All participants in health care systems stand to benefit from the contributions of digital health – to improve outcomes, increase patient convenience and reduce costs – yet much work remains to be done to move digital health into the mainstream. An evidence-based and deliberative approach is needed to build evidence of value, balancing any excessive hype or enthusiasm.
IQVIA人类数据科学分析研究所表明，如果NHlpl哪里可以下外围S在五个患者群体中使用数字健康应用，他们减少了急性护理的利用（糖尿病，糖尿病，哮喘，心脏康复和肺部康复），这将节省1.7亿英镑lol买外围用什么软件每年并改善健康结果。lol买外围用什么软件如果这种成本节约级别 - 达到1.1％ - 被推断为总NHS支出，可以实现每年约20亿英镑的总成本节省。
Cost Savings Associated with Using 5 Clinically Validated Apps Across 5 Initial Indications
While analyses of the digital health landscape published by the IMS Institute for Healthcare Informatics in 2013 and 2015 found evidence to be scarce and the value of digital health difficult to measure, this has now changed. The benefits to patients are becoming far clearer.
全球范围内，存在超过318,000个健康应用程序lol买外围用什么软件和340个消费者可穿戴设备。应用疗效的临床证据包括至少571项研究，其中包括234项随机对照试验和20个荟萃分析。高质量的应用 - 具有高患者评级，频繁更新，与传感器，认可的连通性，以及有前途的临床证据的特点，现在存在适用于每种主要类型的保健使用。lol买外围用什么软件
然而，根据IQVIA Institute的研究，在NHS中只有约8％的应用效率研究。一个原因可能是英国数字卫生公司的风险投资水平相对较低，基于来自DigitalHealth.Network的研究，仅适用于全球总数的3％。lol买外围用什么软件另一个人可能是一些数字健康企业家报告，NHS临床调试组不需要或不允许出版他们赞助的试lol买外围用什么软件点研究结果。这造成了问题，因为诸如优秀的机构通常更喜欢基于NHS中价值的临床证据的决定。
美国通过观察和随机试验开发证据的发展方面取得了很大进展，从而从患者和提供商的角度来看，从而实现了对应用程序质量的实际评估。Progress is also being made in the UK, where the NHS Apps Library (https://apps.beta.nhs.uk) lists 46 apps that have successfully navigated the new Digital Assessment Questions (DAQs) to secure an endorsement as ‘trusted apps’ for use by patients and clinicians. Promising steps include publication of privacy and security guidelines (in the form of the DAQs), programs such as the NHS England Innovation and Technology Tariff to address patient access, efforts to align digital health programs with providers’ incentive structure, and interoperability initiatives to integrate apps into the physician workflow.
Patients in the UK are expressing interest in mobile health, with one survey finding that 36% of patients use health apps,1 and a second survey showing that 97% of 100 UK adults wanted the NHS to provide access to digital health technologies, including the ability to book mobile app video appointments.2 There remains scope to build enthusiasm from the UK payer and provider sides, based on the availability of tools and evidence, to transform the way care is delivered and value is provided to patients in this highly cost-effective manner.
NHS的可能的方法来解决这一乐趣damental tension between the extensive clinical proof for digital health apps outside of the NHS, and the lack of evidence from within the health service, include:
- 没做什么：start from scratch by waiting for local startups and global digital therapeutic leaders to sponsor studies within the current NHS infrastructure
- 桥梁差距：seek out global digital therapeutic leaders, connecting them to promising study opportunities, and enabling generation of local, real-world evidence
- Improve study efficiency:introduce a new infrastructure for enabling Digital Therapeutics research to occur better, faster, and cheaper in the UK than elsewhere.
Since the first option – simply waiting – would delay the benefits of digital health to the NHS, the most promising solution is likely the combination of the second and third options.The NHS can proactively engage global leaders with expertise in evidence generation, while also encouraging development of new platforms to dramatically lower the cost and speed the recruitment for local clinical studies. Timely action would enable the NHS to realize the benefits of clinically proven digital health apps – namely Digital Therapeutics – and make the NHS a world leader in this exciting and rapidly evolving sector.
References
1埃森哲咨询。患者想要一种健康的数字剂量。lol买外围用什么软件2016.可从www.Accenture提供。COM / T00010101T000000Z__W __ / GB-ZH / _ ACNMEDIA / PDF-27 / ECHENTURE-PATER-ENGAGENT-SEQUESS- Infographic-UK.PDF
2现在医疗lol买外围用什么软件保健小组。英国患者需要通过NHS选择获得数字健康应用程序。lol买外围用什么软件2017年2月7日可供选择：http：//www.nowhealthcaregroulol买外围用什么软件p。COM / 2017/02 / 07 /英国 - 患者 - 需求 - 访问 - 数字健康应用程序-Nlol买外围用什么软件HS-选择/