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Lessons learnt for digital inclusion in underserved communities from implementing a covid virtual ward.

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Digital exclusion affected 31.5% of patients in the COVID virtual ward. Key factors included language barriers, access issues, and poor IT skills, highlighting the need for better information and multilingual support.

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Area of Science:

  • Digital Health
  • Health Informatics
  • Patient Experience

Background:

  • The COVID-19 pandemic accelerated the adoption of virtual wards.
  • Digital exclusion poses a significant barrier to equitable healthcare access.
  • Understanding factors contributing to digital exclusion is crucial for effective virtual ward implementation.

Purpose of the Study:

  • To identify factors contributing to digital exclusion among patients using a COVID virtual ward.
  • To compare experiences between Huma app users and non-users.
  • To inform strategies for reducing digital exclusion in virtual healthcare settings.

Main Methods:

  • A mixed-methods approach was used, analyzing patient feedback from a COVID virtual ward.
  • Patients were categorized into 'app user' and 'non-app user' cohorts.
  • Qualitative analysis of feedback identified key themes related to digital exclusion.

Main Results:

  • 31.5% of patients referred to the virtual ward were non-app users.
  • Major themes of digital exclusion included language barriers, access limitations, inadequate information/training, and poor IT skills.
  • Non-app users reported significant challenges in navigating digital health tools.

Conclusions:

  • Addressing language barriers and improving pre-discharge information and training are essential for reducing digital exclusion.
  • Enhanced demonstration of digital tools in a hospital setting can improve patient confidence and uptake.
  • Strategies to mitigate digital exclusion are vital for the equitable success of virtual healthcare services.