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Digital health equity frameworks and key concepts: a scoping review
Katherine K Kim1, Uba Backonja2,3
1Department of Public Health Sciences/Division of Health Informatics, School of Medicine, University of California Davis, Sacramento, CA 95616, United States.
Journal of the American Medical Informatics Association : JAMIA
|February 12, 2025
Summary
Digital health equity requires understanding frameworks and concepts for effective interventions. This review identified 42 frameworks and 243 concepts to improve digital health equity and inclusion.
Area of Science:
- Digital Health
- Health Equity
- Health Informatics
Background:
- Digital health equity is a global priority, aiming for equitable access to digital health tools for positive health outcomes.
- A systematic understanding of digital health, digital equity, and health equity is crucial for developing effective interventions.
- This study addresses the need for a comprehensive overview of existing frameworks and concepts in digital health equity.
Purpose of the Study:
- To conduct a scoping review to identify and describe published frameworks and concepts relevant to digital health equity interventions.
- To systematically understand the landscape of digital health equity, focusing on real-world applications.
- To inform the development and evaluation of digital health equity interventions.
Main Methods:
- A scoping review of peer-reviewed literature was performed, adhering to the PRISMA Extension for Scoping Reviews guidelines.
- Searched five databases for frameworks related to or applied to digital health or equity interventions.
- Frameworks and concepts were analyzed using deductive and inductive approaches, guided by the socio-ecological model.
Main Results:
- Included 44 publications describing 42 frameworks related to digital and/or health equity; no single framework was comprehensive.
- Identified 243 concepts within 43 categories, encompassing individual, community, and organizational characteristics, societal context, perceived value, impacts, partnerships, and access to services and data.
- Frameworks primarily focused on explaining the ecosystem of digital and health equity, but lacked a holistic approach.
Conclusions:
- Propose a consolidated definition of digital health equity and highlight key frameworks and concepts for intervention development.
- Suggests concepts necessary for enhancing the development and evaluation of digital health equity interventions.
- The findings aim to inform stakeholders seeking to achieve digital inclusion and advance digital health equity.
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