Technology assessment and the sociopolitics of health technologies.

TitleTechnology assessment and the sociopolitics of health technologies.
Publication TypeJournal Article
Year of Publication2000
AuthorsLehoux P, Blume S
JournalJournal of health politics, policy and law
Volume25
Issue6
Pagination1083-120
Date Published2000 Dec
ISSN0361-6878
KeywordsAged; Child; Cochlear Implants; Consumer Organizations; Cost-benefit analysis; Evidence-Based Medicine; Health Policy; Humans; Organizational Objectives; Policy Making; Politics; Social Values; Sociology, Medical; Technology Assessment, Biomedical; Telemetry; United States
AbstractIn a growing number of countries, health technology assessment (HTA) has come to be seen as a vital component in policy making. Even though the assessment of the social, political, and ethical aspects of health technology is listed as one of its main objectives, in practice, the integration of such dimensions into HTA remains limited. Recent social scientific research on the inherently political nature of technology strongly supports such a comprehensive approach. The growing claims by and on behalf of consumer groups also suggest that HTA should be informed by a broader set of perspectives. Using the example of the cochlear implant in children, this essay compares the professed objectives of HTA with typical practice and explores possible explanations for the discrepancies observed. A second example, home telemonitoring for elderly persons, demonstrates how the types of evidence considered by HTA and the process through which assessments are produced may be reconsidered. We argue for the formal integration of the sociopolitical dimensions of health care technologies into assessments. The ability of HTA to more fully address important issues from a public policy point of view will increase by making explicit the sociopolitical nature of health care technologies.
Alternate JournalJ Health Polit Policy Law