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Artificial intelligence and remote patient monitoring in US healthcare market: a literature review.

作者信息

Dubey Ayushmaan, Tiwari Anuj

机构信息

Independent Researcher, Rising Junior.

Market Access Advisor, Medspacetech, Tilburg, The Netherlands.

出版信息

J Mark Access Health Policy. 2023 May 3;11(1):2205618. doi: 10.1080/20016689.2023.2205618. eCollection 2023.


DOI:10.1080/20016689.2023.2205618
PMID:37151736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10158563/
Abstract

BACKGROUND: Artificial intelligence (AI) enables remote patient monitoring (RPM) which reduces costs by triaging patients to optimize hospitalization and avoid complications. The FDA regulates AI in medical devices and aims to ensure patient safety, effectiveness, and transparent AI solutions. OBJECTIVES: Identify and summarize FDA approved RPM devices to provide information for the US medical device industry based on previous approvals and the markets' needs. METHODS: We searched publicly available databases on FDA-approved RPM devices. Selection criteria were established to classify a solution as AI. Technical information was analyzed on pre-identified 16 parameters for the qualified solutions. RESULTS: A total of 47 RPM devices were reviewed, among which 12.8% were classified as a De Novo product and the remaining devices fell under the 510(K) FDA category. The cardiovascular (74%) AI RPM solutions dominated the US market, followed by ECG-based arrhythmia detection algorithms (59.4%), and Hemodynamics and Vital Sign monitoring algorithms (21.9%). The trend observed in the FDA rejected devices was their inability to be classified into clinically relevant categories (Criteria 2 and 3). CONCLUSION: The market needs more innovative RPM solutions under the De Novo category, as there are very few. The transparency is low on the technical aspect of AI algorithms. The market needs AI algorithms that can effectively classify patients rather than merely improve device functionality.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc8/10158563/3f6f945255e8/ZJMA_A_2205618_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc8/10158563/b14a6799734b/ZJMA_A_2205618_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc8/10158563/3f6f945255e8/ZJMA_A_2205618_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc8/10158563/b14a6799734b/ZJMA_A_2205618_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ddc8/10158563/3f6f945255e8/ZJMA_A_2205618_F0002_OC.jpg

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本文引用的文献

[1]
FDA-regulated AI Algorithms: Trends, Strengths, and Gaps of Validation Studies.

Acad Radiol. 2022-4

[2]
Effectiveness of Telemonitoring for Reducing Exacerbation Occurrence in COPD Patients With Past Exacerbation History: A Systematic Review and Meta-Analysis.

Front Med (Lausanne). 2021-9-10

[3]
Does remote patient monitoring reduce acute care use? A systematic review.

BMJ Open. 2021-3-2

[4]
The state of artificial intelligence-based FDA-approved medical devices and algorithms: an online database.

NPJ Digit Med. 2020-9-11

[5]
Insulin dose optimization using an automated artificial intelligence-based decision support system in youths with type 1 diabetes.

Nat Med. 2020-9-9

[6]
Telemonitoring Versus Usual Care for Elderly Patients With Heart Failure Discharged From the Hospital in the United States: Cost-Effectiveness Analysis.

JMIR Mhealth Uhealth. 2020-7-6

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