Farnia Troskah, Jaulent Marie-Christine, Steichen Olivier
Laboratoire d'Informatique Médicale et Ingénierie des Connaissances en eSanté, Institut National de la Santé et de la Recherche Médicale, Sorbonne Universités, Université Paris 13, Sorbonne Paris Cité, Paris, France.
Department of Internal Medicine, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France.
J Med Internet Res. 2018 Jan 16;20(1):e16. doi: 10.2196/jmir.7873.
Telemonitoring can improve heart failure (HF) management, but there is no standardized evaluation framework to comprehensively evaluate its impact.
Our objectives were to list the criteria used in published evaluations of noninvasive HF telemonitoring projects, describe how they are used in the evaluation studies, and organize them into a consistent scheme.
Articles published from January 1990 to August 2015 were obtained through MEDLINE, Web of Science, and EMBASE. Articles were eligible if they were original reports of a noninvasive HF telemonitoring evaluation study in the English language. Studies of implantable telemonitoring devices were excluded. Each selected article was screened to extract the description of the telemonitoring project and the evaluation process and criteria. A qualitative synthesis was performed.
We identified and reviewed 128 articles leading to 52 evaluation criteria classified into 6 dimensions: clinical, economic, user perspective, educational, organizational, and technical. The clinical and economic impacts were evaluated in more than 70% of studies, whereas the educational, organizational, and technical impacts were studied in fewer than 15%. User perspective was the most frequently covered dimension in the development phase of telemonitoring projects, whereas clinical and economic impacts were the focus of later phases.
Telemonitoring evaluation frameworks should cover all 6 dimensions appropriately distributed along the telemonitoring project lifecycle. Our next goal is to build such a comprehensive evaluation framework for telemonitoring and test it on an ongoing noninvasive HF telemonitoring project.
远程监测可改善心力衰竭（HF）的管理，但尚无标准化的评估框架来全面评估其影响。
我们的目标是列出已发表的无创HF远程监测项目评估中使用的标准，描述它们在评估研究中的使用方式，并将它们组织成一个一致的方案。
通过MEDLINE、科学网和EMBASE获取1990年1月至2015年8月发表的文章。如果文章是无创HF远程监测评估研究的英文原始报告，则符合入选标准。植入式远程监测设备的研究被排除。对每篇入选文章进行筛选，以提取远程监测项目的描述以及评估过程和标准。进行了定性综合分析。
我们识别并审查了128篇文章，得出52条评估标准，分为6个维度：临床、经济、用户视角、教育、组织和技术。超过70%的研究评估了临床和经济影响，而对教育、组织和技术影响的研究不到15%。用户视角是远程监测项目开发阶段最常涉及的维度，而临床和经济影响是后期阶段的重点。
远程监测评估框架应涵盖在远程监测项目生命周期中适当分布的所有6个维度。我们的下一个目标是构建这样一个全面的远程监测评估框架，并在正在进行的无创HF远程监测项目上进行测试。
