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Q-SEA – a tool for quality assessment of ethics analyses conducted as part of health technology assessments
Centre for Research in Evidence-Based Practice (CREBP), Bond University, Gold Coast, Queensland, Australia.
Norwegian University for Science and Technology, Gjøvik, Norway; University of Oslo, Oslo, Norway.
Nursing University School Vitoria-Gasteiz, Vitoria-Gasteiz, Basque Country, Spain; Research and Innovation Directorate, Department for Health, Vitoria-Gasteiz, Basque Country, Spain .
University of Oslo, Oslo, Norway.
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2017 (English)In: GMS Health Technology Assessment, ISSN 1861-8863, E-ISSN 1861-8863, Vol. 13Article in journal (Refereed) Published
Abstract [en]

Introduction: Assessment of ethics issues is an important part of health technology assessments (HTA). However, in terms of existence of quality assessment tools, ethics for HTA is methodologically under-developed in comparison to other areas of HTA, such as clinical or cost effectiveness.Objective: To methodologically advance ethics for HTA by: (1) proposing and elaborating Q-SEA, the first instrument for quality assessment of ethics analyses, and (2) applying Q-SEA to a sample systematic review of ethics for HTA, in order to illustrate and facilitate its use. Methods: To develop a list of items for the Q-SEA instrument, we sys-tematically reviewed the literature on methodology in ethics for HTA, reviewed HTA organizations’ websites, and solicited views from 32 ex-perts in the field of ethics for HTA at two 2-day workshops. We sub-sequently refined Q-SEA through its application to an ethics analysis conducted for HTA.Results: Q-SEA instrument consists of two domains – the process do-main and the output domain. The process domain consists of 5 ele-ments: research question, literature search, inclusion/exclusion criteria, perspective, and ethics framework. The output domain consists of 5 elements: completeness, bias, implications, conceptual clarification, and conflicting values.Conclusion: Q-SEA is the first instrument for quality assessment of ethics analyses in HTA. Further refinements to the instrument to enhance its usability continue.

Place, publisher, year, edition, pages
2017. Vol. 13
Keywords [en]
ethics analysis; health technology assessment; methodology; quality assessment; systematic reviews
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-136268DOI: 10.3205/hta000128OAI: oai:DiVA.org:liu-136268DiVA, id: diva2:1086881
Available from: 2017-04-04 Created: 2017-04-04 Last updated: 2018-03-07

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