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Telehealth as a Means of Enabling Health Equity
Craig Kuziemsky1, Inga Hunter2, Jai Ganesh Udayasankaran3
1MacEwan University, Edmonton, Alberta, Canada.
Yearbook of Medical Informatics
|June 2, 2022
Summary
Telehealth improved healthcare access, but the COVID-19 pandemic highlighted inequities. Designing telehealth services must prioritize equity and system resilience for all populations.
Area of Science:
- Global Health
- Health Informatics
- Digital Health
Background:
- Telehealth adoption surged globally during the COVID-19 pandemic.
- Pre-pandemic telehealth services demonstrated potential but also revealed access disparities.
Purpose of the Study:
- To provide a consensus review on telehealth delivery.
- To develop recommendations for resilient and equitable telehealth systems.
- To analyze telehealth's role in global health equity.
Main Methods:
- A two-step approach was employed by the IMIA-Telehealth Working Group.
- A consensus review was followed by a modified Delphi process involving 15 experts from 8 countries.
Main Results:
- Experts confirmed telehealth enhanced healthcare delivery and access.
- Significant concerns were raised regarding unequal global telehealth delivery.
- Factors like technology, financing, and governance capacity impact telehealth.
Conclusions:
- Telehealth was crucial during the pandemic but exacerbated the digital divide.
- Unintended consequences, including inequity, necessitate purposeful design for equitable telehealth.
- Future telehealth systems must be intentionally designed for equity to achieve broader health system goals.
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