Hofauer Benedikt, Pförringer Dominik, Schöffski Oliver, Zhu Zhaojun, Offergeld Christian
Klinik und Poliklinik für Hals‑, Nasen- und Ohrenheilkunde, Klinikum rechts der Isar, Technische Universität München, Ismaningerstr. 22, 81675, München, Deutschland.
Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland.
HNO. 2023 May;71(5):304-310. doi: 10.1007/s00106-022-01271-w. Epub 2023 Feb 3.
With the passing of the "Digital Care Act" by the German Bundestag at the end of 2019, it was made possible, among other things, for digital health applications to be reimbursed by statutory health insurance companies under certain conditions. The aim of this work is to identify digital health applications related to ear, nose, and throat medicine and to describe the underlying evidence.
The digital health applications register was analyzed to identify digital health applications with an indication area relating to an otorhinolaryngologic disease. Digital health applications were included that were either permanently or provisionally included, or currently deleted if further information was available. The underlying evidence was assessed according to the recommendations of the Oxford Center for Evidence-Based Medicine for therapeutic studies.
A total of six digital health applications with a direct or indirect connection to otorhinolaryngology were identified, three of which were permanently and two provisionally included in the directory. One digital health application has currently been withdrawn by the manufacturer. The permanently recorded digital health applications are based on evidence level 1b.
The introduction of digital health applications is sometimes also discussed critically, but they represent an innovative approach and various digital health applications with a high level of underlying evidence are already available, especially for the ear, nose, and throat area.
随着德国联邦议院在2019年底通过《数字护理法案》，数字健康应用在某些条件下可由法定健康保险公司报销成为可能。这项工作的目的是识别与耳鼻喉科医学相关的数字健康应用，并描述其潜在证据。
对数字健康应用登记册进行分析，以识别适应症领域与耳鼻喉科疾病相关的数字健康应用。纳入的数字健康应用包括永久或临时纳入的，或如果有更多信息则目前已删除的。根据牛津循证医学中心对治疗研究的建议评估潜在证据。
共识别出六个与耳鼻喉科有直接或间接关联的数字健康应用，其中三个永久、两个临时纳入目录。一个数字健康应用目前已被制造商撤回。永久记录的数字健康应用基于1b级证据。
数字健康应用的引入有时也会受到批评性讨论，但它们代表了一种创新方法，并且已经有各种具有高度潜在证据的数字健康应用，特别是在耳鼻喉领域。
