评估数字卫生技术的方法:范围审查
Anneloek Rauwerdink1, Pier Spinazze2, Harm Gijsbers3,4,5
1Department of Radiology and Nuclear Medicine, Amsterdam University Medical Center, Amsterdam, Netherlands.
Journal of medical Internet research
|August 28, 2024
概括
这项研究分析了数字健康技术 (DHT) 评估实践,发现有效性阶段被过度强调,而实施被忽视. 优化DHT开发需要在所有研究阶段进行平衡的评估.
科学领域:
- 数字卫生技术数字卫生技术
- 医疗信息学 医疗信息学
- 技术评估 技术评估
背景情况:
- 对新型数字卫生技术 (DHT) 的科学评估对于成功开发和实施至关重要.
- 之前开发的电子健康评估周期包括五个阶段:概念,开发,可行性,有效性和实施.
- 了解这种循环的实际应用对于推进DHT研究至关重要.
研究的目的:
- 通过结构化的文献综述,分析电子健康评估周期的研究阶段的实际应用.
- 识别和分类在DHT评估周期的每个阶段使用的评估方法.
- 提供对评估数字健康干预措施的当前实践的见解.
主要方法:
- 在PubMed中使用"远程医疗"和各种评估方法术语进行了系统的文献搜索.
- 包括了2019年 (COVID-19前) 发表的原始,同行评审的研究,重点是以患者为中心的评估.
- 数据提取和分析包括期刊,国家,专业,用户,功能,评估阶段和方法,利用RStudio进行统计分析.
主要成果:
- 在1583个选的标题中,包括824项研究,主要关注有效性阶段 (36.9%) 和对实施的关注很少 (8.5%).
- 随机对照试验 (RCT) 是最常见的评估方法 (18.9%),经常在有效性阶段使用.
- 调查和采访研究主导了概念和规划阶段,而美国在出版物方面处于领先地位,精神病学/心理健康和心脏病学是主要的专业.
结论:
- 这项研究首次全面概述了连续研究阶段的数字健康技术评估实践.
- 在电子健康研究阶段的评估中存在显著的不平衡,有效性得到了最多的关注.
- 为了实现成功的DHT开发和实施,需要更加公平地关注所有评估阶段,并选择适当的,代的评估方法.
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