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Reflections on the social epidemiologic dimension of health technology assessment

Published online by Cambridge University Press:  28 May 2004

Arminée Kazanjian
Affiliation:
University of British Columbia

Abstract

Certain key parameters such as safety, efficacy, effectiveness, and cost effectiveness have long been established as key in HTA analysis. Equally important, however, are sociolegal and epidemiologic perspectives. A comprehensive analytic framework will consider the implications of using a technology in the context of societal norms, cultural values, and social institutions and relations. The methodology in which this expanded framework has been developed is termed ‘Strategic HTA’ to denote its power for the decision-making process. In addition to systematic reviews of published evidence, it incorporates analyses of the influence of dominant social relations on technological development and diffusion. This essay discusses the social epidemiologic aspects of health technology assessment, which includes factors such as sex and gender. It seeks to show how it is possible to bring data from wide-ranging disciplinary perspectives within the parameters of a single scientific inquiry; to draw from them scientifically defensible conclusions; and thereby to realize a deeper understanding of technology impact within a health care system. Armed with such an understanding, policy officials will be better prepared to resolve the competitive clamor of stakeholder voices, and to make the most “equitable” use of the available resources.

Type
Research Article
Copyright
© 2004 Cambridge University Press

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References

Bassett K, Iyer N, Kazanjian A. 2000 Defensive medicine during hospital obstetrical care: A by-product of the technological age. Soc Sci Med. 51: 523537.Google Scholar
Hart N. 1989 Sex, gender and survival: Inequalities of life chances between European men and women. In: Fox J, editor. Health inequalities in European countries. Aldershot: Gower;
Kazanjian A, Green CJ, Bassett K, Brunger F. 1999 Bone mineral density testing in social context. Int J Technol Access Health Care. 15: 4: 679685.Google Scholar
Kazanjian A, Savoie I, Morettin D. 2000 Health care utilization and gender; A pilot study using the BC linked health data. Vancouver (BC); BC Centre of Excellence for Women's Health;
Kazanjian A, et al. 1991 Study of rural physician supply: Practice location decisions and problems in retention. Vancouver (BC): Health Human Resources Unit, University of British Columbia;
Lock M. 1993 Encounters with aging: Mythologies of the menopause in Japan and North America. Berkeley: University of California Press,
Mitchell L. 2001 Baby's first picture: Ultrasound and the politics of fetal subjects. Toronto: University of Toronto Press;
Walters V, Lenton R, McKeary M. 1995 Women's health in the context of women's lives. Ottawa: Minister of Supply and Services Canada;