Decision making in digital health: usage of the cost-effectiveness analysis to improve the sustainability of the healthcare system

Healthcare systems worldwide are facing a number of challenges that are conjunctural to the historical moment and are somehow reshaping a discipline as traditional as medicine. The five major challenges that are defining the future landscape of healthcare practice can be classified into: 1) Demograp...

Descripción completa

Detalles Bibliográficos
Autor: Piera Jiménez, Jordi
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/674090
Acceso en línea:http://hdl.handle.net/10803/674090
Access Level:acceso abierto
Palabra clave:salut digital
salud digital
digital health
eSalut
eSalud
eHealth
salut electrònica
salud electrónica
electronic health
cost-efectivitat
coste-efectividad
cost-effectiveness
cost-utilitat
coste-utilidad
cost-utility
Ciències de la Informació i la Comunicació
004
33
61
62
Descripción
Sumario:Healthcare systems worldwide are facing a number of challenges that are conjunctural to the historical moment and are somehow reshaping a discipline as traditional as medicine. The five major challenges that are defining the future landscape of healthcare practice can be classified into: 1) Demographic change, 2) Urbanization, 3) Deliver patient-centric care, 4) Moving the focus from reactive to proactive medicine and 5) Adoption of digital health technologies. The healthcare sector has been particularly slow in the adoption of digital technologies. When this PhD project started in 2017, the implementation at-scale of digital health was being impeded by numerous barriers, with the dearth of evidence-based research and the lack of proper economic studies around their implementation being the two biggest issues. Acknowledging the abovementioned challenges, the main aim of this PhD thesis was to assess the cost-effectiveness of digital health solutions designed to support the management of major chronic conditions that can be implemented within the Catalan health system.