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28Ethics and HTA: some lessons and challenges for the futurePoiesis and Praxis 2 (2-3): 247-256. 2004.
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26Interactive technology assessment and wide reflective equilibriumJournal of Medicine and Philosophy 26 (3): 245-261. 2001.
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5Reducing normative bias in health technology assessment: Interactive evaluation and casuistryMedicine, Health Care and Philosophy 2 (3): 255-263. 1999.Health technology assessment (HTA) is often biased in the sense that it neglects relevant perspectives on the technology in question. To incorporate different perspectives in HTA, we should pursue agreement about what are relevant, plausible, and feasible research questions; interactive technology assessment (iTA) might be suitable for this goal. In this way a kind of procedural ethics is established. Currently, ethics too often is focussed on the application of general principles, which leaves …Read more
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A View From The Netherlands: Ethics As Interactive EvaluationCambridge Quarterly of Healthcare Ethics 10 (1): 110-114. 2001.From 1991 to 1994 the Dutch Health Insurance Council financed research on Extracorporeal Membrane Oxygenation. This is a technique for providing cardiopulmonary bypass to patients with pulmonary and/or cardiac failure. Most often, these patients are premature neonates. During ECMO, blood is drained from the right atrium, pumped along a membrane where gas exchange takes place, and then redirected to the aorta. To prevent blood clotting, heparin is added. However, with the heparin added, the risk …Read more
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49Reducing normative bias in health technology assessment: Interactive evaluation and casuistryMedicine, Health Care and Philosophy 2 (3): 255-263. 1999.Health technology assessment (HTA) is often biased in the sense that it neglects relevant perspectives on the technology in question. To incorporate different perspectives in HTA, we should pursue agreement about what are relevant, plausible, and feasible research questions; interactive technology assessment (iTA) might be suitable for this goal. In this way a kind of procedural ethics is established. Currently, ethics too often is focussed on the application of general principles, which leaves …Read more
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48Interactive technology assessment and wide reflective equilibriumJournal of Medicine and Philosophy 26 (3). 2001.Interactive technology assessment (iTA) provides an answer to the ethical problem of normative bias in evaluation research. This normative bias develops when relevant perspectives on the evaluand (the thing being evaluated) are neglected. In iTA this bias is overcome by incorporating different perspectives into the assessment. As a consequence, justification of decisions based on the assessment is provided by stakeholders having achieved agreement. In this article, agreement is identified with w…Read more
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65A View from the Netherlands: Ethics as Interactive EvaluationCambridge Quarterly of Healthcare Ethics 10 (1): 110-114. 2001.From 1991 to 1994 the Dutch Health Insurance Council financed research on Extracorporeal Membrane Oxygenation (ECMO). This is a technique for providing cardiopulmonary bypass to patients with pulmonary and/or cardiac failure. Most often, these patients are premature neonates. During ECMO, blood is drained from the right atrium, pumped along a membrane where gas exchange takes place, and then redirected to the aorta. To prevent blood clotting, heparin is added. However, with the heparin added, th…Read more
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15A View from the Netherlands: Ethics as Interactive EvaluationCambridge Quarterly of Healthcare Ethics 10 (1): 110-114. 2001.From 1991 to 1994 the Dutch Health Insurance Council financed research on Extracorporeal Membrane Oxygenation . This is a technique for providing cardiopulmonary bypass to patients with pulmonary and/or cardiac failure. Most often, these patients are premature neonates. During ECMO, blood is drained from the right atrium, pumped along a membrane where gas exchange takes place, and then redirected to the aorta. To prevent blood clotting, heparin is added. However, with the heparin added, the risk…Read more
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23Participatory Workshops are Not Enough to Prevent Policy Implementation Failures: An Example of a Policy Development Process Concerning the Drug Interferon-beta for Multiple Sclerosis (review)Health Care Analysis 16 (2): 161-175. 2008.A possible explanation for policy implementation failure is that the views of the policy’s target groups are insufficiently taken into account during policy development. It has been argued that involving these groups in an interactive process of policy development could improve this. We analysed a project in which several target populations participated in workshops aimed to optimise the utilisation of an expensive novel drug (interferon beta) for patients with Multiple Sclerosis. All participan…Read more
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19Ethics and HTA: some lessons and challenges for the futurePoiesis and Praxis: International Journal of Technology Assessment and Ethics of Science 2 (2): 247-256. 2004.
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64The ethics of assessing health technologiesTheoretical Medicine and Bioethics 21 (1): 101-113. 2000.Health technology assessment consists of thesystematic study of the consequences of theintroduction or continued use of the technology in aparticular context, with the explicit objective toarrive at a judgment of the value or merit of thetechnology. Ideally, it is aimed at assessing allaspects of a given technology or group oftechnologies, including non-technical, e.g.socio-ethical, aspects. However, methods for assessingsocio-ethical implications of health technology arerelatively undeveloped a…Read more
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8Ethical inquiry and (health) technology assessment: The social shaping perspectivePoiesis and Praxis 2 91. 2004.
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33Interactive technology assessment of paediatric cochlear implantationPoiesis and Praxis 2 (s 2-3): 119-137. 2004.Interactive technology assessment is a novel approach to evaluating (health) technology, which philosophically draws from the works of Rawls and Habermas. That is, it seeks to organise a practical setting for discursive ethics in order to find a legitimate basis for policy to be pursued when the technology under scrutiny features a moral controversy. Interactive technology assessment involves a cycle of interviews with all stakeholders, who are explicitly asked to respond (anonymously) to the co…Read more