Institute of Public Health,Catholic University of the Sacred Heart,
Institute of Public Health,Catholic University of the Sacred Heart,Rome.
Int J Technol Assess Health Care. 2018 Jan;34(1):87-96. doi: 10.1017/S0266462317004512. Epub 2018 Feb 19.
Evaluation is crucial for integration of e-Health/m-Health into healthcare systems and health technology assessment (HTA) could offer sound methodological basis for these evaluations. Aim of this study was to look for HTA reports on e-Health/m-Health technologies and to analyze their transparency, consistency and thoroughness, with the goal to detect areas that need improvement.
PubMed, ISI-WOS, and University of York - Centre for Reviews and Dissemination-electronic databases were searched to identify reports on e-Health/m-Health technologies, published up until April 1, 2016. The International Network of Agencies for Health Technology Assessment (INAHTA) checklist was used to evaluate transparency and consistency of included reports. Thoroughness was assessed by checking the presence of domains suggested by the European network for Health Technology Assessment (EUnetHTA) HTA Core Model.
Twenty-eight reports published between 1999 and 2015 were included. Most were delivered by non-European countries (71.4 percent) and only 35.7 percent were classified as full reports. All the HTA reports defined the scope of research whereas more than 80 percent provided author details, summary, discussed findings, and conclusion. On the contrary, policy and research questions were clearly defined in around 30 percent and 50 percent of reports. With respect to the EUnetHTA Core Model, around 70 percent of reports dealt with effectiveness and economic evaluation, more than 50 percent described health problem and approximately 40 percent organizational and social aspects.
E-Health/m-Health technologies are increasingly present in the field of HTA. Yet, our review identified several missing elements. Most of the reports failed to respond to relevant assessment components, especially ethical, social and organizational implications.
评估对于将电子健康/移动健康融入医疗保健系统至关重要，而健康技术评估（HTA）可以为这些评估提供合理的方法基础。本研究的目的是寻找电子健康/移动健康技术的 HTA 报告，并分析其透明度、一致性和全面性，以发现需要改进的领域。
检索了 PubMed、ISI-WOS 和约克大学-评论与传播中心电子数据库，以确定截至 2016 年 4 月 1 日发布的电子健康/移动健康技术报告。使用国际卫生技术评估机构网络（INAHTA）清单评估纳入报告的透明度和一致性。通过检查欧洲卫生技术评估网络（EUnetHTA）HTA 核心模型建议的领域的存在来评估全面性。
纳入了 1999 年至 2015 年期间发表的 28 份报告。大多数报告来自非欧洲国家（71.4％），只有 35.7％被归类为完整报告。所有 HTA 报告都定义了研究范围，而超过 80％的报告提供了作者详细信息、摘要、讨论结果和结论。相反，约 30％和 50％的报告明确界定了政策和研究问题。关于 EUnetHTA 核心模型，约 70％的报告涉及有效性和经济评估，超过 50％的报告描述了健康问题，约 40％的报告涉及组织和社会方面。
电子健康/移动健康技术在 HTA 领域越来越受到关注。然而，我们的审查发现了一些缺失的元素。大多数报告未能回应相关评估组件，特别是伦理、社会和组织影响。
