However, healthcare systems often fall short of addressing concerns about privacy, confidentiality and safety of information. The general considerations and methodological approach to this venture will hopefully inspire and present important insights to organizations in other national contexts interested in making similar adaptations.Ībstract Information technology is a prominent tool in healthcare management. Conclusions: In this study, a framework for identifying ethical aspects of health technologies is proposed. The items are organized into four different themes: the effects of the intervention on health, its compatibility with ethical norms, structural factors with ethical implications, and long term ethical consequences of using the intervention. Results: The framework consists of twelve items with sub-questions, short explanations, and a concluding overall summary. The framework was reviewed by a group of ethicists working in the field as well as by a wider set of interested parties including industry, interest groups, and other potential users. In addition, the framework was adapted to the Swedish legal and organizational healthcare context, to the role of the HTA agency and to the use of non-ethicists. Methods: The framework was developed based on an inventory of existing approaches to identification and assessment of ethical aspects in HTA. Furthermore, the process of developing and adapting the framework to a specific setting is described. The objective of this study is to present a framework for systematic identification of ethical aspects of health technologies. Nevertheless, how the implementation of ethical assessment in HTA is to be organized and adapted to specific regulatory and organizational settings remains unclear. Objectives: Assessment of ethical aspects of a technology is an important component of health technology assessment (HTA). In conclusion, I argue that the Ethical Impact Assessment, the Socratic approach, the Ethical Matrix, and the HTA Core Model seem to be the most promising methodologies, but that these need adjustments to cover substantive themes from RRI. These are then evaluated on their ability to address issues that have emerged from a literature review on RRI and assistive technologies, on empirical studies in this technology field and on their product focus. Through a discussion on how to understand RRI, HTA, assessment and integration, I suggest a list of four possible approaches that have the potential to be applied as assessment approaches that integrate insights from RRI and HTA. Based on the literature on existing socio-ethical assessment tools, I investigate how these tools can be combined with HTA and how they can add perspectives from RRI that might increase the socio-ethical value of assistive technologies. A central issue in the discussion is how to facilitate an integration of insights from the discourse on RRI with more established assessment approaches such as Health Technology Assessment (HTA). This paper discusses the systematic assessment of assistive technologies in order for them to meet the aims expressed in RRI. The approach to innovations known as Responsible research and innovation (RRI) aims to move the innovation system towards creating products that strive to realize social values along with economic benefits.
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