The DOI matches its Crossref record; 50 of the 51 references it cites were found in a registry or an index.
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].”
Citations
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Development of a theory of implementation and integration: Normalization Process Theory
May, C. R., Mair, F., Finch, T., MacFarlane, A., Dowrick, C., Treweek, S., Rapley, T., Ballini, L., Ong, B. N., Rogers, A., et al. (2009) · Implementation Science · doi:10.1186/1748-5908-4-29 · Cited by 1,409
“These related to four domains of research: the normalization of telemedicine systems [ 16 ,17]; professional-patient interaction and the organization of healthcare work in chronic illness [18,19]; and the social production and operationalization of evidence in the clinical encounter [20].”
Self-citationMay, C., Finch, T., Mair, F., Ballini, L., Dowrick, C., Eccles, M., Gask, L., MacFarlane, A., Murray, E., Rapley, T., et al. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-148 · Cited by 768
“Complex interventions relating to objects include trials of novel therapeutic agents and medical devices [19], and of decision-making tools and clinical guidelines [20].”
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Self-citationTowards a general theory of implementation
May, C. (2013) · Implementation Science · doi:10.1186/1748-5908-8-18 · Cited by 656
“An interesting example is that of the networks involved in designing, delivering and participating in large randomized controlled clinical trials [63].”
BackgroundSelf-citationA rational model for assessing and evaluating complex interventions in health care
May, C. (2006) · BMC Health Services Research · doi:10.1186/1472-6963-6-86 · Cited by 447
“More than 500 ethnographic data collection episodes derived from multiple studies [4,35-38] were theoretically re-sampled to further explore the design, development and implementation of telemedicine services.”
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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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