评估数字卫生技术的框架:范围审查
Hendrikje Rödiger1, Laura Franziska Marie Wittich1, Reinhard Jeindl2
1Department of Health Care Management, https://ror.org/03v4gjf40Technische Universität Berlin, Germany.
现有的卫生技术评估 (HTA) 框架与数字卫生技术 (DHT) 斗争. 需要一个标准化,可定制的框架来评估DHT,解决各种技术和伦理方面的考虑.
科学领域:
- 卫生技术评估 卫生技术评估
- 数字卫生技术数字卫生技术
- 框架分析 框架分析
背景情况:
- 数字健康技术 (DHT) 对传统的健康技术评估 (HTA) 框架提出了独特的挑战.
- 现有的HTA方法可能无法充分解决DHTs的复杂性.
- 本审查审查了与EUnetHTA核心模型相关的DHT目前的评估框架.
研究的目的:
- 为DHTs提供现有评估框架的概述.
- 分析这些框架所提供的目的和指导.
- 评估它们与EUnetHTA核心模型领域的协调程度.
主要方法:
- 根据乔安娜·布里格斯研究所的方法和PRISMA-ScR指南进行范围审查.
- 在PubMed和Embase (2015-2024) 中的搜索,通过手动搜索来补充.
- 使用Covidence进行数据分析,根据EUnetHTA核心模型的域进行感应分类.
主要成果:
- 确定了60个框架,主要侧重于数字健康应用 (68%),对人工智能 (2%) 的关注有限.
- 框架为评估和证据要求提供了不同的指导.
- 技术特征得到了最多的关注,而伦理,法律和组织方面的关注较少.
结论:
- 当前的DHT评估框架存在显著的多样性.
- 需要一个标准化,模块化和可定制的框架来进行DHT评估.
- 这种框架应该为不同的DHT类型提供明确的方法指南.
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