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Development of an Evaluation Index System for Health Recommender Systems Based on the Health Technology Assessment
Yue Sun1, Shijie Hou2, Siye Chen2
1School of Nursing, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
A new evaluation index system for health recommender systems (HRSs) was developed using expert consensus. This framework provides a validated, hierarchical approach to assessing HRSs, improving their design and implementation.
Area of Science:
- Digital Health
- Health Technology Assessment
- Health Informatics
Background:
- Current health recommender systems (HRSs) evaluations primarily focus on algorithmic performance, lacking user-centered assessment and defined metrics.
- A unified, scientifically validated framework for HRS evaluation is absent, hindering cross-study comparability and decision-making.
Purpose of the Study:
- To develop a comprehensive, consensus-based evaluation index system for HRSs.
- To ground the evaluation system within the established health technology assessment (HTA) framework.
Main Methods:
- A 2-round Delphi process involving 18 experts (clinicians, researchers, policymakers) in HRSs.
- Literature analysis and HTA principles informed an initial indicator set, refined through expert ratings and qualitative feedback.
- Analytic hierarchy process (AHP) was used to determine indicator weights and assess consistency.
Main Results:
- A final evaluation index system with 5 first-level indicators (performance, effectiveness, safety, economy, social appropriateness) and 18 second-level indicators.
- Safety received the highest weight (0.289), followed by social appropriateness (0.251) and effectiveness (0.193).
- Mean importance scores for second-level indicators ranged from 4.25 to 5.00, indicating strong expert consensus.
Conclusions:
- An expert-validated evaluation index system for HRSs, based on the HTA framework, has been established.
- This framework offers quantifiable, hierarchical indicators with validated weighting, addressing a methodological gap in HRS evaluation.
- The system provides actionable guidance for HRS design, optimization, and implementation, paving the way for unified evaluation standards.
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