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- Title
OP59 Do Digital Health Terms Provide Sufficient Information To Allow For Health Technology Assessment?
- Authors
Zrubka, Zsombor; Annette, Champion; Di Bidino, Rossella; Holtorf, Anke-Peggy; Earla, Jagadeswara R; Boltyenkov, Artem; Tabata-Kelly, Masami; Asche, Carl Victor; Burrell, Anita
- Abstract
Introduction: Umbrella digital health term (DHT) (digital health, eHealth, mHealth, telehealth, and telemedicine) definitions contain insufficient information about patient value for health economics and outcomes research and health technology assessment (HTA) purposes. Qualitative content analysis of secondary DHT (e.g., telesurgery and teleradiology) definitions was performed by the ISPOR Digital Health Special Interest Group to determine if they were more useful for health economics and outcomes research purposes. Methods: Secondary DHT definitions were extracted from a previous scoping review and consolidated by reviewer pairs using uniform rules. Definitions were analyzed for explicit (directly stated) or implicit (inferred) information on 24 categories: Patient, Intervention, Comparator, Outcome, Timing, Setting (PICOTS); the Shannon-Weaver communication model (SWE) (sender, message, encoder, channel, decoder, and receiver, extended with mode of information exchange); the quality domains of Agency for Healthcare Research and Quality (AHRQ) (safe, effective, patient-centered, timely, efficient, and equitable); information related to applied technology or geographic scope; and the World Health Organization (WHO) classification of digital health interventions v1.0 (digital health interventions category, health system challenges, and system categories). Results: Across 107 unique definitions of 73 secondary DHTs, the number of explicitly or implicitly addressed categories across the frameworks ranged from zero to 15, with references to elements of PICOTS (79.4%), SWE (90.7%), AHRQ (30.8%), applied technology (52.3%), geographic scope (0%), and WHO frameworks (86.9%). PICOTS information was found for Patients in 35 percent of definitions, Intervention in 59 percent, Comparator in 20 percent, and Outcomes in 18 percent. Conclusions: Secondary DHT definitions do not adequately specify PICOTS or other characteristics of interest for HTA. An online Delphi survey has been launched among a wider group of ISPOR members to identify the minimum information set to define patient facing DHTs for evidence summaries and value assessments. The results of this research should be shared for discussion with other digital health stakeholder groups.
- Subjects
UNITED States. Agency for Healthcare Research &; Quality; MEDICAL communication; DIGITAL communications; DIGITAL health; WORLD Health Organization; TECHNOLOGY assessment; MEDICAL economics; COMMUNICATION models; MOBILE health
- Publication
International Journal of Technology Assessment in Health Care, 2023, Vol 39, pS16
- ISSN
0266-4623
- Publication type
Article
- DOI
10.1017/S0266462323000880