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Frameworks for assessing digital health technologies: a scoping review.

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Existing health technology assessment (HTA) frameworks struggle with digital health technologies (DHTs). A standardized, customizable framework is needed for assessing DHTs, addressing diverse technical and ethical considerations.

Keywords:
assessment frameworksdigital healthevidence requirementshealth technology assessmentlifecycle approachscoping review

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Area of Science:

  • Health Technology Assessment
  • Digital Health Technologies
  • Framework Analysis

Background:

  • Digital health technologies (DHTs) present unique challenges for traditional health technology assessment (HTA) frameworks.
  • Existing HTA methodologies may not adequately address the complexities of DHTs.
  • This review examines current assessment frameworks for DHTs in relation to the EUnetHTA Core Model.

Purpose of the Study:

  • To provide an overview of existing assessment frameworks for DHTs.
  • To analyze the purpose and guidance offered by these frameworks.
  • To evaluate their alignment with the EUnetHTA Core Model domains.

Main Methods:

  • Scoping review following Joanna Briggs Institute methodology and PRISMA-ScR guidelines.
  • Searches in PubMed and Embase (2015-2024), supplemented by manual searching.
  • Data analysis using Covidence, categorized inductively based on EUnetHTA Core Model domains.

Main Results:

  • 60 frameworks were identified, primarily focusing on digital health applications (68%) with limited attention to AI (2%).
  • Frameworks offer varying guidance on assessment and evidence requirements.
  • Technical characteristics were most addressed, while ethical, legal, and organizational aspects received less focus.

Conclusions:

  • A significant diversity exists in current DHT assessment frameworks.
  • There is a need for a standardized, modular, and customizable framework for DHT assessment.
  • Such a framework should provide clear methodological guidance tailored to different DHT types.