Morelli Sandra, D'Avenio Giuseppe, Daniele Carla, Grigioni Mauro, Giansanti Daniele
Centro Nazionale TISP, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Roma, Italy.
Healthcare (Basel). 2024 Mar 8;12(6):615. doi: 10.3390/healthcare12060615.
The expanding role of technology assessment in telemedicine is the focus of this study. An umbrella review has been proposed to delve into emerging themes within telemedicine technology assessment by scrutinizing systematic reviews gathered from PubMed and Scopus. The proposed approach was based on a standard narrative checklist and a qualification process. The selection process identified 20 systematic reviews. The main findings underscore the transformative potential of telemedicine, emphasizing technology assessments focused on systematic evaluations, stakeholder engagement, societal impact recognition, targeted interventions, and structured frameworks. While offering valuable insights, the current studies highlight certain limitations that require attention. There is a need for the following: (I) First of all, a more focused approach, primarily centered on a process-centric, multidomain, and generalizable technology assessment (TA). (II) A deeper analysis in specific healthcare areas, including a comprehensive examination of the cost-benefit ratio, peer-to-peer interactions, and a broader inclusion of diagnostic technologies. (III) Greater emphasis on the involved stakeholders, ranging from patients to stakeholders. In conclusion, this study contributes to a comprehensive and nuanced understanding of the continually evolving landscape in telemedicine technology assessment, offering valuable insights for practitioners, researchers, and policymakers alike. Researchers are encouraged to further explore both the established and emerging themes identified in this study.
技术评估在远程医疗中不断扩大的作用是本研究的重点。有人提议进行一项综合综述,通过仔细审查从PubMed和Scopus收集的系统评价,深入探究远程医疗技术评估中的新出现主题。提议的方法基于一个标准的叙述性清单和一个资格认定过程。筛选过程确定了20项系统评价。主要研究结果强调了远程医疗的变革潜力,强调技术评估应侧重于系统评价、利益相关者参与、社会影响识别、针对性干预和结构化框架。虽然当前的研究提供了有价值的见解,但也突出了一些需要关注的局限性。需要做到以下几点:(I)首先,采取更具针对性的方法,主要围绕以过程为中心、多领域且可推广的技术评估(TA)。(II)在特定医疗领域进行更深入的分析,包括对成本效益比、对等互动以及更广泛纳入诊断技术的全面审查。(III)更多地强调从患者到利益相关者等涉及的利益相关者。总之,本研究有助于全面而细致地理解远程医疗技术评估中不断演变的局面,为从业者、研究人员和政策制定者提供了有价值的见解。鼓励研究人员进一步探索本研究中确定的既定主题和新出现主题。