ArticleNature communications2024
Cost-effectiveness and cost-utility of a digital technology-driven hierarchical healthcare screening pattern in China.
Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Economic evaluation of AI-assisted technologies in healthcare: A systematic review.Journal of food and drug analysis · 2025Pooled it
- Smartphone-Based Proactive Self-Screening for Ocular Surface Malignancies: A Nonrandomized Clinical Trial.JAMA ophthalmology · 2026Trial
- Assessing the Value for Money of AI-Assisted Technologies for Older Adults: Scoping Review of Economic Evaluations.Journal of medical Internet research · 2026Article
- AI-Augmented Teach-Back in Dentistry: From Patient Education to Verified Clinical Understanding.Cureus · 2026Review
- Impact of artificial intelligence on the availability, accessibility, acceptability and quality of ophthalmic disease screening services: a scoping review.The British journal of ophthalmology · 2026Article
- Economic evaluation of telemedicine-based integrated management of atrial fibrillation in rural China: a modeling analysis.NPJ digital medicine · 2026Article
- The impact of digital economy on primary healthcare institution efficiency: evidence from China based on spatial effect analysis.BMC primary care · 2026Article
- Occult Retinal Abnormalities Detected by Routine Optical Coherence Tomography in Comprehensive Eye Examination: A Clinic Dataset.Clinical optometry · 2026Article
- Multicenter evaluation of a digital screening tool for early identification of temporomandibular disorder risk in Colombian and Mexican adults.Frontiers in medicine · 2026Article
- Leveraging ChatGPT for Report Error Audit: An Accuracy-Driven and Cost-Efficient Solution for Ophthalmic Imaging Reports.Ophthalmology and therapy · 2025Article
- Digital technologies in enhancing hierarchical vision health management for the next 1000 days of children's life: multi-component economic evaluation.The Lancet regional health. Western Pacific · 2025Article
- Effectiveness and satisfaction of fully self-service fundus disease screening among middle-aged individuals: a cross-sectional study.BMJ open ophthalmology · 2025Article
- Application of a Digital Injury-Surveillance Platform.JAMA network open · 2025Article
- Health screening and its association with emergency department visits and related costs among home-dwelling older adults.Scandinavian journal of primary health care · 2025Article
- Multimodal machine learning enables AI chatbot to diagnose ophthalmic diseases and provide high-quality medical responses.NPJ digital medicine · 2025Article
- Wearable Devices in Elderly Chronic Disease Management: A Qualitative Study of Barriers and Facilitators.Journal of nursing management · 2025Article
- Tools and methods for cataract recognition in low-resource settings: A narrative review.PLOS global public health · 2025Review
- Liability of Health Professionals Using Sensors, Telemedicine and Artificial Intelligence for Remote Healthcare.Sensors (Basel, Switzerland) · 2024Review
Corrections and comments
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Authors and funding
29 authors.
Funding
Abstract
Utilization of digital technologies for cataract screening in primary care is a potential solution for addressing the dilemma between the growing aging population and unequally distributed resources. Here, we propose a digital technology-driven hierarchical screening (DH screening) pattern implemented in China to promote the equity and accessibility of healthcare. It consists of home-based mobile artificial intelligence (AI) screening, community-based AI diagnosis, and referral to hospitals. We utilize decision-analytic Markov models to evaluate the cost-effectiveness and cost-utility of different cataract screening strategies (no screening, telescreening, AI screening and DH screening). A simulated cohort of 100,000 individuals from age 50 is built through a total of 30 1-year Markov cycles. The primary outcomes are incremental cost-effectiveness ratio and incremental cost-utility ratio. The results show that DH screening dominates no screening, telescreening and AI screening in urban and rural China. Annual DH screening emerges as the most economically effective strategy with 341 (338 to 344) and 1326 (1312 to 1340) years of blindness avoided compared with telescreening, and 37 (35 to 39) and 140 (131 to 148) years compared with AI screening in urban and rural settings, respectively. The findings remain robust across all sensitivity analyses conducted. Here, we report that DH screening is cost-effective in urban and rural China, and the annual screening proves to be the most cost-effective option, providing an economic rationale for policymakers promoting public eye health in low- and middle-income countries.
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Registered trials
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