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Elsevier, Health Policy, 1(64), p. 39-54, 2003

DOI: 10.1016/s0168-8510(02)00179-3

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Normative models of health technology assessment and the social production of evidence about telehealth care

Journal article published in 2003 by Williams Tl, Tracy Williams, Carl May, Frances Mair ORCID, Maggie Mort, Shaw Nt, Linda Gask
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Telehealthcare is a rapidly growing field of clinical activity and technical development. These new technologies have caught the attention of clinicians and policy makers because they seem to offer more rapid access to specialist care, and the potential to solve structural problems around inequalities of service provision and distribution. However, as a field of clinical practice, telehealthcare has consistently been criticised because of the poor quality of the clinical and technical evidence that its proponents have marshalled. The problem of "evidence" is not a local one. In this paper, we undertake two tasks: first, we critically contrast the normative expectations of the wider field of Health Technology Assessment (HTA) with those configured within debates about Telehealthcare Evaluation; and second, we critically review models that provide structures within which the production of evidence about telehealthcare can take place. Our analysis focuses on the political projects configured within a literature aimed at stabilising evaluative knowledge production about telehealthcare in the face of substantial political and methodological problems. [References: 44] ; DB - MEDLINE UI - 12644327 IN - Centre for Health Services Research, University of Newcastle upon Tyne, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK AS - Health Policy. 2003 Apr;64(1):39-54 JC - 8409431, hep SB - H CP - Ireland PT - Journal Article PT - Review PT - Review, Tutorial LG - English