Health Technology Assessment of Telemedicine Interventions in Diabetes Management: Evidence from UAE

Abstract

Health Technology Assessment (HTA) has become an important prerequisite for funding and approval of technology across the globe. The objective of this study is to perform HTA for a different level of telemedicine (TM) intervention in the management of diabetes. The study performs HTA for three-level of TM interventions: in-person care, hybrid care and pure telecare. The study uses a multi-criteria decision analysis (MCDA) tool, Analytic Hierarchy Process-Entropy (AHPE) for the evaluation of three levels of intervention on four criteria, namely, cost-effectiveness, clinical effectiveness, the safety of use and ease of use. The study uses a focus group containing 12 experts working in the United Arab Emirates. The results suggest that TM is yet to replace in-person care (0.52) as a preferred mode of care. The study indicates that hybrid care (0.31) is preferred over pure telecare (0.17). Out of the four criteria used for HTA, clinical effectiveness (0.49) was found most important followed by safety during use (0.37), cost-effectiveness (0.12) and ease of use (0.06). The study provides an approach for use of multi-criteria decision-making in HTA. It also advocates the phased approach of the adoption of remote care in healthcare. The study of this finding is useful for healthcare administrators and policymakers.

Cost, Usability, Credibility, Fairness, Accountability, Transparency, and Explainability Framework for Safe and Effective Large Language Models in Medical Education: Narrative Review and Qualitative Study

“…The AHP is a popular method for determining the relative importance of the criteria in a multicriteria decision analysis task. To date, the AHP has been extensively used in the management and social science fields [ 31 ]. The advantage of this process is that it incorporates the mechanisms to assure reliability in the decision-making case of ambiguity.…”

Solving hospital waste management problem in a developing country – a case of Varanasi city in India

“…Different waste management interventions must be analyzed for superiority based on these multiple criteria. This type of evaluation is termed health technology assessment (HTA) in public health parlance (Mishra and Singh, 2022). The typical hospital waste-management hierarchy is depicted in Figure 1.…”

Assessing the performance: A comparative analysis of biomedical equipment efficacy in the GCC medical industry

“…AI algorithms have validated amazing accuracy in decoding clinical photos, such as radiological scans, contributing to quicker and more specific diagnoses. Additionally, AI-driven personalized medicinal drug techniques, as discussed by Mishra and Singh (2022) [18] , have become increasingly popular, tailoring therapeutics plans to man or woman-affected person characteristics, thereby optimizing therapeutic results.…”

“…Furthermore, the literature highlights the function of laser generation in healing programs within the GCC. Research by Mishra and Singh (2022) [18] focused on the usage of clinical lasers in dermatological remedies. The examination emphasized the efficacy of laser remedies for numerous skin situations, inclusive of pigmentation issues and pores and skin rejuvenation.…”