title: Bioethics, health technology reassessment, and management.
abstract: Health Technology Reassessment (HTR) is an emerging area of health services and policy research that supports optimal management of technologies throughout their lifecycle. As a structured, evidence-based assessment of the clinical, economic, social, and ethical impacts of existing technologies, HTR is a means of achieving optimal use, managed exit, and better value for money from technologies used in healthcare. This has been documented as raising ethical concerns among clinicians who are providing direct patient care, particularly when managed exit may be the goal. This article discusses the ethical considerations relevant to clinicians and HTR, using a principles' approach to bioethical decision-making.
authors.affiliation: Department of Community Health Sciences, Cumming School of Medicine, Teaching, Research, and Wellness Building, University of Calgary, Alberta, Canada.|Health Technology Assessment Unit, O'Brien Institute for Public Health, Teaching, Research, and Wellness Building, University of Calgary, Alberta, Canada.
authors.forename: Lesley J J
authors.initials: LJ
authors.lastname: Soril
authors.affiliation: Department of Community Health Sciences, Cumming School of Medicine, Teaching, Research, and Wellness Building, University of Calgary, Alberta, Canada.|Health Technology Assessment Unit, O'Brien Institute for Public Health, Teaching, Research, and Wellness Building, University of Calgary, Alberta, Canada.
authors.forename: Fiona M
authors.initials: FM
authors.lastname: Clement
authors.affiliation: Department of Community Health Sciences, Cumming School of Medicine, Teaching, Research, and Wellness Building, University of Calgary, Alberta, Canada. tnosewor@ucalgary.ca.|Health Technology Assessment Unit, O'Brien Institute for Public Health, Teaching, Research, and Wellness Building, University of Calgary, Alberta, Canada.
authors.forename: Tom W
authors.initials: TW
authors.lastname: Noseworthy
mesh_terms: D001675:Bioethics; D020811:Biomedical Technology; D003657:Decision Making; D003695:Delivery of Health Care; D006291:Health Policy; D006801:Humans; D013673:Technology Assessment, Biomedical