ABSTRACT
The field of modeling and simulation including digital twins (DT) is getting a lot of traction in the health sector, with various benefits being outlined. Indeed, DT are designed to support the transformation of healthcare, ranging from the medical act itself to the organization of healthcare systems and hospitals, also including medical research. However, the technology is still in its infancy and needs to be evaluated according to medical standards. First and foremost, their clinical value remains to be assessed, taking into account the limits associated with AI tools. The aim of this review is to provide an overview of the use cases being tested in hospital settings. We go back to the definition of the DT concept and provide a summary of current studies. Finally, we outline the challenges to be taken into account in order to provide a framework for the deployment of DT tools, guaranteeing the trust and safety of those involved, especially of patients.
Title: Le jumeau numérique en santé - État des lieux et perspectives d'application à l'hôpital. Abstract: La recherche et développement en santé est très dynamique dans le champ de la simulation, et de nombreux projets se réclament du jumeau numérique (JN). Les JN sont voués à accompagner la transformation du soin, qu'il s'agisse de l'acte médical, du parcours de soins ou de leur organisation. Toutefois, cette technologie est naissante et nécessite d'être évaluée. L'objectif de cette synthèse est de dresser un état des lieux des cas d'usages du JN à l'hôpital. Nous revenons sur la définition du concept de JN et proposons un condensé des études en cours. Enfin, nous rappelons l'importance de créer un cadre propice au déploiement de ces outils, garantissant la confiance et la sécurité des acteurs et des patients.
Subject(s)
Biomedical Research , Health Facilities , Humans , Hospitals , Computer Simulation , Delivery of Health CareABSTRACT
OBJECTIVES: To report on a workshop, and subsequent discussions, that reviewed the achievements and progress of the EuroScan collaboration since its establishment in 1999 to share information on the methods and results of early identification and assessment of new and emerging health technologies; considered challenges to the collaboration; and discussed its possible future direction. METHODS: A workshop was held in Stockholm in September 2006, with thirty-two participants from ten countries and representatives from EuroScan member agencies, policy makers involved in policy or decision making relating to new technologies, and invited external commentators from international HTA networks. The workshop used a mix of presentations, panel and audience discussions, and small group work to consider the achievements and challenges put forward. RESULTS: EuroScan has developed as a sustainable network, and has made progress on all tasks in its initial action plan, with the EuroScan information sharing database on new and emerging technologies being one of the collaboration's key achievements. Identified immediate concerns for the network included consideration of the impact of its current name and membership model; acknowledgement and publication of the full range of benefits of membership; contribution to and development of the database to encourage increased information sharing; and EuroScan's ongoing interaction with the wider HTA world. CONCLUSIONS: The workshop was a useful mechanism for reviewing the work of EuroScan and for creating a platform to take the collaboration forward. The workshop affirmed the benefits of the network to individual members; posed some significant challenges to the network to consider; and acted as a stimulus for an interim name change to better represent the global membership, and a major review of the EuroScan database of identified and assessed emerging health technologies.
