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Ethics of digital therapeutics (DTx)
P Refolo1, D Sacchini, C Raimondi
1Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome (Italy); Department of Healthcare Surveillance and Bioethics, Università Cattolica del Sacro Cuore, Rome, Italy. dario.sacchini@unicatt.it.
Digital therapeutics (DTx) are evidence-based treatments using software to manage or treat medical conditions. This overview explores the ethical considerations surrounding their assessment, implementation, and use in healthcare.
Area of Science:
- Digital Health
- Artificial Intelligence (A.I.)
- Medical Technology
Background:
- Digital therapeutics (DTx) represent a growing segment of digital health, integrating A.I. and machine learning.
- Unlike wellness apps, DTx require rigorous clinical evidence and are emerging as novel treatment options.
- DTx applications span numerous conditions including diabetes, hypertension, mental health disorders, and neurological diseases.
Purpose of the Study:
- To provide an overview of the primary ethical concerns associated with digital therapeutics.
- To examine ethical issues related to the assessment, implementation, and utilization of DTx.
- To foster open and transparent deliberation regarding DTx in healthcare.
Main Methods:
- Literature review of current digital therapeutics.
- Analysis of regulatory approvals and market trends.
- Identification and discussion of key ethical challenges.
Main Results:
- Approximately 35-40 DTx products are available, with 8 regulatory approvals.
- The global DTx market was valued at USD 1.8 billion in 2018, projected to reach USD 8.9 billion by 2027.
- Ethical concerns arise in the assessment, implementation, and use of DTx within healthcare systems.
Conclusions:
- Digital therapeutics offer significant potential as new treatment modalities.
- Addressing ethical considerations is crucial for the responsible integration of DTx.
- Facilitating transparent dialogue is essential for the advancement of DTx in healthcare.
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