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数字健康应用的效益评估和报销:建立公共覆盖新系统的概念。

Benefit Assessment and Reimbursement of Digital Health Applications: Concepts for Setting Up a New System for Public Coverage.

机构信息

Department of Health Care Management, Technische Universität Berlin, Berlin, Germany.

European Observatory on Health Systems and Policies Brussels, Brussels, Belgium.

出版信息

Front Public Health. 2022 Apr 21;10:832870. doi: 10.3389/fpubh.2022.832870. eCollection 2022.

Abstract

In Germany, some digital health applications (DiHA) became reimbursable through the statutory health insurance system with the adoption of the Digital Healthcare Act in 2019. Approaches and concepts for the German care context were developed in an iterative process, based on existing concepts from international experience. A DiHA categorization was developed that could be used as a basis to enable the creation of a reimbursed DiHA repository, and to derive evidence requirements for coverage and reimbursement for each DiHA. The results provide an overview of a possible classification of DiHA as well as approaches to assessment and evaluation. The structure of remuneration and pricing in connection with the formation of groups is demonstrated.

摘要

在德国,随着 2019 年《数字医疗法案》的通过,一些数字健康应用(DiHA)通过法定健康保险系统获得了报销资格。在这一过程中,德国护理环境的方法和概念是基于国际经验中的现有概念,通过迭代开发出来的。开发了一种 DiHA 分类,可以作为创建报销 DiHA 存储库的基础,并为每个 DiHA 的覆盖范围和报销制定证据要求。结果提供了 DiHA 可能分类的概述以及评估和评估方法。还展示了与群体形成相关的报酬和定价结构。

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