{"title":"Evaluations of digital public health interventions in the WHO Southeast Asia Region: a systematic literature review.","authors":"Nachiket Gudi, Elstin Anbu Raj, Beate Jahn, Uwe Siebert, Angela Brand","doi":"10.1017/S026646232400045X","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The lack of HTAs on digital public health interventions in the region highlights the need for capacity-building efforts.</p>","PeriodicalId":14467,"journal":{"name":"International Journal of Technology Assessment in Health Care","volume":"40 1","pages":"e78"},"PeriodicalIF":2.6000,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Technology Assessment in Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S026646232400045X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: 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.
Methods: 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.
Results: 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.
Conclusion: The lack of HTAs on digital public health interventions in the region highlights the need for capacity-building efforts.
数字卫生技术一直在提高卫生保健提供者的能力，从而提高提供有针对性的卫生服务的能力。东南亚区域在加强数字公共卫生方面进行了投资。许多数字卫生干预措施已在公共卫生环境中实施，但很少使用整体卫生技术评估方法进行评估。方法：对世界卫生组织（WHO） SEAR中数字公共卫生干预措施的评估进行系统的文献综述。对四个电子数据库进行了搜查。筛选标题摘要和全文由两位审稿人独立进行，然后进行数据提取。采用EUnetHTA Core Model 3.0对HTA的各维度进行分析。采用JBI经济评价检查表和综合卫生经济评价报告标准2022检查表对纳入的文章进行质量评估，以评估报告质量。研究结果采用系统证据表和柱状图呈现。结果：在全文阶段筛选的43项研究中，在6个国家进行的13项研究被纳入分析。10项研究评估了远程医疗和移动保健干预措施。9项研究进行了成本效益分析，5项研究从社会角度进行了评估。四项研究使用了一个以上的视角进行评估。所有研究都对健康问题的定义和技术的当前使用、技术的描述和技术特征、临床效果、成本、经济评价和组织方面进行了评估，而对法律方面的评估最少。结论：该区域缺乏关于数字公共卫生干预措施的hta，突出表明需要开展能力建设工作。
期刊介绍：
International Journal of Technology Assessment in Health Care serves as a forum for the wide range of health policy makers and professionals interested in the economic, social, ethical, medical and public health implications of health technology. It covers the development, evaluation, diffusion and use of health technology, as well as its impact on the organization and management of health care systems and public health. In addition to general essays and research reports, regular columns on technology assessment reports and thematic sections are published.
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