ArticleInternational journal of health policy and management2018
The Bright Elusive Butterfly of Value in Health Technology Development Comment on "Providing Value to New Health Technology: The Early Contribution of Entrepreneurs, Investors, and Regulatory Agencies".
Article in International journal of health policy and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review.BioMed research international · 2019Pooled it
- Cocreation of a Video Feedback Tool for Managing Self-Care at Home With Pairs of Older Adults: Remote Experience-Based Co-Design Study.JMIR formative research · 2024Article
- The Complexity of Transferring Remote Monitoring and Virtual Care Technology Between Countries: Lessons From an International Workshop.Journal of medical Internet research · 2023Article
- Factors that influence the adoption of rehabilitation technologies: a multi-disciplinary qualitative exploration.Journal of neuroengineering and rehabilitation · 2023Article
- Adoption and scale-up of the cardiovascular Polypill: a realist institutional analysis.Health policy and planning · 2023Article
- Article
- Civil society and medical product access in Africa: Lessons from COVID-19.Frontiers in medical technology · 2023Article
- Digital Engagement of Older Adults: Scoping Review.Journal of medical Internet research · 2022Article
- Remote care in UK general practice: baseline data on 11 case studies.NIHR open research · 2022Article
- Consumer preferences, experiences, and attitudes towards telehealth: Qualitative evidence from Australia.PloS one · 2022Article
- The Health Care Sector's Experience of Blockchain: A Cross-disciplinary Investigation of Its Real Transformative Potential.Journal of medical Internet research · 2021Article
- Social Non-profit Bioentrepreneurship: Current Status and Future Impact on Global Health.Frontiers in public health · 2021Review
- Towards Responsible Implementation of Monitoring Technologies in Institutional Care.The Gerontologist · 2020Article
- The medium, the message and the measure: a theory-driven review on the value of telehealth as a patient-facing digital health innovation.Health economics review · 2019Review
- Moving beyond 'safety' versus 'autonomy': a qualitative exploration of the ethics of using monitoring technologies in long-term dementia care.BMC geriatrics · 2019Article
- What Health System Challenges Should Responsible Innovation in Health Address? Insights From an International Scoping Review.International journal of health policy and management · 2019Article
- Why Learning How to Chase Butterflies Matters: A Response to Recent Commentaries.International journal of health policy and management · 2018Article
- Beyond Adoption: A New Framework for Theorizing and Evaluating Nonadoption, Abandonment, and Challenges to the Scale-Up, Spread, and Sustainability of Health and Care Technologies.Journal of medical Internet research · 2017Article
- Maximising value from a United Kingdom Biomedical Research Centre: study protocol.Health research policy and systems · 2017Article
- Enhancing the implementation of provider-to-provider telehealth in rural and remote areas: A mixed methods study protocol.Digital healthArticle
Corrections and comments
- Commented on by
- Comment on
Authors and funding
3 authors.
Funding
Abstract
The current system of health technology development is characterised by multiple misalignments. The "supply" side (innovation policy-makers, entrepreneurs, investors) and the "demand" side (health policy-makers, regulators, health technology assessment, purchasers) operate under different - and conflicting - logics. The system is less a "pathway" than an unstable ecosystem of multiple interacting sub-systems. "Value" means different things to each of the numerous actors involved. Supply-side dynamics are built on fictions; regulatory checks and balances are designed to assure quality, safety and efficacy, not to ensure that technologies entering the market are either desirable or cost-effective. Assessment of comparative and cost-effectiveness usually comes too late in the process to shape an innovation's development. We offer no simple solutions to these problems, but in the spirit of commencing a much-needed public debate, we suggest some tentative ways forward. First, universities and public research funders should play a more proactive role in shaping the system. Second, the role of industry in forging long-term strategic partnerships for public benefit should be acknowledged (though not uncritically). Third, models of "responsible innovation" and public input to research priority-setting should be explored. Finally, the evidence base on how best to govern inter-sectoral health research partnerships should be developed and applied.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.