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Health technology assessment in its local contexts: studies of telehealthcare
Open accessAbstract
Health technology assessment (HTA) is one of the major research enterprises of late modernity, reaching into fields of previously autonomous professional practice, and critically interrogating the organisation and delivery of health care. The 'evaluation' of new health technologies within the field of HTA is increasingly a normative political expectation, as discourses of 'evidence-based' practice run through health policy in the UK and elsewhere. Despite its importance in governing the direction of innovation in health care delivery, there are hardly any empirical studies of HTA in practice. In this paper, we draw on two ethnographic studies of telehealthcare implementation and evaluation in the UK to explore the practical conduct of HTA, and we focus specifically on the social organisation and conduct of randomised controlled trials of these new technologies. The paper examines how evaluation forms a mediating set of practices that make the embedding or normalisation of a new technology possible; and present a simple model of the social and technical contingencies within the evaluation process.
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“However, the existing evidence mainly relates to organizational readiness within the health service [17,18] or the readiness of health professionals [19-21], patients or carers for a specific single digital health service [22].”
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Charise, A., Witteman, H. O., Whyte, S., Sutton, E. J., Bender, J. L., Massimi, M., Stephens, L., Evans, J., Logie, C. H., Mirza, R. M., et al. (2010) · Health Expectations · doi:10.1111/j.1369-7625.2010.00618.x · Cited by 17
Sanders, C., & Rogers, A. E. (2010) · Handbooks of sociology and social research · doi:10.1007/978-1-4419-7261-3_25 · Cited by 14
Massazza, A., May, C. R., Roberts, B., Tol, W. A., Bogdanov, S., Nadkarni, A., & Fuhr, D. C. (2022) · Social Science & Medicine · doi:10.1016/j.socscimed.2022.114994 · Cited by 19
Self-citationPetherick, E., Villanueva, E., Dumville, J. C., Bryan, E. J., & Dharmage, S. C. (2007) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01246.x · Cited by 12
Technische Unterstützung für Menschen mit Demenz?
Weinberger, N., & Decker, M. (2015) · TATuP Zeitschrift für Technikfolgenabschätzung in Theorie und Praxis · doi:10.14512/tatup.24.2.36 · Cited by 13
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Taganoviq, B., Kurutkan, M. N., Bağış, M., Hoxha, A., Kryeziu, B., Hysenaj, A., Haxhijakupi, E., Bimbashi, A., Shabani, A. D., Hyseni, B., et al. (2023) · Human Systems Management · doi:10.3233/hsm-220202 · Cited by 12
“There are numerous advantages derived from e-health, both for health institutions and professionals [6], focusing on organizational readiness related to health services [7] and health professionals’ readiness [8].”
Going Against the Grain of Optimism: Flour Fortification in Pakistan
Ansari, N., Mehmood, R., & Gazdar, H. (2018) · IDS Bulletin · doi:10.19088/1968-2018.104 · Cited by 12
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Information and Communication Technologies in Long-term and Palliative Care
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“The use of telehealth can empower patients with chronic and advanced illness and improve symptom monitoring and management by providing a clear and good communication pathway between the patient, and its family and the healthcare providers [19,30,33,44].”
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“, 2015), derived from a complex intervention in clinical care (May et al., 2003) and thus may suit pragmatic interventions such as nurse DV screening research.”
BackgroundFoley, J., Ward, E. C., Burns, C. L., Nund, R. L., Wishart, L. R., Graham, N., Patterson, C., Ashley, A., Fink, J., Tiavaasue, E., et al. (2022) · International Journal of Speech-Language Pathology · doi:10.1080/17549507.2022.2050300 · Cited by 10
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Managing Health(-Care Systems) Using Information Health Technologies
Mathar, T. (2010) · Health Care Analysis · doi:10.1007/s10728-010-0150-z · Cited by 9
“In diverse and significantly differing projects the capabilities of IHTs were being utilized, although they were rarely transformed into enduring services after the projects were finished [46].”
Background
Metadata
- Authors
- May, C., Mort, M., Williams, T., Mair, F., & Gask, L.
- Affiliations
- Newcastle University (GB)
- Lancaster University (GB)
- University of Liverpool (GB)
- University of Manchester (GB)
- Corresponding author
- May, Carl
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2003-08
- Volume
- 57
- Issue
- 4
- Pages
- 697-710
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2064741069
- Cited by
- 147
- References
- 51
- Citations by year
- 2026: 3 · 2025: 2 · 2023: 2 · 2022: 5 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 7 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 7
- FWCI
- 13.62
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Northumbria Research Link (Northumbria University) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Public Administration › Evaluation and Performance Assessment
- Keywords
- health technology assessment, telemedicine, randomized controlled trials, evidence-based practice, health policy, technology implementation, healthcare innovation
- MeSH terms
- Anthropology, Cultural, Decision Making, Organizational, Diffusion of Innovation, Evaluation Studies as Topic, United Kingdom, Humans, Interviews as Topic, Policy Making, State Medicine, Technology Assessment, Biomedical, Randomized Controlled Trials as Topic, Telemedicine, Organizational Case Studies
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