Objectives: The aim of this work was to provide a comprehensive overview of the evolution of the health technology assessment (HTA) concept in the scientific literature through a scientometric approach. Methods: A literature search was conducted, by selecting publications, as well as news from the media, containing “health technology assessment” in their title, abstracts, or keywords. We then undertook a bibliometric and network analysis on the corpus of 2,865 publications thus obtained. Results: Since a first publication in 1978, interest in HTA remained marginal until a turning point in the late 1980s, when growth of the number of publications took off alongside the creation of the U.K.’s NICE agency. Since then, publications have spread across several journals. The ranking of the organizations that publish such articles does not reflect any hegemonic position. However, HTA-related scientific production is strongly concentrated in Commonwealth and Nordic countries. Despite its transnational aspects, research on HTA has been framed within a small number of scientific networks and by a few opinion leaders. Conclusions: The “career” of the HTA concept may be seen as a scientific-knowledge based institutionalization of a public policy. To succeed in a country, HTA first needs scientific prerequisites, such as an organized scientific community working on the health sector and health services. Then, it appears that the recognition of this research by decision makers plays a key role in the development of the field.

/pdf/health-technology-assessment-the-scientific-career-of-a-4ovd58a5hw.pdf

Health technology assessment: the scientific career of a policy concept.

Editorial Not so long ago

Academic medical institutions face a challenge which is not unique in the information technology world but one which is compounded by the life and death nature of their business Over the years most of these institutions have acquired information technology systems which may provide the information necessary for data tracking and analysis but which rarely communicate with each other, are grossly inadequate; and are extremely expensive to replace Few of these institutions have a clear picture of the information technology installed in their numerous departments nor what their market is doing in terms of information infrastructure During the winter of 1996, JRH Associates was engaged to assist ten medical teaching universities in assessing their information systems In order to evaluate a maximum number of the systems in a minimum amount of meeting time (2-4 hours per session) with 10 to 30 of the institutions' executive level participants, JRH Associates used collaborative technology The systems were judged in terms of their effectiveness and their "market need" using a format designed by JRH Associates in conjunction with university consulting consortium This paper describes the planning needed to set up the assessment meetings, the process utilized to conduct the sessions and the valuable insights gained through completion of the project

Assessing the efficacy of information technology systems at academic medical institutions

Cost and technology: end-points in medical technology assessment.

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Cost and technology: end-points in medical technology assessment.