Ankur Gupta, Danh Tran, Daniel Nguyen, Elizabeth Bridwell, Hanna Thompson, Faizan Ahmed, Jennifer K Brueckner-Collins, Hermann Frieboes, In Kim, Beth Spurlin
Bluegrass Biodesign: Why an Integrated Biomedical Engineering Curriculum is Crucial for Medical Education
Cureus
tackling ethical dilemmas faced reimbursement decision makers requires deeper understanding values health technology assessment hta agencies founded tradeoffs made explored study including case rare disease representatives eight hta explored values institutions founded using narrative approach reflective multicriteria developed evidem criteria derived ethical imperatives health care tradeoffs criteria impact incorporating defined priorities including rare diseases explored quantitative values elicitation exercise participants reported diversity substantive procedural values common emphasis scientific excellence stakeholder involvement independence transparency examining ethical imperatives behind evidem criteria found useful explore substantive values criteria deemed reflect institutions values 70 percent criteria reported least half participants considered formally institutions quantitative values elicitation highlighted difficulty balance imperatives alleviating preventing patient suffering serving whole population equitably upholding healthcare system sustainability making decisions informed evidence context may help share ethical reasoning behind decisions incorporating priorities including rare diseases helped reveal tradeoffs criteria underlying ethical imperatives reflective multicriteria useful explore substantive values htas reflect values ethical underpinnings operationalized criteria explore ethical reasoning heart healthcare debate