Centre for Health Policy, Planning, and Management, School of Health Systems Studies, Tata Institute of Social Sciences (TISS), Mumbai, India and.
Institute of Psychology, Health, and Society, University of Liverpool, Liverpool, United Kingdom.
Int J Technol Assess Health Care. 2022 May 13;38(1):e47. doi: 10.1017/S0266462322000319.
There has been tremendous technological innovation in the healthcare sector, but it has also raised serious ethical and social concerns. The COVID-19 pandemic has only magnified these existing challenges. Hence, addressing these challenges becomes imperative in the "new normal." In this context, this article uses a narrative synthesis approach to discuss the linkages of health technology, innovation, and policy to identify the challenges of this complex interaction by applying the principles of pragmatism and historicity to the existing literature. Moreover, the existing scientific mechanisms in the form of health technology assessment (HTA) and responsible innovation in health (RIH) are described to address these challenges. Using inductive epistemology, the linkages between HTA and RIH within a health innovation ecosystem framework are discussed for the future application of an integrated approach to address societal challenges. The proposed integrated approach of HTA and RIH is a work in progress and conceptualized as transdisciplinary, flexible, and adaptive, which is expected to facilitate future discussion, research, and policy action.
医疗保健领域发生了巨大的技术创新，但也引发了严重的伦理和社会问题。COVID-19 大流行只是放大了这些现有挑战。因此，在“新常态”下，解决这些挑战势在必行。在这种情况下，本文使用叙述性综合方法来讨论卫生技术、创新和政策之间的联系，通过将实用主义和历史性原则应用于现有文献，确定这种复杂相互作用的挑战。此外，还以卫生技术评估 (HTA) 和卫生负责任创新 (RIH) 的现有科学机制来描述应对这些挑战的方法。本文采用归纳认识论，在卫生创新生态系统框架内讨论 HTA 和 RIH 之间的联系，以便未来应用综合方法应对社会挑战。HTA 和 RIH 的拟议综合方法尚处于起步阶段，被概念化为跨学科、灵活和适应性强，有望促进未来的讨论、研究和政策行动。
