数字健康技术经济评估的绘图方法:一个范围审查
Ana Rita Santos1, Francisco von Hafe2, Filipa Sampaio3
1Nova National School of Public Health, NOVA University of Lisbon, Lisbon, Portugal; Comprehensive Health Research Center, NOVA Medical School, NOVA University of Lisbon, Lisbon, Portugal; Value for Health CoLAB, Lisbon, Portugal; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
现有的数字健康技术 (DHT) 的经济评估框架不一致,缺乏标准化. 未来的模型需要灵活,与生命周期保持一致,并为更好的决策制定标准化.
科学领域:
- 卫生经济学 卫生经济学
- 数字健康数字健康
- 卫生技术评估 卫生技术评估
背景情况:
- 数字健康技术 (DHT) 正在改变医疗保健的提供.
- 传统的经济评估方法与DHT的独特特征作斗争.
- 对于强大的DHT经济评估,需要标准化的框架.
研究的目的:
- 系统地绘制DHTs现有的经济评估框架.
- 评估这些框架的方法组件.
- 确定差距,并为DHT评估提供标准化的方法.
主要方法:
- 根据PRISMA-ScR指南进行范围审查.
- 综合搜索学术和灰色文献 (自2015年以来).
- 提取关于评估类型,设计,比较器,时间地平线,视角,有效性,成本和不确定性的数据.
主要成果:
- 确定了DHT经济评估的26个异质框架.
- 发现了显著的差距:81%缺乏明确的时间视野,73%缺乏评估前景.
- 成本效益和预算影响分析是常见的,但选择往往是不合理的.
结论:
- 目前的DHT经济评估框架缺乏标准化和适应性.
- 未来的框架应该灵活,与生命周期保持一致,并标准化.
- 标准化指导对于基于证据的数字健康决策至关重要.
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