Objectives: Gender as a social construct is a recognized health determinant. Because best practice in reporting health technology assessment (HTA) clearly specifies the need to appraise a technology's social impact within the target population, the extent to which gender issues are taken into account in HTA production is of interest, not only in light of equitable practices but also for reasons of effectiveness. The aim of this study is to provide a first assessment of the degree of gender sensitivity shown by HTA agencies around the world today.

Methods: The Web sites of sixty HTA agencies were analyzed. The consideration of gender aspects was specifically looked for in each agency's general mission statement, its priority setting process, and its methodological approach. Additionally, specific gender-oriented initiatives not belonging to any of the aforementioned categories were identified.

Results: Of the sixty agencies, less than half mention a commitment to addressing the social implication of health technologies. Only fifteen institutions make information on their priority setting principles available on their Web sites and gender was an issue in two of those cases. Data on methodology were obtainable online from18 agencies, two of which mentioned gender issues explicitly. Finally, gender-oriented initiatives were identified by thirteen agencies.

Conclusions: A gender-sensitive approach is apparently rarely adopted in current HTA production. Exceptional practices and relevant tools do exist and could serve as examples to be promoted by international collaborative networks.

This review paper has two major aims, first to synthesise recent research findings and conceptual developments in the field of psychological gerontology in Germany and in German language publications, and secondly, to argue that the field's research findings deserve greater attention, for both their substance and their relevance to social policy. The review focuses on three major fields of psychological gerontology: (1) cognitive development in old age; (2) personality development in old age; and (3) social relationships in old age. It highlights the major findings generated by German scholars since the 1990s. Although numerous and diverse, a common thread is the move away from a focus on the limitations and decrements of later life, and increased attention to the continuing capacities and developmental achievements of older people. The discussion elaborates the view that there is considerable merit in considering the broader social implications of these results. In conclusion, and from a general rather than disciplinary perspective, it is argued that there is a strong need for geropsychological research to be designed and interpreted with explicit attention to the cultural and social contexts in which the subjects live.