Evidence, politics, and technological change

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations


In few fields of public policy are the use and cost of services so powerfully driven by technological change as they are in medicine. To manage technology, policymakers have expanded their investment in evaluative research. This paper addresses three underexamined challenges in using evidence: those inherent in the dynamics of technological change itself; those inherent in the analytical enterprise; and the ways in which political factors shape the translation of evidence into policy decisions. The design of institutional arrangements and processes that seek to blend evidence with politics merit closer attention, and existing cross-national arrangements deserve careful study.

Original languageEnglish
Pages (from-to)29-40
Number of pages12
JournalHealth Affairs
Issue number1
StatePublished - Jan 2005
Externally publishedYes


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