Abstract：
The inherent normativity of HTA can be conceptualized as a result of normative commitments, a concept that we further specify to encompass moral, epistemological and ontological commitments at play in the practice of HTA. Based on examples from literature, and an analysis of the example of assessing Non-Invasive Prenatal Testing (NIPT), we will show that inevitable normative decisions in conducting an assessment commits the HTA practitioner to moral (regarding what makes a health technology desirable), ontological (regarding which effects of health technology are conceivable), and epistemological (regarding how to obtain reliable information about health technology) norms. This highlights and supports the need for integrating normative analysis and stakeholder participation, providing guidance to HTA practitioners when making normative choices. This will foster a shared understanding between those who conduct, use, or are impacted by assessments regarding what are conceivable and desirable outcomes of using health technology, and how to collect reliable information to assess whether these outcomes are (going to be) realized. It also provides more insight into the implications of different normative choices.
摘要：
HTA的固有规范性可以被概念化为规范性承诺的结果，一个我们进一步指定包含道德的概念，认识论和本体论承诺在HTA的实践中起作用。根据文献中的例子，以及评估非侵入性产前检查(NIPT)的实例分析，我们将证明，在进行评估时不可避免的规范性决定将HTA从业者承诺为道德（关于什么使健康技术可取），本体论(关于健康技术的影响是可以想象的)，和认识论（关于如何获得有关卫生技术的可靠信息）规范。这突出并支持了整合规范分析和利益相关者参与的必要性，在做出规范性选择时，为HTA从业者提供指导。这将促进行为者之间的共同理解，使用,或者受到关于使用卫生技术可以想象和期望结果的评估的影响，以及如何收集可靠的信息来评估这些结果是否（将要）实现。它还提供了对不同规范选择的含义的更多见解。
