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Basic approaches to assessment of digital health products and services in the Russian Federation

https://doi.org/10.17749/2070-4909/farmakoekonomika.2025.349

Abstract

Objective: To analyze the applicability of approaches conventionally used to assess the clinical and economic effectiveness of pharmaceuticals to that of digital health products and services (DHPS).

Material and methods. In this study, DHPS was considered to be an umbrella concept that encompasses various health technologies such as mobile health apps and services, including those based on artificial intelligence. Approaches to drug assessment were reviewed based on regulatory documents, methodological guidelines, and monographs on drugs assessment.

Results. The examined approaches to assessing the effectiveness and safety of pharmaceuticals can be applied to DHPS, having no fundamental limitations. Specific characteristics of DHPS that influence the choice of their assessment approaches were identified and described. A draft dossier for DHPS was proposed, with its composition aligned with the goals and objectives of the assessment task.

Conclusion. Future research should address the development of methodological guidelines for assessing DHPS based on the approaches used for drug assessment.

About the Authors

V. V. Omelyanovskiy
Center for Healthcare Quality Assessment and Control ; Russian Medical Academy of Continuing Professional Education
Russian Federation

Vitaly V. Omelyanovskiy, Dr. Sci. Med., Prof.  

WoS ResearcherID: P-6911-2018. Scopus Author ID: 6507287753

6/20 bldg 2 Pokrovsky Blvd, Moscow 109028  

2 bldg 1 Barrikadnaya Str., Moscow 123995 



F. V. Gorkavenko
Center for Healthcare Quality Assessment and Control ; Russian Medical Academy of Continuing Professional Education ; Sechenov University
Russian Federation

Filipp V. Gorkavenko 

Scopus Author ID: 57219030739 

6/20 bldg 2 Pokrovsky Blvd, Moscow 109028  

2 bldg 1 Barrikadnaya Str., Moscow 123995 

8 bldg 2 Trubetskaya Str., Moscow 119048 



V. A. Ryagina
Center for Healthcare Quality Assessment and Control
Russian Federation

Veronika A. Ryagina 

6/20 bldg 2 Pokrovsky Blvd, Moscow 109028 



N. P. Rukavitsyna
Center for Healthcare Quality Assessment and Control ; Russian Medical Academy of Continuing Professional Education
Russian Federation

Nadezhda P. Rukavitsyna, PhD, Assoc. Prof.  

6/20 bldg 2 Pokrovsky Blvd, Moscow 109028  

2 bldg 1 Barrikadnaya Str., Moscow 123995 



D. Yu. Morozov
Center for Healthcare Quality Assessment and Control ; Russian Medical Academy of Continuing Professional Education
Russian Federation

Dmitry Yu. Morozov 

6/20 bldg 2 Pokrovsky Blvd, Moscow 109028  

2 bldg 1 Barrikadnaya Str., Moscow 123995 



I. V. Sorokovikov
Center for Healthcare Quality Assessment and Control ; Russian Medical Academy of Continuing Professional Education
Russian Federation

Ivan V. Sorokovikov 

6/20 bldg 2 Pokrovsky Blvd, Moscow 109028  

2 bldg 1 Barrikadnaya Str., Moscow 123995 



V. V. Svetlov
Association of International Pharmaceutical Manufacturers
Russian Federation

Vasiliy V. Svetlov, MBA 

15A Leninsky Ave., Moscow 119071 



References

1. Omelyanovskiy V.V. (Ed.) Tracks of development and inclusion of medical technologies in clinical practice in the Russian Federation. Мoscow: Kachestvo zhizni; 2025: 54 pp. (in Russ.).

2. Rebrova O.Yu. Life cycle of decision support systems as medical technologies. Medical Doctor and IT. 2020; 1: 27–37 (in Russ.). https://doi.org/10.37690/1811-0193-2020-1-27-37.

3. Omelyanovskiy V.V., Avxentyeva M.V., Sura M.V., et al. Methodological recommendations for the evaluation of drug comparative clinical efficacy and safety. Мoscow: Center for Healthcare Quality Assessment and Control; 2016: 58 pp. (in Russ.).

4. Omelyanovskiy V.V., Avxentyeva M.V., Sura M.V., et al. Methodological recommendations for conducting a comparative clinical and economic evaluation of a medicinal product. Мoscow: Center for Healthcare Quality Assessment and Control; 2019: 44 pp. (in Russ.).

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8. Ar’kova E.S., Luchinin E.A., Kornilova E.B., et al. Key recommendations for assessing medical devices: new in HTA. In: Proceedings of the Research Institute of Healthcare Organization and Medical Management: a collection of scientific papers. Мoscow: Research Institute of Healthcare Organization and Medical Management; 2021: 85–90 (in Russ.).

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What is already known about thе subject?

► New technologies used in healthcare are represented by various software products (including systems for supporting medical decision-making), digital services, medical devices based on artificial intelligence, and other solutions, all grouped under the general term of digital health products and services (DHPS)

► The development and implementation of DHPS is a costly process; however, their benefits often remain underassessed from a clinical and economic point of view. This imposes limitations on the widespread adoption of DHPS

► The tools of health technology assessment (HTA) can help accelerate implementing DHPS. However, existing HTA methods were primarily developed for pharmaceuticals, with the experience of their application for DHPS remaining limited

What are the new findings?

► The fundamental applicability of methods used for assessing pharmaceuticals to DHPS was demonstrated

► Specific features of DHPS that should be considered in assessment were identified

► A draft dossier for DHPS was proposed. It contains the list of required information about the product in question and structures the data for subsequent assessment and decision-making

How might it impact the clinical practice in the foreseeable future?

► The results obtained can serve as the basis for further development and practical application of drug assessment methods to DHPS

Review

For citations:


Omelyanovskiy V.V., Gorkavenko F.V., Ryagina V.A., Rukavitsyna N.P., Morozov D.Yu., Sorokovikov I.V., Svetlov V.V. Basic approaches to assessment of digital health products and services in the Russian Federation. FARMAKOEKONOMIKA. Modern Pharmacoeconomics and Pharmacoepidemiology. 2025;18(4):473-482. (In Russ.) https://doi.org/10.17749/2070-4909/farmakoekonomika.2025.349

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ISSN 2070-4909 (Print)
ISSN 2070-4933 (Online)