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Health technology assessment in its local contexts: studies of telehealthcare

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  • May, Carl
  • Mort, Maggie
  • Williams, Tracy
  • Mair, Frances
  • Gask, Linda

Abstract

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.

Suggested Citation

  • May, Carl & Mort, Maggie & Williams, Tracy & Mair, Frances & Gask, Linda, 2003. "Health technology assessment in its local contexts: studies of telehealthcare," Social Science & Medicine, Elsevier, vol. 57(4), pages 697-710, August.
    • Handle: RePEc:eee:socmed:v:57:y:2003:i:4:p:697-710
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    RePEc Biblio mentions

    As found on the RePEc Biblio, the curated bibliography for Economics:
    1. > Economic Development Technological Change, and Growth > Technological Change: Choices and Consequences > Technology Assessment > Health Technology Assessment

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    Cited by:

    1. Andreassen, Hege K. & Dyb, Kari & May, Carl R. & Pope, Catherine J. & Warth, Line L., 2018. "Digitized patient–provider interaction: How does it matter? A qualitative meta-synthesis," Social Science & Medicine, Elsevier, vol. 215(C), pages 36-44.
    2. Shaw, Sara E. & Greenhalgh, Trisha, 2008. "Best research - For what? Best health - For whom? A critical exploration of primary care research using discourse analysis," Social Science & Medicine, Elsevier, vol. 66(12), pages 2506-2519, June.
    3. Hendy, Jane & Barlow, James, 2012. "The role of the organizational champion in achieving health system change," Social Science & Medicine, Elsevier, vol. 74(3), pages 348-355.
    4. Erik Thorstensen, 2019. "Stakeholders’ Views on Responsible Assessments of Assistive Technologies through an Ethical HTA Matrix," Societies, MDPI, vol. 9(3), pages 1-32, June.
    5. May, Carl & Finch, Tracy & Mair, Frances & Mort, Maggie, 2005. "Towards a wireless patient: Chronic illness, scarce care and technological innovation in the United Kingdom," Social Science & Medicine, Elsevier, vol. 61(7), pages 1485-1494, October.
    6. Chuka Emezue & Tina L. Bloom, 2021. "PROTOCOL: Technology‐based and digital interventions for intimate partner violence: A meta‐analysis and systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(1), March.
    7. Bee, Penny Elizabeth & Lovell, Karina & Lidbetter, Nicola & Easton, Katherine & Gask, Linda, 2010. "You can't get anything perfect: "User perspectives on the delivery of cognitive behavioural therapy by telephone"," Social Science & Medicine, Elsevier, vol. 71(7), pages 1308-1315, October.
    8. Chuka Emezue & Jo‐Ana D. Chase & Tipparat Udmuangpia & Tina L. Bloom, 2022. "Technology‐based and digital interventions for intimate partner violence: A systematic review and meta‐analysis," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.
    9. Massazza, Alessandro & May, Carl R. & Roberts, Bayard & Tol, Wietse A. & Bogdanov, Sergiy & Nadkarni, Abhijit & Fuhr, Daniela C., 2022. "Process evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crises," Social Science & Medicine, Elsevier, vol. 303(C).

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