Abstract:
OBJECTIVES:The aim of this study, in the context of disinvestment related health technology assessment, is to examine whether analysis of Web 2.0--commercial media output, blogs, and discussion forums--can provide an understanding of media framing, community perspectives, and the sociopolitical aspects of an entrenched technology. METHODS:Thematic analysis of relevant data from fifty-nine media articles, thirty-nine discussion forums, thirteen blogs, and three Facebook pages relating to our case study: public funding for assisted reproductive technology services. Mainstream media and community-based social media responses were compared. RESULTS:Media responses were narrow, primarily describing emotive individual narratives or the political nexus of interests. Community (including patient) responses were broader including discussion of opportunity cost and vested interests but mostly reflected the polar ends of the debate, diverging strongly for or against disinvestment from public funding. CONCLUSION:Web2.0 and media analysis offers an inexpensive method to capture media portrayal, divergent community responses both to that portrayal and independent of it, and insight into the sociopolitical aspects of an entrenched technology undergoing disinvestment debate.
journal_name
Int J Technol Assess Health Careauthors
Street JM,Hennessy SE,Watt AM,Hiller JE,Elshaug AGdoi
10.1017/S026646231100033Xsubject
Has Abstractpub_date
2011-10-01 00:00:00pages
376-83issue
4eissn
0266-4623issn
1471-6348pii
S026646231100033Xjournal_volume
27pub_type
杂志文章abstract:OBJECTIVES:Integration of ethics into health technology assessment (HTA) remains challenging for HTA practitioners. We conducted a systematic review on social and methodological issues related to ethical analysis in HTA. We examined: (1) reasons for integrating ethics (social needs); (2) obstacles to ethical integratio...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462318000508
更新日期:2018-01-01 00:00:00
abstract::Technologies that promise to enhance the stability of vaccines are likely to be determined by the product-specific physical structure and biological functions of the specific vaccine immunogens. Research may define the extent to which the stability of oral poliovirus vaccine may be improved by the addition of certain ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300014100
更新日期:1994-01-01 00:00:00
abstract::A more conservative approach to the treatment of traumatic dental injuries has been made possible by knowledge concerning the pathogenesis of external root resorption, increased knowledge about wound healing processes in the pulp and periodontium, as well as by advances in restorative dentistry (reattachment of crown ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300004232
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVES:Although consideration of ethical issues is recognized as a crucial part of health technology assessment, ethics analysis for HTA is generally perceived as methodologically underdeveloped in comparison to other HTA domains. The aim of our study is (i) to verify existing tools for quality assessment of ethics...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462316000556
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Health technology assessment (HTA) can be used both to promote access to safe, efficacious, and cost-effective technologies, and to discourage access to undesirable ones. Yet HTA has had less success than might be hoped in pursuing the latter goal. This paper examines the scope of HTA as currently practiced t...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462303000175
更新日期:2003-01-01 00:00:00
abstract::The use of randomized control trials to assess the usefulness of therapeutic drugs over the last half century has brought significant benefits to patient care. The full potential benefits, however, have been only partially fulfilled because available data are frequently poorly used. Meta-analysis has emerged as an imp...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300008709
更新日期:1995-07-01 00:00:00
abstract::Physicians through the ages have practiced their trade with more or less regard to the effects of their treatment on their patients' sense of well-being, if not as much as on the disease itself. Until recently, however, little attempt has been made to measure the effect of disease upon quality of life and how this qua...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300007455
更新日期:1989-01-01 00:00:00
abstract::This article describes the experience at the Greater Victoria Hospital Society of assessing the appropriateness of introducing laparoscopic cholecystectomy (lap chole) within the framework of an established technology assessment process. Lap chole promised to deliver cost savings; however, these could only be realized...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300009119
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:The potential of routine data for health technology assessment (HTA) in the United Kingdom was assessed. METHODS:Compiled were a comprehensive list of routine databases, their classification according to data characteristics, literature review on their current use, and their comparison with key topics ident...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462305050129
更新日期:2005-01-01 00:00:00
abstract::Many people believe that cost-effectiveness (CE) and cost-benefit (CB) analyses require different assumptions. However, when CE analysis supports decisions to use medical resources, it makes the same assumptions that CB analysis requires. They are mathematically equivalent. Differences between CE and CB hinge more on ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300004803
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES:The healthcare transformation program in Turkey has shown its success with improvements in important health indicators, increased access to healthcare services and expansion of coverage to all citizens. Turkey has been relatively able to bear the burdens associated with this due to rapid economic growth. The...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462317000289
更新日期:2017-01-01 00:00:00
abstract::This article presents an overview of technology assessment in the United States. The authors argue that while there are numerous institutions carrying out assessments, the United States requires an overall plan that would provide a national system for technology assessment. If technology assessment were more organized...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300006012
更新日期:1989-01-01 00:00:00
abstract::This paper analyzes medical technology decision making in the United States and England in terms of the appropriateness of different decision-making models to the organization and delivery of medical care, and to the rationing of technology among and within hospitals. It examines the effect on the American hospital of...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300000519
更新日期:1987-01-01 00:00:00
abstract::While laparoscopic cholecystectomy is now widely used, diffusion of other laparoscopic surgical methods has been more modest. Uptake of most laparoscopic methods has been influenced by considerations of effectiveness compared with open surgery, competing minimally invasive therapies, and the inconvenience and cost of ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300009211
更新日期:1995-10-01 00:00:00
abstract:OBJECTIVES:Health technology assessment (HTA) is a cost-effective resource allocation tool in healthcare decision-making processes; however, its use is limited in low-income settings where countries fall short on both absorptive and technical capacity. This paper describes the journey of the introduction of HTA into de...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462319000588
更新日期:2020-04-01 00:00:00
abstract::Cost-effectiveness analysis has much conceptual attractiveness in priority setting but is not used to its full potential to assist policy-makers on making choices in health in developed or in developing countries. We call for a shift away from present economic evaluation activities-that tend to produce ad hoc and inco...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462305050750
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:Although psychiatric comorbidity is relevant for a number of diseases, it is often ignored in technology assessment. This study examines the service use rate in mental healthcare facilities and related costs for stroke patients discharged from the University Hospital Maastricht between 1987 and 1995. METHOD...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s026646230210804x
更新日期:2002-01-01 00:00:00
abstract::Technology for psychiatric prevention is poorly developed, and knowledge about the causes of mental illness is difficult to apply to practical preventive work. As it would take many years before the effects of primary preventive efforts would be visible, secondary and tertiary prevention are essential to reducing the ...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462300010916
更新日期:1996-10-01 00:00:00
abstract::Programs that disseminate information to health care practitioners often do so partly to encourage appropriate changes in practice. However, merely providing information is seldom enough to accomplish such changes. If information transfer programs are to influence practice, they must be designed to maximize the condit...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300003214
更新日期:1988-01-01 00:00:00
abstract::Are we in a period of significant change? Is health technology assessment (HTA) undergoing a fundamental transformation? Or should it be? Are we in the middle of a paradigm shift? These are some of the questions the paper by Facey et al in this journal (1) raises about the future of HTA, based on discussions at the HT...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462315000483
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:This study was undertaken to understand how women view characteristics of tests for cervical dysplasia, because these characteristics can affect patient decision-making about screening and follow-up. METHODS:We recruited women who participated in a clinical trial of optical spectroscopy for the diagnosis of...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462307070171
更新日期:2007-04-01 00:00:00
abstract::Age-specific (< 50, 50-69 years) 10-year survival proportions in four European trials for node-negative, Stage I and II breast cancer patients differ significantly. These patients, identified as having the same stage as localized-breast cancer patients in the End Results Registry of the U.S. National Cancer Institute,...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300005468
更新日期:1993-10-01 00:00:00
abstract::The purpose of this study was to identify the determinants of choice of surgical procedure (anterior colporrhaphy, colposuspension, or needle suspension) to treat stress incontinence in women. We used multilevel modeling of data on 271 patients in 18 hospitals in England in 1993-94. Patient-related factors included so...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462300011417
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to compare the clinical effectiveness and cost of percutaneous radiofrequency ablation (PRFA) and surgical resection (SRS) for the management of early stage Hepatocellular Carcinoma. METHODS:A systematic literature search of articles in English, French, and Chinese was performed us...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/S0266462310001029
更新日期:2010-10-01 00:00:00
abstract::Economic evaluations of health interventions pose a particular challenge for reporting. There is also a need to consolidate and update existing guidelines and promote their use in a user friendly manner. The Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement is an attempt to consolidate and...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462313000160
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVES:To expand care for chronic haemodialysis (HD) patients throughout England and Wales by studying two aspects of service delivery that are important: to identify relative performance of haemodialysis satellite units (HDSUs), and understand the factors that influence the performance. As a first step toward thes...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s0266462303000473
更新日期:2003-07-01 00:00:00
abstract::Many would agree on the need to inform patients about the risks of medical conditions or treatments and to consider those risks in making medical decisions. The question is how to describe the risks and how to balance them with other factors in arriving at a decision. In this article, we present the thesis that part o...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/s026646230000742x
更新日期:1989-01-01 00:00:00
abstract::This study analyses why ethical aspects play a minor role in health technology assessment (HTA) studies, even when comprehensive approaches of technology assessment are advocated. Technology is often regarded as a value-neutral tool. At the same time, bioethics is dominated by an engineering model. Ethical contributio...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/s0266462304000819
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Chronic wounds are frequent, affect quality of life, and increase care costs. Telemedicine provides potential for effective wound care management, especially for the monitoring of complex wounds at home. OBJECTIVES:The objective of the present study was to determine the clinical effects and costs of telemed...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章
doi:10.1017/S0266462318000685
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:Exoskeletons are electromechanical devices that are worn by a human operator to increase their physical performance. Several exoskeletons have been developed to restore functional movements, such as walking, for those with paralysis due to neurological impairment. However, existing exoskeletons have limitati...
journal_title:International journal of technology assessment in health care
pub_type: 杂志文章,评审
doi:10.1017/S0266462317000460
更新日期:2017-01-01 00:00:00