Centre E. Durkheim,CNRS UMR 5116,SciencesPo,Department of Law and Economics,University of Rouen.
GREThA,CNRS UMR 5113,Medical Sciences Faculty,College of Health
Int J Technol Assess Health Care. 2017 Jan;33(1):128-134. doi: 10.1017/S0266462317000186. Epub 2017 Jun 1.
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.
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.
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.
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.
本研究旨在通过文献计量学方法，全面概述健康技术评估（HTA）概念在科学文献中的演变。
通过选择标题、摘要或关键词中包含“健康技术评估”的出版物和媒体新闻，我们进行了文献检索。然后，我们对由此获得的 2865 篇论文的语料库进行了文献计量和网络分析。
自 1978 年首次发表以来，HTA 的研究兴趣一直不大，直到 20 世纪 80 年代末，随着英国 NICE 机构的成立，其出版物数量开始呈指数级增长，这一情况才有所改变。此后，出版物在多个期刊上传播。发表此类文章的组织排名并未反映出任何霸权地位。然而，与 HTA 相关的科学成果主要集中在英联邦和北欧国家。尽管 HTA 具有跨国层面，但相关研究仍局限于少数科学网络和少数意见领袖。
HTA 概念的“职业生涯”可以被视为公共政策的一种基于科学知识的制度化。为了在一个国家取得成功，HTA 首先需要科学前提，例如致力于卫生部门和卫生服务的组织化科学共同体。然后，决策者对该研究的认可似乎在该领域的发展中起着关键作用。
