Why is it difficult to integrate ethics in HTA?. The epistemological viewpoint

Pietro Refolo, Dario Sacchini, L Brereton, A Gerhardus, B Hofmann, Kb Lysdahl, K Mozygemba, W Oortwijn, M Tummers, Der Wilt Gj Van, P Wahlster, Antonio Gioacchino Spagnolo, On Behalf Of The Integrate Hta Project Team

Risultato della ricerca: Contributo in libroContributo a convegno


Ethics has been identified as a key element in Health Technology Assessment (HTA) since its conception. However, ethical issues are still not frequently addressed explicitly in HTA. Several valuable reasons have been identified. The basis of the article is the claim that ethics is often not part of HTA for “epistemological reasons”. Hence, the main aim of the contribution is to explore in more details and emphasize them by using the fact/value dichotomy. Our conclusion is that current HTA configuration is dominantly based on the comparison among objective and empirically testable “facts”, whilst ethics is not empirically testable. In this sense, there is a sort of “epistemological gap”, which can explain why it is so difficult to integrate ethics in HTA. We suggest that the epistemological differences among the various domains of HTA are addressed more explicitly.
Lingua originaleEnglish
Titolo della pubblicazione ospiteHTAi 2016 Annual meeting. Tokyo, Japan (May 10-14, 2016) Informing Health Care Decisions with Values and Evidence
Numero di pagine1
Stato di pubblicazionePubblicato - 2016
EventoHTAi 2016 Annual meeting - Tokyo; Japan
Durata: 10 mag 201614 mag 2016


ConvegnoHTAi 2016 Annual meeting
CittàTokyo; Japan


  • HTA


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