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Health Technologies and Impermissible Delays : The Case of Digital Breast Tomosynthesis

Rosenqvist, Simon ; Dustler, Magnus LU orcid and Brännmark, Johan (2025) In Science and Engineering Ethics 31(3).
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.

Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Clinical utility, Health technologies, Health technology assessments, Mammography, Medical ethics, Moral principles
in
Science and Engineering Ethics
volume
31
issue
3
article number
13
publisher
Springer
external identifiers
  • scopus:105004465778
  • pmid:40332720
ISSN
1353-3452
DOI
10.1007/s11948-025-00535-2
language
English
LU publication?
yes
id
3c88eceb-2d14-4d52-8c68-ab2c776e4db1
date added to LUP
2025-07-30 13:36:59
date last changed
2025-08-13 15:31:09
@article{3c88eceb-2d14-4d52-8c68-ab2c776e4db1,
  abstract     = {{<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>}},
  author       = {{Rosenqvist, Simon and Dustler, Magnus and Brännmark, Johan}},
  issn         = {{1353-3452}},
  keywords     = {{Clinical utility; Health technologies; Health technology assessments; Mammography; Medical ethics; Moral principles}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{Springer}},
  series       = {{Science and Engineering Ethics}},
  title        = {{Health Technologies and Impermissible Delays : The Case of Digital Breast Tomosynthesis}},
  url          = {{http://dx.doi.org/10.1007/s11948-025-00535-2}},
  doi          = {{10.1007/s11948-025-00535-2}},
  volume       = {{31}},
  year         = {{2025}},
}