基于卫生技术评估框架的健康推系统评估指数系统的开发:跨部分德尔菲研究
Yue Sun1, Shijie Hou2, Siye Chen2
1School of Nursing, Health Science Center, Xi'an Jiaotong University, Xi'an, Shaanxi Province, China.
JMIR formative research
|December 22, 2025
概括
一个新的健康推系统 (HRS) 评估指数系统是使用专家共识开发的. 该框架提供了一种经过验证的,层次化的方法来评估HRS,改进其设计和实施.
科学领域:
- 数字健康数字健康
- 卫生技术评估 卫生技术评估
- 医疗信息学 医疗信息学
背景情况:
- 目前的健康推系统 (HRS) 评估主要集中在算法性能上,缺乏以用户为中心的评估和定义的指标.
- 没有统一的,科学验证的HRS评估框架,这阻碍了跨研究的可比性和决策.
研究的目的:
- 为HRSs开发一个全面的,基于共识的评估指数系统.
- 将评估系统建立在已建立的卫生技术评估 (HTA) 框架内.
主要方法:
- 一个两轮的德尔菲过程,涉及18名HRS专家 (临床医生,研究人员,政策制定者).
- 文献分析和HTA原则为初始指标集提供了依据,通过专家评级和定性反来改进.
- 分析层次过程 (AHP) 用于确定指标权重和评估一致性.
主要成果:
- 一个最终评估指数系统,包含5个一级指标 (绩效,有效性,安全性,经济性,社会适当性) 和18个二级指标.
- 安全性获得了最高的权重 (0.289),其次是社会适宜性 (0.251) 和有效性 (0.193).
- 第二级指标的平均重要度分数在4.25至5.00之间,这表明专家的共识很强.
结论:
- 基于HTA框架,已经建立了一个由专家验证的HRS评估指数系统.
- 这一框架提供了可量化的,具有验证权重的等级指标,解决了HRS评估中的方法差距.
- 该系统为HRS设计,优化和实施提供了可操作的指导,为统一的评估标准铺平了道路.
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