Health technology assessment for digital technologies that manage chronic disease: a systematic review

ObjectiveA growing number of evaluation frameworks have emerged over recent years addressing the unique benefits and risk profiles of new classes of digital health technologies (DHTs). This systematic review aims to identify relevant frameworks and synthesize their recommendations into DHT-specific...

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Published in:International journal of technology assessment in health care 2021-05, Vol.37 (1), p.e66-e66, Article e66
Main Authors: von Huben, Amy, Howell, Martin, Howard, Kirsten, Carrello, Joseph, Norris, Sarah
Format: Article
Language:English
Subjects:
Algorithms
Assessment
Chronic illnesses
Disease
Evaluation
Health care access
Health services
Health technology assessment
Medical equipment
Medical technology
Mental health
Mental health care
Patients
Risk assessment
Software
Systematic review
Technology
Technology assessment
Telemedicine
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Summary:ObjectiveA growing number of evaluation frameworks have emerged over recent years addressing the unique benefits and risk profiles of new classes of digital health technologies (DHTs). This systematic review aims to identify relevant frameworks and synthesize their recommendations into DHT-specific content to be considered when performing Health Technology Assessments (HTAs) for DHTs that manage chronic noncommunicable disease at home.MethodsSearches were undertaken of Medline, Embase, Econlit, CINAHL, and The Cochrane Library (January 2015 to March 2020), and relevant gray literature (January 2015 to August 2020) using keywords related to HTA, evaluation frameworks, and DHTs. Included framework reference lists were searched from 2010 until 2015. The EUNetHTA HTA Core Model version 3.0 was selected as a scaffold for content evaluation.ResultsForty-four frameworks were identified, mainly covering clinical effectiveness (n = 30) and safety (n = 23) issues. DHT-specific content recommended by framework authors fell within 28 of the 145 HTA Core Model issues. A further twenty-two DHT-specific issues not currently in the HTA Core Model were recommended.ConclusionsCurrent HTA frameworks are unlikely to be sufficient for assessing DHTs. The development of DHT-specific content for HTA frameworks is hampered by DHTs having varied benefit and risk profiles. By focusing on DHTs that actively monitor/treat chronic noncommunicable diseases at home, we have extended DHT-specific content to all nine HTA Core Model domains. We plan to develop a supplementary evaluation framework for designing research studies, undertaking HTAs, and appraising the completeness of HTAs for DHTs.
ISSN:0266-4623
1471-6348
DOI:10.1017/S0266462321000362