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Health technology assessment in its local contexts: studies of telehealthcare

Health technology assessment in its local contexts: studies of telehealthcare
Health technology assessment in its local contexts: studies of telehealthcare
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
0277-9536
697-710
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4
Mort, Maggie
d4ca7be5-46e0-4708-a380-35f14ea54c72
Williams, Tracy
deae26a9-0e9c-43e5-bba8-5f6e7a072a76
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
Gask, Linda
9805a757-54f2-400c-b3f4-b5cc277df509
May, Carl R.
17697f8d-98f6-40d3-9cc0-022f04009ae4
Mort, Maggie
d4ca7be5-46e0-4708-a380-35f14ea54c72
Williams, Tracy
deae26a9-0e9c-43e5-bba8-5f6e7a072a76
Mair, Frances
5a57846b-cda7-4368-9d20-0aa2a1d490ca
Gask, Linda
9805a757-54f2-400c-b3f4-b5cc277df509

May, Carl R., Mort, Maggie, Williams, Tracy, Mair, Frances and Gask, Linda (2003) Health technology assessment in its local contexts: studies of telehealthcare. Social Science & Medicine, 57 (4), 697-710. (doi:10.1016/S0277-9536(02)00419-7).

Record type: Article

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

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Published date: August 2003

Identifiers

Local EPrints ID: 163679
URI: http://eprints.soton.ac.uk/id/eprint/163679
ISSN: 0277-9536
PURE UUID: 1d8a1bc3-af56-4ef2-b800-b87eb026b9c6
ORCID for Carl R. May: ORCID iD orcid.org/0000-0002-0451-2690

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Date deposited: 10 Sep 2010 07:50
Last modified: 14 Mar 2024 02:06

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Contributors

Author: Carl R. May ORCID iD
Author: Maggie Mort
Author: Tracy Williams
Author: Frances Mair
Author: Linda Gask

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