{"title":"Health Technologies and Impermissible Delays: The Case of Digital Breast Tomosynthesis.","authors":"Simon Rosenqvist, Magnus Dustler, Johan Brännmark","doi":"10.1007/s11948-025-00535-2","DOIUrl":null,"url":null,"abstract":"<p><p>This paper argues that we have a moral obligation to implement certain health technologies even if we have limited or incomplete evidence of their effectiveness. The focus is on technologies used in non-emergency settings, as opposed to \"exceptional cases\" such as compassionate use and emergency approvals during public health emergencies. A broadly plausible moral principle - the Ecumenical Principle - is introduced and applied to a test case: the use of Digital Breast Tomosynthesis in mammographic screening. The paper concludes by exploring the implications of the Ecumenical Principle for the adoption of other new health technologies.</p>","PeriodicalId":49564,"journal":{"name":"Science and Engineering Ethics","volume":"31 3","pages":"13"},"PeriodicalIF":2.7000,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058816/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Science and Engineering Ethics","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1007/s11948-025-00535-2","RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENGINEERING, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
This paper argues that we have a moral obligation to implement certain health technologies even if we have limited or incomplete evidence of their effectiveness. The focus is on technologies used in non-emergency settings, as opposed to "exceptional cases" such as compassionate use and emergency approvals during public health emergencies. A broadly plausible moral principle - the Ecumenical Principle - is introduced and applied to a test case: the use of Digital Breast Tomosynthesis in mammographic screening. The paper concludes by exploring the implications of the Ecumenical Principle for the adoption of other new health technologies.
期刊介绍:
Science and Engineering Ethics is an international multidisciplinary journal dedicated to exploring ethical issues associated with science and engineering, covering professional education, research and practice as well as the effects of technological innovations and research findings on society.
While the focus of this journal is on science and engineering, contributions from a broad range of disciplines, including social sciences and humanities, are welcomed. Areas of interest include, but are not limited to, ethics of new and emerging technologies, research ethics, computer ethics, energy ethics, animals and human subjects ethics, ethics education in science and engineering, ethics in design, biomedical ethics, values in technology and innovation.
We welcome contributions that deal with these issues from an international perspective, particularly from countries that are underrepresented in these discussions.