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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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Development of a theory of implementation and integration: Normalization Process Theory
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BackgroundMethodResultInfluentialSelf-citation
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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