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June 2005 (Volume 83)
June 2005 | Mita Giacomini | Featured Article
Health plans often deliberate covering technologies with challenging purposes, effects, or costs. They must integrate quantitative evidence (e.g., how well a technology works) with qualitative, normative assessments (e.g., whether it works well enough for a worthwhile purpose). Arguments from analogy and precedent help integrate these criteria and establish standards for their policy application. Examples of arguments are described for three technologies (ICSI, genetic tests, and Viagra). Drawing lessons from law, ethics, philosophy, and the social sciences, a framework is developed for case-based evaluation of new technologies. The decision-making cycle includes (1) taking stock of past decisions and formulating precedents, (2) deciding new cases, and (3) assimilating decisions into the case history and evaluation framework. Each stage requires distinctive decision maker roles, information, and methods.
Author(s): Mita Giacomini
Keywords: technology assessment; ethics; resource allocation; social values
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Volume 83, Issue 2 (pages 193–223)
Published in 2005
The Common Law Power of the Legislature: Insurer Conversions and Charitable Funds
In This Issue