将患者的观点纳入数字卫生技术准备框架:德尔菲研究
Elisenda de la Torre1, Cristina Montane1, Olga Rubio2
1Patient Advocate, Barcelona, Spain.
Journal of medical Internet research
|August 20, 2025
概括
这项研究开发了PULSO-Tech-Clinic模型,将患者的观点纳入数字健康创新的技术准备水平 (TRL). 这种以患者为中心的框架提高了数字健康工具的可用性,接受性和有效性.
科学领域:
- 数字健康数字健康
- 卫生技术评估 卫生技术评估
- 以患者为中心的护理
背景情况:
- 数字医疗技术正在改变医疗保健的提供,改善了获得,个性化和效率.
- 传统的技术准备水平 (TRL) 缺乏明确考虑患者参与,这对现实世界的有效性至关重要.
- 患者参与对于数字健康创新的可用性和接受性至关重要.
研究的目的:
- 将患者的观点纳入数字健康创新的TRL框架.
- 开发一个以患者为中心的维度来评估数字健康技术.
- 提高数字健康解决方案的可用性,接受性和现实世界的有效性.
主要方法:
- 采用了来自不同领域的24名西班牙语专家的德尔菲方法.
- 专家使用6分利克尔特尺度评估了10个TRL阶段的患者参与度.
- 进行了两轮代,以改进陈述并达成共识 (≥75%的同意,平均得分≥4.5).
主要成果:
- 对于所有10个TRL陈述,在第1轮中达成共识,平均得分从4.70到5.25.
- 第二轮精细化了陈述,增加了同意,并在开发和评估中纳入了精确的患者角色.
- 该框架将患者报告的措施整合到TRL 5,7 和 8 中,在关键改进方面达成了高度一致.
结论:
- PULSO-Tech-Clinic模型是第一个系统地在TRL中嵌入患者观点的框架.
- 这种经过验证,以患者为中心的模型增强了数字健康技术的设计,评估和采用.
- 需要进一步的研究来评估该模型在不同医疗保健系统中的适应性.
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