Realdon Olivia, Adorni Roberta, Ginelli Davide, Micucci Daniela, Blasi Valeria, Bellavia Daniele, Schettini Fabrizio, Carradore Roberto, Polsinelli Pietro, D'Addario Marco, Gui Marco, Messina Vincenzina, Foglia Emanuela, Steca Patrizia, Mantovani Fabrizia, Baglio Francesca
Department of Human Sciences for Education, University of Milano-Bicocca, 20126 Milan, Italy.
Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy.
Healthcare (Basel). 2023 May 30;11(11):1604. doi: 10.3390/healthcare11111604.
To date, at least 2.41 billion people with Non-Communicable Diseases (NCDs) are in need of rehabilitation. Rehabilitation care through innovative technologies is the ideal candidate to reach all people with NCDs in need. To obtain these innovative solutions available in the public health system calls for a rigorous multidimensional evaluation that, with an articulated approach, is carried out through the Health Technology Assessment (HTA) methodology. In this context, the aim of the present paper is to illustrate how the Smart&TouchID (STID) model addresses the need to incorporate patients' evaluations into a multidimensional technology assessment framework by presenting a feasibility study of model application with regard to the rehabilitation experiences of people living with NCDs. After sketching out the STID model's vision and operational process, preliminary evidence on the experiences and attitudes of patients and citizens on rehabilitation care will be described and discussed, showing how they operate, enabling the co-design of technological solutions with a multi-stakeholder approach. Implications for public health are discussed including the view on the STID model as a tool to be integrated into public health governance strategies aimed at tuning the agenda-setting of innovation in rehabilitation care through a participatory methodology.
迄今为止,至少有24.1亿非传染性疾病患者需要康复治疗。通过创新技术提供康复护理是惠及所有有需求的非传染性疾病患者的理想选择。要在公共卫生系统中获得这些创新解决方案,需要进行严格的多维度评估,通过卫生技术评估(HTA)方法,以一种清晰明确的方式来开展。在此背景下,本文旨在通过展示针对非传染性疾病患者康复体验的模型应用可行性研究,说明Smart&TouchID(STID)模型如何满足将患者评估纳入多维度技术评估框架的需求。在勾勒出STID模型的愿景和运作流程后,将描述和讨论关于患者及公民对康复护理的体验和态度的初步证据,展示它们如何运作,从而通过多利益相关方方法实现技术解决方案的共同设计。还将讨论对公共卫生的影响,包括将STID模型视为一种工具,通过参与式方法将其纳入公共卫生治理战略,以调整康复护理创新的议程设定。