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精准健康应用的技术评估框架。

Technology assessment framework for precision health applications.

机构信息

The Australian e-Health Research Centre, CSIRO Health & Biosecurity, Sydney, Australia.

出版信息

Int J Technol Assess Health Care. 2021 May 26;37(1):e67. doi: 10.1017/S0266462321000350.

DOI:10.1017/S0266462321000350
PMID:34034854
Abstract

OBJECTIVE

Established and emerging technologies-such as wearable sensors, smartphones, mobile apps, and artificial intelligence-are shaping positive healthcare models and patient outcomes. These technologies have the potential to become precision health (PH) innovations. However, not all innovations meet regulatory standards or have the required scientific evidence to be used for health applications. In response, an assessment framework was developed to facilitate and standardize the assessment of innovations deemed suitable for PH.

METHODS

A scoping literature review undertaken through PubMed and Google Scholar identified approximately 100 relevant articles. These were then shortlisted (n = 12) to those that included specific metrics, criteria, or frameworks for assessing technologies that could be applied to the PH context.

RESULTS

The proposed framework identified nine core criteria with subcriteria and grouped them into four categories for assessment: technical, clinical, human factors, and implementation. Guiding statements with response options and recommendations were used as metrics against each criterion.

CONCLUSION

The proposed framework supports health services, health technology innovators, and researchers in leveraging current and emerging technologies for PH innovations. It covers a comprehensive set of criteria as part of the assessment process of these technologies.

摘要

目的

可穿戴传感器、智能手机、移动应用程序和人工智能等现有和新兴技术正在塑造积极的医疗保健模式和患者结果。这些技术有可能成为精准医疗(PH)创新。然而,并非所有创新都符合监管标准,也没有必要的科学证据可用于健康应用。为此,开发了一个评估框架,以促进和规范对适合 PH 的创新的评估。

方法

通过 PubMed 和 Google Scholar 进行的范围界定文献回顾确定了大约 100 篇相关文章。然后将这些文章缩小到 12 篇,这些文章包括用于评估可应用于 PH 环境的技术的特定指标、标准或框架的文章。

结果

提出的框架确定了九个核心标准和子标准,并将它们分为四个评估类别:技术、临床、人为因素和实施。指导语句和响应选项以及建议被用作每个标准的指标。

结论

该框架支持卫生服务、卫生技术创新者和研究人员利用当前和新兴技术进行 PH 创新。它涵盖了评估这些技术的过程中的一套全面的标准。

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