评估面向患者的数字健康技术的价值框架,旨在改善慢性疾病管理:德尔菲方法
Madeleine Haig1, Caitlin Main1, Danitza Chávez1
1Department of Health Policy and LSE Health - Medical Technology Research Group, London School of Economics and Political Science, London, England, UK.
概括
制定一个框架来评估用于慢性疾病管理的数字健康技术 (DHT) 是至关重要的. 这项研究涉及各种利益相关者,以创建一个全面的价值评估,突出需要更新的政策和利益相关者参与.
科学领域:
- 数字卫生技术数字卫生技术
- 卫生技术评估 卫生技术评估
- 慢性疾病管理 慢性疾病管理
背景情况:
- 数字健康技术 (DHT) 提供了优化医疗保健成本,质量和效率的潜力.
- 由于快速的创新和不同的证据标准,评估新型DHT具有挑战性.
- 决策者需要有效的,基于证据的方法来评估慢性疾病的患者面临的DHT.
研究的目的:
- 开发一个全面的框架来评估面向患者的新型DHT的价值.
- 通过使用DHT来引起利益相关者的价值偏好,以管理使用DHT的慢性疾病.
主要方法:
- 一个为期三轮的web-Delphi演习,共有来自3个国家的5个利益相关者群体的79名参与者.
- 文献审查和初级数据收集.
- 对利克特尺度数据进行统计分析,以识别群体间的差异和共识.
主要成果:
- 一个共同创建的框架,在六个领域提供33个稳定的指标:健康不平等,数据权利,技术/安全,经济,临床和用户偏好.
- 在基于价值的护理模式,资源优化和利益相关方参与DHT设计/开发/实施方面缺乏共识.
- 供应端参与者和学术专家显示最不稳定的利益相关者群体偏好.
结论:
- 利益相关者的价值判断需要协调的监管和医疗技术评估政策响应.
- 需要更新法律以适应医疗保健中的技术创新.
- 对证据标准的务实方法和包容性的利益相关者参与对于DHT评估和采用至关重要.
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