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Managing Pandemic Responses with Health Informatics - Challenges for Assessing Digital Health Technologies.

Farah Magrabi¹, Elske Ammenwerth², Catherine K Craven³

¹Australian Institute of Health Innovation, Macquarie University, Sydney, Australia.

Yearbook of Medical Informatics

|April 21, 2021

Summary

Technology assessment is crucial for managing the COVID-19 pandemic. Evaluating digital health tools requires considering their maturity, implementation scale, and sociotechnical context for safe and effective use.

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Area of Science:

Health Informatics
Technology Assessment
Pandemic Management

Background:

The COVID-19 pandemic necessitated rapid adoption of digital health technologies.
Effective management of the pandemic relies on robust evaluation of these technologies.

Purpose of the Study:

To emphasize the critical role of technology assessment in managing the COVID-19 pandemic.
To outline appropriate evaluation strategies for digital health technologies during pandemics.

Main Methods:

Review of existing research and evaluation approaches.
Incorporation of expert perspectives from the International Medical Informatics Association (IMIA) and European Federation for Medical Informatics (EFMI).

Main Results:

Digital health technology evaluation for COVID-19 must consider technical maturity and implementation scale.
Mature technologies (e.g., telehealth) benefit from rapid, pragmatic evaluation using a complex systems paradigm.
New technologies require pre-deployment assessment (usability, performance) followed by complex systems evaluation.

Conclusions:

Adherence to evidence-based medicine and complex systems paradigms is vital for safe and effective digital health technology deployment.
Balancing urgent deployment needs with rigorous evaluation is essential for pandemic response.
The value of information provided by digital health tools must align with the sociotechnical context.