背景：处理道德考虑因素是健康技术评估（HTA）定义的主要组成部分。
目的：本研究旨在探索和描述HTA报告中的伦理分析方式及其对世界各地HTA相关决策的影响。
方法：通过考虑报告的上下文环境，并在HTA完整报告中搜索道德主题和主题，对HTA报告的内容和相关流程进行了描述性分析。审查的重点是一年中发布的所有英语HTA报告。所有道德方面，标准,方法，并在检索到的报告中描述和总结了决策相关的伦理问题。还考虑将道德方面纳入HTA报告的最终决策标准。
结果：本综述纳入了一年内发布的89份HTA报告，并出于道德考虑进行了分析。在检索到的HTA报告中，60.7%没有任何道德问题的痕迹。资源分配公平性的维度，利益相关者参与，社会价值观,技术的本质和本质，以及关于决策评估方法的伦理问题，38.2%的人提出和讨论了医患关系，3.4%,3.4%,3.4%,分别占报告的34.8%和3.4%。这些问题也包括在最终报告的44.1、5.9、2.9、2.9、0和2.9％中，分别。总的来说,在所有89例报告中，只有16例(17.9%)，伦理问题被纳入HTA决策方向。
结论：这篇综述表明，伦理问题偶尔会在HTA报告中提出和讨论。更重要的是,将道德问题作为决策标准纳入HTA是很少的，也是不够的。
BACKGROUND: Dealing with ethical considerations is a major component of Health Technology Assessment (HTA) definitions.
OBJECTIVE: Present study aimed to explore and describe the manner of ethical analyses in HTA
reports and the effects it had on HTA-related decision making around the world.
METHODS: By considering the contextual milieu of
reports and searching for ethical themes and subjects in HTA full
reports, a descriptive analysis of HTA
reports\' contents and related processes was conducted. The review focused on all English HTA
reports issued in a year. All ethical aspects, criteria, approaches, and also decision- making related ethical issues were described and summarized in retrieved reports. The inclusion of ethical aspects in final decision-making criteria of HTA reports was also considered.
RESULTS: Eighty-nine HTA reports issued in one year were included in this review and analyzed for ethical considerations. There was no trace of any ethical issues in 60.7% of retrieved HTA
reports. Dimensions of equity in resource distribution, stakeholder engagement, social values, essence and nature of technology, and ethical issues about the method of assessment for decision making, and physician-patient relationship were raised and discussed in 38.2%, 3.4%, 3.4%, 3.4%, 34.8% and 3.4% of reports respectively. Those issues were also included in 44.1, 5.9, 2.9, 2.9, 0 and 2.9% of final reports, respectively. In overall, only in 16 cases (17.9%) of all 89 reports, ethical issues were included in HTA decision-making orientations.
CONCLUSIONS: This review shows that ethical issues are occasionally raised and discussed in HTA reports. More importantly, the inclusion of ethical concerns as a decision criterion in HTAs is few and insufficient.
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