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    Home > Medical News > Medical World News > 2020 may usher in the year of digital therapy

    2020 may usher in the year of digital therapy

    • Last Update: 2020-01-13
    • Source: Internet
    • Author: User
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    With the popularity of smart phones, chattbot has gradually entered our lives Digital therapy, access and learning methods are promoting the rapid development of digital experience Long term leaders in emerging companies and industries are taking advantage of new interfaces to create dialogue support and clinical outcomes These solutions not only apply to patients, but also provide assistance to payers and medical service providers from a new perspective Digital therapeutics (DTX) once faced many difficulties: difficult to detect, unable to evaluate, and no way to pay insurance coverage But by the time 2020 comes, many of these obstacles have been removed or greatly weakened At present, many regulators around the world are preparing to integrate digital therapy into regulatory decision-making and reimbursement system The National Health Service (NHS) and the National Institute for health and care excellence (NICE) in the UK are launching a treatment evaluation program to improve the accessibility of digital psychotherapy France, which lags behind in this respect, also began to include digital medical devices that meet the definition of DTX into the scope of medical insurance reimbursement Germany recently promulgated the digital care act / digital Versorgung Gesetz (DVG), which is based on the e-health act The purpose of the act is to create electronic medical records and electronic health cards deployed on the telematics infrastructure layer It is expected that this will lead to interoperability of healthcare IT systems and better access to telemedicine services According to relevant regulations, the German statutory health insurance fund must reimburse the cost of health applications, including digital therapy, under certain conditions So for DTX, the bill has a huge impact Source: reference [5] The U.S FDA is promoting the pilot program of digital medical software pre certification, which plans to let qualified DTX developers obtain pre certification, and relevant products will match or replace the products approved by the FDA In August 2017, FDA issued use of real world evidence to support regulatory decision-making for medical devices; at the end of 2018, it issued framework for FDA's real world evidence Software as a medical device (samd): clinical evaluation guidance for Industry and food and drug administration staff These guidelines and framework reports are designed to encourage more patient data collection from mobile devices and home environments But the bigger news is that express scripts holding, the U.S drug welfare administration, has developed a digital formulary to verify which major and supporting data treatment products can be reimbursed Then CVS health developed the vendor benefit management plan to help its CVS Caremark drug benefit management company manage the relationship with third-party medical products ▲ digital therapy of concern (data source: reference [9], [10], [11], content team drawing of Wuxi apptec) In addition to venture capital, there are also direct investments from pharmaceutical companies Otsuka pharmaceutical, for example, has committed $300 million to click therapeutics for the development and commercialization of DTX for major depression (MDD) , In the next five years, central nervous system diseases will become the main focus of DTX, especially due to the withdrawal of many large pharmaceutical companies from the field, but there is still a lack of effective treatment for Alzheimer's disease and Parkinson's disease Other areas of treatment include obesity, diabetes and other chronic diseases More and more digital tools are affecting patient education, compliance and diagnosis More and more digital tools have achieved remarkable results in understanding user dialogue, making it easier for users to get what they need, and improving the overall effectiveness of health interventions ▲ Chatbot (photo source: pixabay) Because it can help users break the rules, get rid of forms and lengthy text, chat robots continue to attract attention from all walks of life Chat robots can customize support for users by simplifying loading, providing supplementary services, and even by behavioral response, as well as motivation triggering The shift from mobile forms to chat robots has improved significantly, according to some health network digital officials: their follow-up book work has increased by 300 percent The most popular experience improvement robots include: Florence: more than 2000 patients rely on their trusted Florence every day to remind them to take medicine, track their weight and monitor their emotional state Message based interactions include additional features such as finding nearby pharmacies to buy drugs by prescription, or answering medical questions about what to do if you forget to take them Sensitive symptom Tracker: it can run across text and voice communication Sensely can track users' health status and identify potential diagnosis or health problems over time Users can share images with robots, and through the color classification system, it is easy to understand the urgency of medical measures to be taken Cancer Chatbot educational robot: condense the huge cancer information range into a simple interface for new diagnosed patients This educational robot can answer questions from a trusted resource database and customize it for all those affected by the disease, from patients to parents to best friends Tess: Tess was originally built as a weight management support robot, which was extended to clinical application to answer questions raised by hospitals and recently discharged patients An early test pointed to the potential impact of the Tess chat robot: a small study of 23 patients at the health choices clinic tracked 300 conversations with Tess in 10 to 12 weeks Almost all patients (96%) thought their interaction was helpful With the coming of 2020, more interactions will appear in the form of chat robots, not only on the screen, but also able to make voice Amazon's Alexa, Google home, and other smart home assistants are becoming more common It is not only easy to use, but also can provide valuable information through natural language processing (NLP) NLP can help computers analyze and understand the meaning of speech and text There are a lot of unstructured free text in the existing medical documents and codes NLP was used to scan these texts Before obtaining the same clues manually, a series of important medical clues were identified and confirmed, including patients with risk of self handicapping or psychological distress, clinical trial matching, new predictive variables of disease, and undetected health risks of the elderly NLP and speech matching can also be used to detect the language changes and help identify the symptoms before Alzheimer's disease For example, the occurrence of related language changes indicates the decline of early cognitive ability Will self guidance and digital care dehumanize healthcare? In most cases, the situation is good: digital design can make access more convenient, less time-consuming and less expensive At present, many leaders in the field of life science and health care realize more than ever that humanistic care is indispensable These humanistic concerns are not only for patients who use the new interface, but also for those who are temporarily unable to benefit from these new therapies due to their lack of experience or understanding These tools that show the new trend of the industry development can change the medical care of patients, but in many cases, such as facing serious mental health challenges, or unable to maintain the connection, all need to have safeguard measures in place to ensure that they can be used and accessed conveniently and quickly Photo source: pixabay For the leaders in these industries, how to create a more consistent feedback loop to understand who is using the new tools and who is unable to start or exit quickly? At the same time, it is also necessary to understand the emerging root causes and determine the priority of platform improvement and human intervention stratification For users who are using new tools effectively, these leaders are discussing how to ensure interoperability between systems created by pharmaceutical and data tools companies, personal chat robots, and major healthcare systems An important topic facing the industry is how to record effectively An effective record covering electronic medical records, image storage and communication systems, and wearable medical devices, allows you to view all data collected from a single patient in an ultra fast way Barriers to data exchange and patient identifier consistency, to a large extent, hinder the possibility of creating a unified record that was originally planned around 2016 But innovative companies like acorn AI are breaking these barriers with next-generation systems These next-generation systems can not only integrate data, but also evaluate digital therapy and digital gainers for better continuous clinical understanding However, the current clinical understanding is usually limited to individual follow-up Source: reference [17] At any time, payers or drug benefit plan managers need to know the latest information about the change of disease status or the latest data of related drugs In the next few years, you will see more brands rethink how to interact with payers, medical insurance plans and hospital systems that are proficient in digital technology; at the same time, they will continue to highly customized call centers and add customized portals, including the overall content, as well as presentations, data and scenarios related to key management market customers These new portals can also be used as a hub for retrieving all content, from the full integrated accounts of stakeholders, contact information of medical teams, to rapid response to policy changes These payer portals will play a crucial role as the industry moves from a large, persistent data set to a global source of real world evidence (RWE) and small-scale, population-specific research In terms of customization, the payer portal has potential to pay more in-depth attention to planned customers, solve local social media coverage, provide data reduction of appropriate scale, and improve the voice of local patients The water tester of the payer portal has created a personalized experience for key payers In 2020, you will see more new self-service channels put into use, as well as self-service channels to expand access points through targeted LinkedIn advertising Digital therapy and digital gain technology come to the fore, and partnership and investment are crucial to improving the product portfolio The industry should start from the level of risk and investment, and determine whether to invest in new products or purchase proven products No
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