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与临床级移动应用程序为基础的数字治疗干预相关的经济评估:系统审查
Yoann Sapanel1, Xavier Tadeo1,2, Connor T A Brenna3
1The Institute for Digital Medicine WisDM, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Journal of medical Internet research
|August 1, 2023
概括
数字疗法 (DTx) 显示出经济效益,但目前的成本效益研究中的方法缺陷造成了不确定性. 未来的研究必须解决这些局限性,以便更广泛地采用DTx.
科学领域:
- 数字健康数字健康
- 卫生经济学 卫生经济学
- 临床干预 临床干预
背景情况:
- 数字疗法 (DTx) 是基于软件的干预措施,具有疾病管理和医疗保健可扩展性的潜力.
- 随着COVID-19的流行,DTx的采用加速了,提高了利益相关者的意识.
- 在医疗保健中DTx的经济价值在很大程度上仍未得到充分探索.
研究的目的:
- 系统地审查和总结基于移动应用程序的DTx.成本效益的证据.
- 确定影响DTx.经济评估的因素.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 搜索了主要的数据库 (PubMed,Cochrane,Web of Science) 来对DTx进行经济评估.
- 评估了包含的研究的方法质量和偏差风险.
主要成果:
- 包括18项研究:7项非随机,6项基于模型,5项基于RCT.
- 在67%的研究中,DTx干预措施具有成本效益,在28%的研究中节省了成本.
- 几项研究指出了方法上的缺陷和偏见风险.
结论:
- DTx干预表明了潜在的经济效益.
- 目前对DTx的经济分析存在方法上的缺陷.
- 解决这些局限性对于减少不确定性和促进DTx采用至关重要.
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