Mathias Rebecca, McCulloch Peter, Chalkidou Anastasia, Gilbert Stephen
Else Kröner Fresenius Center for Digital Health, TUD Dresden University of Technology, Dresden, Germany.
Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
NPJ Digit Med. 2024 Jun 18;7(1):148. doi: 10.1038/s41746-024-01147-z.
Digital Health Technologies (DHTs) are being applied in a widening range of scenarios in medicine. We describe the emerging phenomenon of the grouping of individual DHTs, with a clinical use case and regulatory approval in their own right, into packages to perform specific clinical tasks in defined settings. Example groupings include suites of devices for remote monitoring, or for smart clinics. In this first article of a two-article series, we describe challenges in implementation and limitations in frameworks for the regulation, health technology assessment, and reimbursement of these device suites and linked novel care pathways.
数字健康技术(DHTs)正在医学领域越来越广泛的场景中得到应用。我们描述了一种新出现的现象,即单个数字健康技术(它们本身都有临床用例和监管批准)被组合成包,以便在特定环境中执行特定的临床任务。示例组合包括用于远程监测或智能诊所的设备套件。在这个两篇系列文章的第一篇中,我们描述了这些设备套件及相关新护理途径在实施过程中面临的挑战以及监管、卫生技术评估和报销框架中的局限性。