[Technology assessment of digital health applications for reimbursement decisions].

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL Wiener medizinische Wochenschrift Pub Date : 2024-03-01 Epub Date: 2021-09-16 DOI:10.1007/s10354-021-00881-3

Reinhard Jeindl, Claudia Wild

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Abstract

Background: For most digital health applications (DiGA) only limited evidence of benefit is available. Currently available assessment frameworks do not cover all domains of a full health technology assessment (HTA). Additionally, technology-specific aspects are required for the evaluation of DiGA. This work aimed to analyze the available assessment frameworks and design an evaluation process for DiGA.

Methods: By a systematic literature search six assessment frameworks for DiGA were selected and analyzed. A hand search for strategies on DiGA of selected countries was conducted.

Results: Of the analyzed assessment frameworks four described study designs. One assessment framework proposed a risk classification of DiGA. Aspects of artificial intelligence were assessed by one assessment framework. The analyzed countries have differing strategies for reimbursement of DiGA.

Conclusion: Assessment frameworks for DiGA are very heterogeneous. There are efforts to find regulations for DiGA on a national level. When evaluating DiGA, a staged approach considering risk classes with subsequent evaluation of relevant HTA aspects is recommended.

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[数字医疗应用的技术评估，用于报销决策]。

背景：对于大多数数字医疗应用（DiGA）而言，只有有限的证据可以证明其效益。目前可用的评估框架并未涵盖全面健康技术评估（HTA）的所有领域。此外，DiGA 的评估还需要特定技术方面的支持。这项工作旨在分析现有的评估框架，并为 DiGA 设计评估流程：方法：通过系统的文献检索，选择并分析了六个 DiGA 评估框架。结果：在所分析的评估框架中，有四个评估框架的研究工作是通过对 "DiGA "进行评估来实现的：在分析的评估框架中，有四个描述了研究设计。一个评估框架提出了 DiGA 的风险分类。一个评估框架对人工智能的各个方面进行了评估。所分析的国家对 DiGA 的报销采取了不同的策略：结论：DiGA 的评估框架各不相同。各国都在努力为 DiGA 制定法规。在评估 DiGA 时，建议采用分阶段的方法，先考虑风险等级，再评估相关的 HTA 方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Wiener medizinische Wochenschrift MEDICINE, GENERAL & INTERNAL-

CiteScore

2.50

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0.00%

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期刊介绍： ''From the microscope to clinical application!'', Scientists from all European countries make available their recent research results and practical experience through Wiener Medizinische Wochenschrift, the renowned English- and German-language forum. Both original articles and reviews on a broad spectrum of clinical and preclinical medicine are presented within the successful framework of thematic issues compiled by guest editors. Selected cutting-edge topics, such as dementia, geriatric oncology, Helicobacter pylori and phytomedicine make the journal a mandatory source of information.