Result card

  • ETH4: What are the consequences of implementing / not implementing FIT on justice in the health care system? Are principles of fairness, justness and solidarity respected?
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What are the consequences of implementing / not implementing FIT on justice in the health care system? Are principles of fairness, justness and solidarity respected?

Authors: Gottfried Endel

Internal reviewers: Pseudo165 Pseudo165, Pseudo220 Pseudo220, Pseudo263 Pseudo263, Pseudo296 Pseudo296, Pseudo88 Pseudo88

Results from EFF and SAF domain answer this question perfectly. As there are only minor differences between the two tests and the consequences are identical no important differences in benefits and risks have to be taken care of.

The key issue is the implementation as population based screening. The choice of the test does not influence issues of justice. An indirect question with regard to justice can arise from differences in cost of the two tests. Cost differences in this program are opportunity costs for other potential interventions in the field of screening or in the wider field of health care or public health. So only the indirect consequences of the budget impact of a decision between the two tests may influence fairness or solidarity. This indirect impact was outside of the scope of the assessment. In an indirect way such questions are included in economic evaluations as willingness to pay threshold.

Important
Partially
Endel G Result Card ETH4 In: Endel G Ethical analysis In: Jefferson T, Cerbo M, Vicari N [eds.]. Fecal Immunochemical Test (FIT ) versus guaiac-based fecal occult blood test (FOBT) for colorectal cancer screening [Core HTA], Agenas - Agenzia nazionale per i servizi sanitari regionali; 2014. [cited 16 June 2021]. Available from: http://corehta.info/ViewCover.aspx?id=206