Rethinking value construction in biomedicine and healthcare

被引：14

作者：

Datta Burton, Saheli ^{[1
,2
,3
]}

Kieslich, Katharina ^{[2
]}

Paul, Katharina Theresa ^{[2
]}

Samuel, Gabrielle ^{[1
,3
]}

Prainsack, Barbara ^{[2
,3
]}

机构：

[1] UCL, Dept Sci Technol Engn & Publ Policy UCL STEaPP, London, England

[2] Univ Vienna, Dept Polit Sci, Ctr Study Contemporary Solidar, Vienna, Austria

[3] Kings Coll London, Dept Global Hlth & Social Med, Bush House, London, England

来源：

BIOSOCIETIES | 2022年 / 17卷 / 03期

基金：

英国工程与自然科学研究理事会; 英国惠康基金; 奥地利科学基金会;

关键词：

Value; Genomics; Artificial intelligence; Health technology assessment; Vaccination; Value-based healthcare; PAY-FOR-PERFORMANCE; ENGAGEMENT; ADOPTION; WILL; CELL;

D O I：

10.1057/s41292-020-00220-6

中图分类号：

R318 [生物医学工程]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 0831 ;

摘要：

Despite longstanding attempts to conceptualise and measure value in biomedicine and healthcare, there is no single agreed definition of what value is. Instead, and as such, value is often taken as given or constructed in economic terms. In this paper, we argue that taking the meaning of value as given, or reverting to technocratic or economic dimensions of value, obscures the non-technical and societal dimensions of value construction and operationalisation in healthcare and biomedical practices. Through a comparative study of five cases of biomedicine and healthcare, we aim to bring out the socioeconomic and political processes that make a thing valuable for society and its implications. Our contention is that a clearer understanding of what makes something valuable (or not) is the first step towards what socially reflexive and responsible valuing of biomedicine and healthcare ought to be.

引用

页码：391 / 414

页数：24

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