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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Digital Health Readiness: Making Digital Health Care More Inclusive.

Timothy Bober^1,2,3,4, Bruce L Rollman^1,2,3, Steven Handler^5,6,7

¹Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

JMIR Mhealth and Uhealth

|October 9, 2024

Summary

This study introduces a new digital health readiness assessment to evaluate patient preparedness for digital health tools. It combines goals, literacy, electronic health records, and skills to improve digital health engagement and equity.

Keywords:

digital disparities digital health digital health literacy digital health readiness digital health tool health system inclusivity informatics literacy patient support

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Area of Science:

Digital Health
Health Informatics
Patient Engagement

Background:

Existing tools for digital health literacy and telehealth prediction lack assessment of specific technological aptitudes or integration with electronic health record (EHR) data.
There is a need for comprehensive digital health readiness assessments that are actionable for healthcare providers and digital health navigators.

Purpose of the Study:

To propose and describe a multidomain digital health readiness assessment approach.
To enhance the efficiency and efficacy of digital health tool adoption by understanding individual preparedness.
To inform the development of targeted support interventions for digital health engagement.

Main Methods:

The proposed assessment incorporates a person's stated goals and motivations for digital health use.
It includes a focused digital health literacy assessment.
It integrates passively collected data from electronic health records and a skills-based aptitude assessment.

Main Results:

The multidomain approach allows for easy integration into clinical workflows, providing actionable insights.
Digital health readiness profiles can be generated to match individuals with appropriate support interventions.
This assessment aims to promote the use of digital tools like telehealth, mobile apps, and remote monitoring.

Conclusions:

Effective digital health readiness assessments can increase the use of digital health tools and promote greater equity.
Inclusivity in assessment design is crucial to avoid exacerbating existing disparities in digital health care.
The proposed assessment facilitates personalized support for individuals motivated to use digital health but lacking experience.