Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches

Abstract The field of digital health, and its meaning, has evolved rapidly over the last 20 years. For this article we followed the most recent definition provided by FDA in 2020. Emerging solutions offers tremendous potential to positively transform the healthcare sector. Despite the growing number...

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Autores principales:	Chaohui Guo, Hutan Ashrafian, Saira Ghafur, Gianluca Fontana, Clarissa Gardner, Matthew Prime
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2020
Materias:	Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/5ade732f60c3479bb3b6e10171305a64
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spelling	oai:doaj.org-article:5ade732f60c3479bb3b6e10171305a642021-12-02T16:35:10ZChallenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches10.1038/s41746-020-00314-22398-6352https://doaj.org/article/5ade732f60c3479bb3b6e10171305a642020-08-01T00:00:00Zhttps://doi.org/10.1038/s41746-020-00314-2https://doaj.org/toc/2398-6352Abstract The field of digital health, and its meaning, has evolved rapidly over the last 20 years. For this article we followed the most recent definition provided by FDA in 2020. Emerging solutions offers tremendous potential to positively transform the healthcare sector. Despite the growing number of applications, however, the evolution of methodologies to perform timely, cost-effective and robust evaluations have not kept pace. It remains an industry-wide challenge to provide credible evidence, therefore, hindering wider adoption. Conventional methodologies, such as clinical trials, have seldom been applied and more pragmatic approaches are needed. In response, several academic centers such as researchers from the Institute of Global Health Innovation at Imperial College London have initiated a digital health clinical simulation test bed to explore new approaches for evidence gathering relevant to solution type and maturity. The aim of this article is to: (1) Review current research approaches and discuss their limitations; (2) Discuss challenges faced by different stakeholders in undertaking evaluations; and (3) Call for new approaches to facilitate the safe and responsible growth of the digital health sector.Chaohui GuoHutan AshrafianSaira GhafurGianluca FontanaClarissa GardnerMatthew PrimeNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 3, Iss 1, Pp 1-14 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Computer applications to medicine. Medical informatics R858-859.7 Chaohui Guo Hutan Ashrafian Saira Ghafur Gianluca Fontana Clarissa Gardner Matthew Prime Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches
description	Abstract The field of digital health, and its meaning, has evolved rapidly over the last 20 years. For this article we followed the most recent definition provided by FDA in 2020. Emerging solutions offers tremendous potential to positively transform the healthcare sector. Despite the growing number of applications, however, the evolution of methodologies to perform timely, cost-effective and robust evaluations have not kept pace. It remains an industry-wide challenge to provide credible evidence, therefore, hindering wider adoption. Conventional methodologies, such as clinical trials, have seldom been applied and more pragmatic approaches are needed. In response, several academic centers such as researchers from the Institute of Global Health Innovation at Imperial College London have initiated a digital health clinical simulation test bed to explore new approaches for evidence gathering relevant to solution type and maturity. The aim of this article is to: (1) Review current research approaches and discuss their limitations; (2) Discuss challenges faced by different stakeholders in undertaking evaluations; and (3) Call for new approaches to facilitate the safe and responsible growth of the digital health sector.
format	article
author	Chaohui Guo Hutan Ashrafian Saira Ghafur Gianluca Fontana Clarissa Gardner Matthew Prime
author_facet	Chaohui Guo Hutan Ashrafian Saira Ghafur Gianluca Fontana Clarissa Gardner Matthew Prime
author_sort	Chaohui Guo
title	Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches
title_short	Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches
title_full	Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches
title_fullStr	Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches
title_full_unstemmed	Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches
title_sort	challenges for the evaluation of digital health solutions—a call for innovative evidence generation approaches
publisher	Nature Portfolio
publishDate	2020
url	https://doaj.org/article/5ade732f60c3479bb3b6e10171305a64
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Challenges for the evaluation of digital health solutions—A call for innovative evidence generation approaches

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