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本文引用的文献

1
Implementation of daily patient-reported outcome measurements to support children with cancer.实施每日患者报告的结局测量以支持癌症患儿。
Pediatr Blood Cancer. 2021 Nov;68(11):e29279. doi: 10.1002/pbc.29279. Epub 2021 Aug 12.
2
The impact of digital health interventions on the psychological outcomes of patients and families receiving paediatric palliative care: A systematic review and narrative synthesis.数字健康干预对接受儿科姑息治疗的患者和家庭的心理结局的影响:系统评价和叙述性综合。
Palliat Med. 2021 Dec;35(10):2017-2023. doi: 10.1177/02692163211026523. Epub 2021 Jun 23.
3
MyPal: Designing and Evaluating Digital Patient-Reported Outcome Systems for Cancer Palliative Care in Europe.我的伙伴:为欧洲癌症姑息治疗设计和评估数字患者报告结局系统
J Palliat Med. 2021 Jul;24(7):962-964. doi: 10.1089/jpm.2021.0120.
4
MyPal-Child study protocol: an observational prospective clinical feasibility study of the MyPal ePRO-based early palliative care digital system in paediatric oncology patients.MyPal-儿童研究方案:一项针对儿科肿瘤患者的基于MyPal电子患者报告结局(ePRO)的早期姑息治疗数字系统的观察性前瞻性临床可行性研究。
BMJ Open. 2021 Apr 13;11(4):e045226. doi: 10.1136/bmjopen-2020-045226.
5
Delivering Personalized Care at a Distance: How Telemedicine Can Foster Getting to Know the Patient as a Person.远程提供个性化护理:远程医疗如何促进深入了解患者个体。
J Pers Med. 2021 Feb 17;11(2):137. doi: 10.3390/jpm11020137.
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The European artificial intelligence strategy: implications and challenges for digital health.欧盟人工智能战略:对数字健康的影响和挑战。
Lancet Digit Health. 2020 Jul;2(7):e376-e379. doi: 10.1016/S2589-7500(20)30112-6. Epub 2020 Jun 23.
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Adoption of Digital Technologies in Health Care During the COVID-19 Pandemic: Systematic Review of Early Scientific Literature.新冠疫情期间医疗保健领域数字技术的应用:早期科学文献的系统综述
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8
Patients' experiences of eHealth in palliative care: an integrative review.患者在姑息治疗中对电子健康的体验:综合评价。
BMC Palliat Care. 2020 Oct 14;19(1):158. doi: 10.1186/s12904-020-00667-1.
9
Challenges for the evaluation of digital health solutions-A call for innovative evidence generation approaches.数字健康解决方案评估面临的挑战——呼吁采用创新的证据生成方法。
NPJ Digit Med. 2020 Aug 27;3:110. doi: 10.1038/s41746-020-00314-2. eCollection 2020.
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Electronic Patient-Reported Outcome-Based Interventions for Palliative Cancer Care: A Systematic and Mapping Review.基于电子患者报告结局的癌症姑息治疗干预措施:系统评价和映射综述。
JCO Clin Cancer Inform. 2020 Jul;4:647-656. doi: 10.1200/CCI.20.00015.

在欧洲临床研究中实施数字健康解决方案的挑战与陷阱

Challenges and Pitfalls for Implementing Digital Health Solutions in Clinical Studies in Europe.

作者信息

Meyerheim Marcel, Burns-Gebhart Anna, Mirzaie Kasra, Garani-Papadatos Tina, Braun Yvonne, Graf Norbert

机构信息

Clinic of Pediatric Oncology and Hematology, Faculty of Medicine, Saarland University Hospital and Saarland University, Homburg, Germany.

Clinic for Pediatric Oncology and Hematology, Hannover Medical School, Hannover, Germany.

出版信息

Front Digit Health. 2021 Sep 28;3:730680. doi: 10.3389/fdgth.2021.730680. eCollection 2021.

DOI:10.3389/fdgth.2021.730680
PMID:34713200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8521796/
Abstract

The increasing number of digital solutions developed for use in clinical health care settings is accompanied by new challenges to develop and conduct clinical studies that include eHealth technologies. Clinical study implementation plans often disregard or underestimate the necessity of additional administrative and logistic tasks required at clinical sites as well as ethical aspects to test digital solutions. Experiences made in the run-up of an observational clinical feasibility study at three international clinical sites in the framework of the MyPal project (https://mypal-project.eu/) result in recommendations to avoid delays and barriers in the planning of such prospective studies in clinical and also palliative care for increased efficiency.

摘要

为临床医疗环境开发的数字解决方案数量不断增加,同时也给开发和开展包含电子健康技术的临床研究带来了新挑战。临床研究实施计划往往忽视或低估了临床站点所需的额外行政和后勤任务的必要性,以及测试数字解决方案的伦理方面。在MyPal项目(https://mypal-project.eu/)框架下,在三个国际临床站点开展一项观察性临床可行性研究的前期经验,得出了一些建议,以避免在临床及姑息治疗这类前瞻性研究的规划中出现延误和障碍,从而提高效率。