数字健康技术对多病症患者的累积负担:系统性审查
Ngan Thi Thuy Phi1, Victor M Montori2, Marleen Kunneman2,3
1Université Paris Cité and Université Sorbonne Paris Nord, INSERM, INRAE, Center for Research in Epidemiology and Statistics (CRESS), Paris, France.
JAMA network open
|April 25, 2025
概括
大多数数字健康技术 (DHT) 针对单一疾病,需要多种慢性疾病患者使用多种设备. 这项研究发现,患者可能需要多达20种DHT来有效管理几个健康问题.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 卫生技术评估 卫生技术评估
背景情况:
- 数字健康技术 (DHT) 越来越多地被用于疾病管理.
- 大多数DHT是针对单一疾病而设计的,这对多病症患者构成了挑战.
- 大约一半的慢性病患者患有多种疾病.
研究的目的:
- 为了确定美国食品和药物管理局 (FDA) 或ORCHA列出的DHT,用于一个患有五种慢性疾病的假设患者.
- 为这个患者建模最佳数量的DHT,以获得临床上显著的益处.
主要方法:
- 在FDA数据库和ORCHA应用库 (2019-2022) 中进行系统搜索.
- 包括可用于2型糖尿病,高血压,COPD,骨质疏松症和骨关节炎的DHT.
- 评估DHT功能并确定重要的健康益处所需的最低数量.
主要成果:
- 确定了148个DHT;只有5个 (3.4%) 设计用于多种条件.
- DHT提供了140个不同的功能,从数据跟踪到数字治疗.
- 假设的患者需要多达13个应用程序和7个设备 (共20个),用于28个关键功能.
结论:
- 目前可处方的DHT主要满足单个条件.
- 患有多病症的患者面临着同时管理多个DHT的重大负担.
- 对于患有多种慢性疾病的患者,需要综合DHT解决方案.
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