Date on Master's Thesis/Doctoral Dissertation


Document Type

Doctoral Dissertation

Degree Name

Ph. D.


Health Management and Systems Sciences

Degree Program

Public Health Sciences with a specialization in Health Management, PhD

Committee Chair

Johnson, Christopher

Committee Co-Chair (if applicable)

Little, Bert

Committee Member

Little, Bert

Committee Member

McCart, Andrew

Committee Member

Mills, Michael

Committee Member

Wyatt, Stephen

Author's Keywords

hospital; based; health; technology; assessment


This research study explored the practices of hospital-based health technology assessment (HTA) in the U.S., as experienced by healthcare technology management (HTM) professionals. HTA can play an important role in helping to evaluate health technologies at both the macro (e.g., policy) level as well as at the micro (e.g., institutional) level of the public health ecosystem (C. S. Goodman, 2004). HTA seeks to broadly evaluate the effects, properties, and other impacts of various health technologies (C. S. Goodman, 2004). Common goals of HTA are to evaluate the safety, effectiveness, and cost-benefit of health technologies. A primarily phenomenological approach was used to explore recurrent themes of the HTA as experienced by HTM professionals in the U.S. in 2022. The study at first examines why regulatory processes alone may not ensure the safety and effectiveness of electronic medical equipment (EME), a specific subset of the medical device domain of health technology. A review of an HTA process model developed primarily for a European context is then provided. Evidence-based HTA practices for use in hospitals are also incorporated for review. The study then specifically explores the intra-organizational phenomenon of how EME is evaluated and selected in various types of hospital organizations. The findings offer insight into how HTM professionals are currently involved in HTA and lay a possible groundwork for exploring best practices in the domain.