评估学术研究和早期开发阶段的医疗技术实施情况:提高认识和指导的支持工具:综述。

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1386998
Meyke Roosink, Lisette van Gemert-Pijnen, Ruud Verdaasdonk, Saskia M Kelders
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引用次数: 0

摘要

要想成功地进行医疗技术创新和实施,关键是要在早期阶段了解问题所在,以及所提议的创新是否是解决问题的最佳途径。本综述对已出版的工具进行了初步探索,这些工具可在医疗技术创新的开发、评估和实施的端到端过程中,为学术研究和早期开发中的创新者提供认识和指导。通过在公共研究数据库和搜索引擎中进行非系统搜索,并根据专家推荐,从科学文献和灰色文献中确定了相关工具。共纳入了 14 种工具。工具分为准备程度工具(6 个)、问卷/检查表工具(5 个)或指导工具(3 个)。对工具的定性分析确定了 5 个关键领域、5 个创新阶段和 3 项实施原则。所有工具都(部分)针对所确定的领域、阶段和原则进行了映射。本综述提供了对现有工具以及卫生技术创新和实施(相对于非技术或与卫生无关的技术创新)的重要方面的认识。工具选择的考虑因素包括使用目的(认识或指导)以及卫生技术创新的类型等。新型工具开发的考虑因素包括学术和早期开发环境中的特定挑战、将实施转化为早期创新阶段以及多学科战略决策的重要性。未来研究仍需关注的一点是(自我评估)工具的验证和有效性,尤其是在支持偏好和可用支持替代方案的背景下。
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Assessing health technology implementation during academic research and early-stage development: support tools for awareness and guidance: a review.

For successful health technology innovation and implementation it is key to, in an early phase, understand the problem and whether a proposed innovation is the best way to solve the problem. This review performed an initial exploration of published tools that support innovators in academic research and early stage development with awareness and guidance along the end-to-end process of development, evaluation and implementation of health technology innovations. Tools were identified from scientific literature as well as in grey literature by non-systematic searches in public research databases and search engines, and based on expert referral. A total number of 14 tools were included. Tools were classified as either readiness level tool (n = 6), questionnaire/checklist tool (n = 5) or guidance tool (n = 3). A qualitative analysis of the tools identified 5 key domains, 5 innovation phases and 3 implementation principles. All tools were mapped for (partially) addressing the identified domains, phases, and principles. The present review provides awareness of available tools and of important aspects of health technology innovation and implementation (vs. non-technological or non-health related technological innovations). Considerations for tool selection include for example the purpose of use (awareness or guidance) and the type of health technology innovation. Considerations for novel tool development include the specific challenges in academic and early stage development settings, the translation of implementation to early innovation phases, and the importance of multi-disciplinary strategic decision-making. A remaining attention point for future studies is the validation and effectiveness of (self-assessment) tools, especially in the context of support preferences and available support alternatives.

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