scholarly journals How to Value Digital Health Interventions? A Systematic Literature Review

2020 ◽  
Vol 17 (6) ◽  
pp. 2119 ◽  
Author(s):  
Katarzyna Kolasa ◽  
Grzegorz Kozinski
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Data Security ◽  
Digital Health ◽  
Health Interventions ◽  
Value Assessment ◽  
Assessment Framework ◽  
Life Years ◽  
Assessment Guidelines ◽  
Qaly Approach

In Europe, there were almost twice as many patents granted for medical technology (13,795) compared to pharmaceuticals (7441) in 2018. It is important to ask how to integrate such an amount of innovations into routine clinical practice and how to measure the value it brings to the healthcare system. Given the novelty of digital health interventions (DHI), one can even question whether the quality-adjusted life years (QALY) approach developed for pharmaceuticals can be used or whether we need to develop a new DHI’s value assessment framework. We conducted a systematic literature review of published DHIs’ assessment guidelines. Each publication was analyzed with a 12-items checklist based on a EUnetHTA core model enriched with additional criteria such as usability, interoperability, and data security. In total, 11 value assessment guidelines were identified. The review revealed that safety, clinical effectiveness, usability, economic aspects, and interoperability were most often discussed (seven out of 11). More than half of the guidelines addressed organizational impact, data security, choice of comparator, and technical considerations (six out of 11). The unmet medical needs (three out of 11), along with the ethical (two out of 11) and legal aspects (one out of 11), were given the least attention. No author provided an analytical framework for the calculation of clinical and economic outcomes. We elicited five recommendations for the choice of DHI’s value criteria and a methodological suggestion for the pricing and reimbursement framework. Our conclusions lead to the need for a new DHI’s value assessment framework instead of a QALY approach.

Use of quality-adjusted life years for the estimation of effectiveness of health care: A systematic literature review

2006 ◽  
Vol 22 (2) ◽  
pp. 235-241 ◽  
Author(s):  
Pirjo Räsänen ◽  
Eija Roine ◽  
Harri Sintonen ◽  
Virpi Semberg-Konttinen ◽  
Olli-Pekka Ryynänen ◽  
...  
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Full Text ◽  
Cost Effective ◽  
Quality Adjusted Life Years ◽  
Hrqol Instrument ◽  
Life Years ◽  
Quality Adjusted Life

Objectives: The objectives of this study were to identify, in a systematic literature review, published studies having used quality-adjusted life years (QALYs) based on actual measurements of patients' health-related quality of life (HRQoL) and to determine which HRQoL instruments have been used to calculate QALYs. Furthermore, the aims were to characterize studies with regard to medical specialty, intervention studied, results obtained, quality, country of origin, QALY gain observed, and interpretation of results regarding cost-effectiveness.Methods: Systematic searches of the literature were made using the MEDLINE, Embase, CINAHL, SCI, and Cochrane Library electronic databases. Initial screening of identified articles was based on abstracts read independently by two of the authors; full-text articles were again evaluated by two authors, who made the final decision on which articles should be included.Results: The search identified 3,882 articles; 624 were obtained for closer review. Of the reviewed full-text articles, seventy reported QALYs based on actual before–after measurements using a valid HRQoL instrument. The most frequently used instrument was EuroQol HRQoL instrument (EQ-5D, 47.5 percent). Other instruments used were Health Utilities Index (HUI, 8.8 percent), the Rosser–Kind Index (6.3 percent), Quality of Well-Being (QWB, 6.3 percent), Short Form-6D (SF-6D, 5.0 percent), and 15D (2.5 percent). The rest (23.8 percent) used a direct valuation method: Time Trade-Off (10.0 percent), Standard Gamble (5.0 percent), visual analogue scale (5.0 percent), or rating scale (3.8 percent). The most frequently studied medical specialties were orthopedics (15.5 percent), pulmonary diseases (12.7 percent), and cardiology (9.9 percent). Ninety percent of the studies came from four countries: United Kingdom, United States, Canada, the Netherlands. Approximately half of the papers were methodologically high quality randomized trials. Forty-nine percent of the studied interventions were viewed by the authors of the original studies as being cost-effective; only 13 percent of interventions were deemed not to be cost-effective.Conclusions: Although QALYs gained are considered an important measure of effectiveness of health care, the number of studies in which QALYs are based on actual measurements of patients' HRQoL is still fairly limited.

scholarly journals Methods in assessing the values of architecture in residential neighbourhoods

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lidwine Spoormans ◽  
Ana Pereira Roders
Keyword(s):  
Literature Review ◽  
Systematic Literature Review ◽  
Policy Development ◽  
Added Value ◽  
Value Assessment ◽  
Content Type ◽  
Research Fields ◽  
Digital Database ◽  
Different Types ◽  
Two Stages

PurposeAlthough residential neighbourhoods are the largest and most resilient share of a city and the process of urban conservation and renewal is ongoing, methods to assess their values are limited. This paper presents the results of a systematic literature review, revealing the state of the art and its knowledge gaps with regard to methods for assessing values of architecture in residential neighbourhoods.Design/methodology/approachThe systematic literature review is based on studies selected by a research protocol, using a digital database of peer-reviewed literature. A metanarrative approach is used to synthesise the qualitative data from reviewed articles. This review has two stages: (1) giving an overview of the field and (2) categorising research methods and disciplines.FindingsThe review revealed a wide variety of studies from different disciplines and deduced its key trends, titled as “storylines”, concerning the methods to assess significance, integrating a broader scope of values and different perspectives. In particular, the “storylines” outside traditional heritage disciplines offer methods to include more stakeholders, link value assessment to policy development or highlight heritage potential. Results reveal the diversity in concepts and strengthen the need for an interdisciplinary vocabulary on values and methods, enabling planners and policymakers to compare their results and help to create more attractive and resilient cities.Originality/valueBy reviewing and comparing the selected studies from a wider range of disciplines and research fields, this paper shares insights into the complementary characteristics of the different types of value research, outlining the added value of the different perspectives.

scholarly journals A Systematic Literature Review Method On AES Algorithm for Data Sharing Encryption On Cloud Computing

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Taufik Hidayat ◽  
Rahutomo Mahardiko
Keyword(s):  
Cloud Computing ◽  
Literature Review ◽  
Data Storage ◽  
Systematic Literature Review ◽  
Data Security ◽  
Data Transfer ◽  
Internet Security ◽  
Advanced Encryption Standard ◽  
Aes Algorithm ◽  
And Storage

Cloud computing is one revolution in information technology (IT) that can share resources, services and data through a network among users. Because users have same rights on the network to transfer data, data are vulnerable to be attacked by unauthorized person. Lately, data security in a system only concentrates on data storage on cloud by utilizing internet security, but a little concentration is found during data transfer. By considering security as a serious problem, an encryption-based proposed system is presented to secure during data transfer. Authors propose an approach to boost system security during data transfer in order to prevent data theft by unauthorized person. To prevent an attack by unauthorized person, Advanced Encryption Standard (AES) will be proposed to secure data transfer and storage in cloud computing. For better future, authors will propose Systematic Literature Review (SLR) to generate suggestions and opportunities in AES cloud computing.

scholarly journals Addressing equity in eHealth interventions for healthcare system users & patients, literature review

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
V Ramel
Keyword(s):  
Health Promotion ◽  
Literature Review ◽  
Conceptual Framework ◽  
Conceptual Model ◽  
Healthcare System ◽  
Digital Health ◽  
Unintended Consequences ◽  
Health Interventions ◽  
Equity Issues ◽  
Ottawa Charter

Abstract Objective eHealth has great potential to improve access to health information and care but important barriers to equity still exist and a real digital divide threatens its use. It is therefore necessary to build a conceptual framework on digital health interventions aiming at promoting equity and to analyse the strategies and recommendations that arise through the literature. Such a conceptual framework has not been identified in the literature yet. Methods We carried out a scoping literature review of the scientific literature since 2000 in Western countries, in Scopus, PubMed, PsycArticles, SocIndex and PBSC. Results Strategies that take into account equity in eHealth for healthcare system users and patients can be presented in light of the five key action areas of the Ottawa Charter for Health Promotion. They deal with the policy level, the individual one, aim at creating supportive environments, at using the community level for eHealth promotion and focus on health services. Individuals-oriented interventions are the most reported, thus revealing a lack of systematic thinking and certainly a lack of understanding of the whole spectrum of health determinants. Conclusions Following Gibbons’ expression of “compunetics” (Information and Communication Technologies & ethics), interventions that truly consider the unintended consequences of eHealth on social and geographic health inequalities are absolutely necessary. The conceptual model analysing the whole literature on this interaction makes it easy to understand the types of interventions that are or could be carried out to tackle equity issues in digital health interventions. Its recommendations become easy to implement in the field and can be extremely helpful for decision-making. Key messages Strategies that take into account equity in eHealth for healthcare system users and patients can be presented in light of the five key action areas of the Ottawa Charter for Health Promotion. The conceptual model we elaborated makes it easy to understand the types of interventions that could be carried out to tackle equity issues in digital health interventions.

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