发展数字卫生技术:与国家卫生和护理卓越标准框架保持一致并加强
Shayan Bahadori1, Peter Buckle1, Tayana Soukup Ascensao1
1Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom.
JMIR mHealth and uHealth
|August 22, 2025
概括
国家卫生和护理卓越研究所 (NICE) 的证据标准框架 (ESF) 需要更新,以有效评估快速发展的人工智能 (AI) 诊断和可穿戴健康技术. 为了将这些创新融入医疗保健中,一个结合实际证据的适应性框架至关重要.
科学领域:
- 数字卫生技术
- 医疗保健中的人工智能
- 医疗技术评估
背景情况:
- 人工智能诊断和可穿戴医疗技术的快速发展正在改变医疗服务.
- 这些创新使实时监测和个性化医疗成为可能.
- 现有卫生系统面临着整合这些动态数字卫生技术 (DHT) 的挑战.
研究的目的:
- 检查目前国家卫生和护理卓越研究所 (NICE) 对DHT的证据标准框架 (ESF).
- 评估将人工智能和可穿戴技术整合到医疗保健中的挑战.
- 评估ESF对不断发展的技术的适应能力.
主要方法:
- 对NICE ESF指南进行全面审查.
- 评估ESF对人工智能和可穿戴技术的适用性.
- 确定整合的局限性和障碍
主要成果:
- 尼斯的ESF提供了一个结构化的方法,但缺乏适应快速发展的创新.
- 该框架不充分纳入现实世界的证据和持续学习模型.
- 目前的ESF限制阻碍了人工智能诊断和可穿戴设备的安全部署.
结论:
- 尼斯的ESF要求转向一个动态的,适应性模型来评估DHT.
- 与行业利益相关者共同设计对于框架的相关性至关重要.
- 一个更新的框架与现实世界的证据战略将增强整合和患者的结果.
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