Gudi Nachiket, Raj Elstin Anbu, Jahn Beate, Siebert Uwe, Brand Angela
Department of Health Information, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Faculty of Health Medicine and Life Sciences (FHML), Maastricht University, Maastricht, The Netherlands.
Int J Technol Assess Health Care. 2024 Dec 18;40(1):e78. doi: 10.1017/S026646232400045X.
Digital health technologies have been enhancing the capacity of healthcare providers and, thereby, the delivery of targeted health services. The Southeast Asia Region (SEAR) has invested in strengthening digital public health. Many digital health interventions have been implemented in public health settings but are rarely assessed using the holistic health technology assessment (HTA) approach.
A systematic literature review was performed to provide an overview of evaluations of digital public health interventions in the World Health Organization (WHO) SEAR. Searches were conducted on four electronic databases. Screening title abstracts and full texts was independently conducted by two reviewers, followed by data extraction. Dimensions of HTA were analyzed against the EUnetHTA Core Model 3.0. Quality assessment of included articles was conducted using the JBI Checklist for Economic Evaluation and Consolidated Health Economic Evaluation Reporting Standards 2022 checklist to assess the reporting quality. The findings are presented using systematic evidence tables and bar charts.
Of the forty-three studies screened at the full-text stage, thirteen studies conducted across six countries were included in the analysis. Telemedicine and m-health interventions were assessed in ten studies. Nine studies conducted cost-effectiveness analysis, and five assessments were conducted from a societal perspective. Four studies utilized more than one perspective for the assessment. Health problem definition and current use of technology, description and technical characteristics of the technology, clinical effectiveness, costs, economic evaluation, and organizational aspects were assessed by all the studies, whereas legal aspects were least assessed.
The lack of HTAs on digital public health interventions in the region highlights the need for capacity-building efforts.
数字健康技术一直在增强医疗服务提供者的能力，从而提高有针对性的健康服务的提供水平。东南亚区域（SEAR）已投资加强数字公共卫生建设。许多数字健康干预措施已在公共卫生环境中实施，但很少使用整体健康技术评估（HTA）方法进行评估。
进行了一项系统的文献综述，以概述世界卫生组织（WHO）东南亚区域数字公共卫生干预措施的评估情况。在四个电子数据库中进行了检索。由两名评审员独立筛选标题摘要和全文，随后进行数据提取。根据欧盟网络健康技术评估核心模型3.0分析了健康技术评估的各个维度。使用JBI经济评估清单和《2022年综合健康经济评估报告标准》清单对纳入文章进行质量评估，以评估报告质量。研究结果以系统证据表和柱状图的形式呈现。
在全文阶段筛选的43项研究中，分析纳入了在六个国家开展的13项研究。10项研究评估了远程医疗和移动健康干预措施。9项研究进行了成本效益分析，5项评估是从社会角度进行的。4项研究在评估中采用了不止一种视角。所有研究都评估了健康问题定义和技术当前使用情况、技术的描述和技术特征、临床有效性、成本、经济评估和组织方面，而法律方面评估得最少。
该区域缺乏对数字公共卫生干预措施的健康技术评估，这凸显了开展能力建设工作的必要性。
