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Sustainability 2018, 10(12), 4748;

From Health Technology Assessment to Health Technology Sustainability

Department of Management, Sapienza University of Rome, 00161 Rome, Italy
Author to whom correspondence should be addressed.
Received: 30 October 2018 / Revised: 3 December 2018 / Accepted: 11 December 2018 / Published: 12 December 2018
(This article belongs to the Special Issue Sustainability for Healthcare)
PDF [2491 KB, uploaded 18 December 2018]


This paper aims to propose a methodological lens to the assessment of technological innovations in healthcare based on the principles of social, economic, and political sustainability. Starting from the consideration of a lack of a unified interpretative framework of health technology assessment, using a content analysis of the relevant literature on the topic, we identified both the scientific perspectives adopted by the scholars and the most widely discussed topics. Consequently, the less explored scientific areas were framed, and, therefore, those more susceptible to further investigation came to light. The result is an overall picture which highlights the absence of unified and generally accepted approaches to evaluation, together with the lack of awareness on the fact that the multiplicity of methods adopted is essentially connected to the multiplicity of innovations, for each of which a method (or a set of methods) of preferable evaluation can be prefigured. Based on these observations, we propose a general reference framework for evaluation, based on the Viable Systems Approach (vSa), and a schematic outline of the connections between the complexity of innovations and the evaluation methodologies. View Full-Text
Keywords: health technology assessment; evaluation methods; viable systems approach; healthcare; sustainability health technology assessment; evaluation methods; viable systems approach; healthcare; sustainability

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Iandolo, F.; Vito, P.; Fulco, I.; Loia, F. From Health Technology Assessment to Health Technology Sustainability. Sustainability 2018, 10, 4748.

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