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扩大数字健康技术系统性和公平整合的综合政策。

Comprehensive policies for scaling systemic and equitable integration of digital health technologies.

作者信息

Spreafico Alberta M C, Tarricone Rosanna, Stern Ariel D

机构信息

Government, Health and Not for Profit Division, SDA Bocconi School of Management, Milan, Italy.

EVERSANA INTOUCH, Largo Abate Conforti, Salerno, Italy.

出版信息

NPJ Digit Med. 2025 Jul 4;8(1):404. doi: 10.1038/s41746-025-01820-x.


DOI:10.1038/s41746-025-01820-x
PMID:40615530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12227579/
Abstract

Systemic integration and equitable adoption of Digital Health Technologies (DHTs) require timely, comprehensive, harmonised policies. This paper presents five complementary key enablers: defining DHTs in the scope of fit-for-purpose policy interventions, implementing AI-ready regulatory approaches, adopting dynamic assessment criteria, establishing dedicated reimbursement models, and promoting evidence generation, clinical guidelines, interoperability, and education. Cross-border and multistakeholder collaboration are also crucial to reducing fragmentation, addressing inequities, and driving scalable, systemic value.

摘要

数字健康技术(DHTs)的系统整合与公平应用需要及时、全面、协调一致的政策。本文提出了五个相辅相成的关键推动因素:在适用的政策干预范围内界定数字健康技术,实施支持人工智能的监管方法,采用动态评估标准,建立专门的报销模式,以及促进证据生成、临床指南、互操作性和教育。跨境和多利益相关方合作对于减少碎片化、解决不平等问题以及推动可扩展的系统价值也至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813c/12227579/74683e359dfc/41746_2025_1820_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813c/12227579/acdfd8a79022/41746_2025_1820_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813c/12227579/74683e359dfc/41746_2025_1820_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813c/12227579/acdfd8a79022/41746_2025_1820_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813c/12227579/74683e359dfc/41746_2025_1820_Fig2_HTML.jpg

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Comprehensive policies for scaling systemic and equitable integration of digital health technologies.

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本文引用的文献

[1]
"Towards harmonizing assessment and reimbursement of digital medical devices in the EU through mutual learning".

NPJ Digit Med. 2024-10-1

[2]
Core elements of national policy for digital health technology evidence and access.

NPJ Digit Med. 2024-8-13

[3]
The three-year evolution of Germany's Digital Therapeutics reimbursement program and its path forward.

NPJ Digit Med. 2024-5-24

[4]
Which behaviour change techniques work best for diabetes self-management mobile apps? Results from a systematic review and meta-analysis of randomised controlled trials.

EBioMedicine. 2024-5

[5]
Dynamic HTA for digital health solutions: opportunities and challenges for patient-centered evaluation.

Int J Technol Assess Health Care. 2023-11-17

[6]
Economic Evaluation Associated With Clinical-Grade Mobile App-Based Digital Therapeutic Interventions: Systematic Review.

J Med Internet Res. 2023-8-1

[7]
An accelerated access pathway for innovative high-risk medical devices under the new European Union Medical Devices and health technology assessment regulations? Analysis and recommendations.

Expert Rev Med Devices. 2023-4

[8]
Recommendations for developing a lifecycle, multidimensional assessment framework for mobile medical apps.

Health Econ. 2022-9

[9]
Advancing digital health applications: priorities for innovation in real-world evidence generation.

Lancet Digit Health. 2022-3

[10]
Development features and study characteristics of mobile health apps in the management of chronic conditions: a systematic review of randomised trials.

NPJ Digit Med. 2021-10-5

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