assasi, N, Schwartz, L, Tarride, JE, O'Reilly, D, Goeree, R. Barriers and facilitators influencing ethical evaluation in health technology assessment. Int J Technol Assess Health Care 2015;31:113–23.CrossRefGoogle ScholarPubMed
Arellano, LE, Willett, JM, Borry, P. International survey on attitudes toward ethics in health technology assessment: An exploratory study. Int J Technol Assess Health Care 2011;27:50–54.CrossRefGoogle ScholarPubMed
Bellemare, CA, Dagenais, P, Bédard, SK, Béland, JP, Bernier, L, Daniel, C E et al. Ethics in health technology assessment: A systematic review. Int J Technol Assess Health Care 2018;34:447–57.CrossRefGoogle ScholarPubMed
Legault, G-A, Bédard, SK, Bellemare, CA, Béland, JP, Bernier, L, Dagenais, P et al. Revisiting the fact/value dichotomy: A speech act approach to improve the integration of ethics in health technology. Open J Philos 2018;8:578–93.CrossRefGoogle Scholar
Legault, G-A, Patenaude, J, Parent, M, Béland, JP, K.-Bédard, S, Bellemare, CB et al. Health technology assessment's ethical evaluation: Understanding the diversity of approaches. Int J Technol Assess Health Care 2018;34:S46–47.Google Scholar
Duthie, K, Bond, K. Improving ethics analysis in health technology assessment. Int J Technol Assess Health Care 2011;27:64–70.CrossRefGoogle ScholarPubMed
Giacomini, M, Winsor, S, Abelson, J. Ethics in health technology assessment: Understanding health technologies as policies. Health Manag Forum 2013;26:72–6.CrossRefGoogle Scholar
Coulter, A. Perspectives on HTA: Response from the patient's perspective. Int J Technol Assess Health Care 2004;20:92–96.CrossRefGoogle ScholarPubMed
LimeSurvey GmbH. 2018 LimeSurvey. Available from: https://www.limesurvey.org/Google Scholar
World Health Organization (WHO). 2014 HTA agencies and networks by Member States. Available from: https://www.who.int/health-technology-assessment/networks/HTAagenciesandnetworksbyMemberStates082014.pdfGoogle Scholar
World Health Organization (WHO). 2015 Global Survey on Health Technology Assessment by National Authorities. Main findings. Geneva; 2015. Available from: https://www.who.int/health-technology-assessment/MD_HTA_oct2015_final_web2.pdfGoogle Scholar
Institut national d'excellence en santé et en services sociaux (INESSS). 2018 Available from: https://www.inesss.qc.ca/Google Scholar
Legault, G-A, Patenaude, J, Bédard, SK, Bellemare, CA, Bernier, L, Dagenais, P et al. Towards a systemic approach of value judgment. Int J Technol Assess Health Care 2019;34:S108–109.CrossRefGoogle Scholar
World Bank. 2019 Countries and lending groups. Available from: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groupsGoogle Scholar
Schokkaert, E. How to introduce more (or better) ethical arguments in HTA? Int J Technol Assess Health Care 2015;31:111–12.CrossRefGoogle ScholarPubMed
Oortwijn, W, Reuzel, R, Decker, M. Introduction. Poiesis Prax 2011;2S2–3:97–101.Google Scholar
Martin, C, Williams-Jones, B, de Ortúzar, MG. Ethical health technology assessment in Latin America: Lessons from Canada and Argentina. Acta Bioeth 2011;17:225–36.CrossRefGoogle Scholar
European Network for Health Technology Assessment (EUnetHTA). 2016. Joint Action 2, Work Package 8: HTA Core Model, v.3. 2016. Available from: www.htacoremodel.info/BrowseModel.aspx.Google Scholar
Supplementary material: PDF

Gagnon et al. supplementary material

Gagnon et al. supplementary material 1

Download Gagnon et al. supplementary material(PDF)
PDF 122.5 KB
Supplementary material: File

Gagnon et al. supplementary material

Gagnon et al. supplementary material 2

Download Gagnon et al. supplementary material(File)
File 13.6 KB
Supplementary material: File

Gagnon et al. supplementary material

Gagnon et al. supplementary material 3

Download Gagnon et al. supplementary material(File)
File 28 KB
Supplementary material: File

Gagnon et al. supplementary material

Gagnon et al. supplementary material 4

Download Gagnon et al. supplementary material(File)
File 17.3 KB