May, Carl R. and Mort, Maggie and Williams, Tracy and Mair, Frances S. and Gask, Linda (2003) Health technology assessment in its local contexts : studies of telehealthcare. Social Science and Medicine, 57 (4). pp. 697-710. ISSN 0277-9536Full text not available from this repository.
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.
|Journal or Publication Title:||Social Science and Medicine|
|Uncontrolled Keywords:||Telehealthcare ; Health technology assessment ; Evaluation ; Contingency model ; UK|
|Subjects:||R Medicine > R Medicine (General)|
|Departments:||Faculty of Health and Medicine > Health Research|
Faculty of Arts & Social Sciences > Sociology
|Deposited By:||Mr Richard Ingham|
|Deposited On:||16 Sep 2008 13:16|
|Last Modified:||17 Mar 2015 15:24|
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