远程医疗创业公司在医疗服务提供中的作用：系统评价。
The role of telehealth startups in healthcare service delivery: A systematic review.
机构信息
Centre for Online Health, The University of Queensland, Brisbane, Australia; UQ-IIT Delhi Academy of Research, Indian Institute of Technology Delhi, New Delhi, India.
Centre for Online Health, The University of Queensland, Brisbane, Australia.
出版信息
Int J Med Inform. 2023 Jun;174:105048. doi: 10.1016/j.ijmedinf.2023.105048. Epub 2023 Mar 20.
OBJECTIVES
The role of startups has been growing in healthcare delivery, particularly in telehealth and telemedicine. Yet, little has been published about their role in evolving digital healthcare ecosystem. This study aimed to review the literature on telehealth startups to understand their roles, challenges, business models, and directions for sustainable innovation and commercialization.
METHODS
Ten databases were screened: PubMed, Scopus, Web of Science, IEEE Xplore, ACM digital library, EBSCOhost, Embase, Medline, Cochrane review, and PsycINFO. The articles were shortlisted based on pre-determined screening criteria, and qualitative synthesis was performed. The quality of included studies was assessed using the Mixed Methods Appraisal Tool. Cohen's K was calculated to ensure the reliability of the authors scoring on the quality appraisal test and qualitative synthesis.
RESULTS
26 articles were included in the review. Findings are clubbed under five themes: remote and on-demand healthcare; healthcare data management; digital therapeutics; high-tech driven personalized care; and information integration and exchange. Technical infrastructure, regulation, and revenue generation were identified as major challenges for telehealth start-ups. Osterwalder business canvas was the predominantly used model. Value perspectives were recognized for a sustainable telehealth innovation and its commercialization.
CONCLUSION
Telehealth startups are evolving to meet digital healthcare needs and playing a significant role in teleconsultations, telemonitoring, and electronic health record solutions. Recently, their focus has shifted towards smartphone-enabled AI-driven personalized care, including digital therapeutics and wearable device innovation. They have significant technical and operational challenges in innovation and commercialization to optimize their role. The review also provides researchers with a new understanding of telehealth startups' sustainable innovation and commercialization through the systematic direction of value proposition, creation, and capture.
目的
创业公司在医疗服务中的作用不断增强，尤其是在远程医疗和远程医疗领域。然而，关于它们在不断发展的数字医疗生态系统中的作用，发表的文章却很少。本研究旨在回顾远程医疗创业公司的文献，以了解它们的角色、挑战、商业模式以及可持续创新和商业化的方向。
方法
筛选了 10 个数据库：PubMed、Scopus、Web of Science、IEEE Xplore、ACM 数字图书馆、EBSCOhost、Embase、Medline、Cochrane 评论和 PsycINFO。根据预先确定的筛选标准对文章进行了初选，然后进行了定性综合。使用混合方法评估工具评估纳入研究的质量。计算 Cohen's K 以确保作者在质量评估测试和定性综合中的评分可靠性。
结果
综述纳入了 26 篇文章。研究结果分为五个主题：远程和按需医疗；医疗数据管理；数字治疗；高科技驱动的个性化护理；以及信息集成和交换。远程医疗创业公司面临的主要挑战包括技术基础设施、监管和收入来源。Osterwalder 业务画布是使用最多的模型。价值视角被认为是可持续远程医疗创新及其商业化的关键。
结论
远程医疗创业公司正在发展以满足数字医疗需求，并在远程咨询、远程监测和电子健康记录解决方案方面发挥重要作用。最近，它们的重点已经转移到智能手机支持的人工智能驱动的个性化护理，包括数字治疗和可穿戴设备创新。在创新和商业化方面，它们在优化其角色方面面临重大的技术和运营挑战。该综述还通过系统地指导价值主张、创造和获取，为研究人员提供了对远程医疗创业公司可持续创新和商业化的新理解。
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