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Access to digital health technologies: personalized framework and global perspectives
Sanjiv M Narayan1,2, Mina K Chung3,4, Demilade Adedinsewo5
1Department of Medicine, Cardiovascular Institute (CVI), Institute for Computational and Mathematical Engineering (ICME), Stanford University, Palo Alto, CA, USA. sanjiv1@stanford.edu.
Digital health technologies (DHT) can improve healthcare but face access barriers. A personalized framework is proposed to address individual, community, and global factors for equitable DHT access.
Area of Science:
- Digital Health
- Health Equity
- Health Disparities
Background:
- Digital health technologies (DHT) offer potential to democratize healthcare and reduce disparities.
- Limited access to DHT is a significant barrier to achieving these healthcare goals.
- Access is influenced by social determinants, digital determinants (literacy, infrastructure), and economic factors.
Purpose of the Study:
- To identify and address challenges hindering widespread access to DHT.
- To propose a personalized framework for improving DHT access across diverse populations.
- To examine global perspectives on DHT access and potential solutions.
Main Methods:
- Review of existing literature on DHT access and determinants.
- Analysis of social and digital determinants of health.
- Development of a multi-level personalized framework (individual to industry).
- Global framing of challenges and common themes.
Main Results:
- Limited access to DHT is a major obstacle to equitable healthcare.
- Access is influenced by a complex interplay of social, digital, economic, and commercial factors.
- A personalized, multi-level framework is proposed to enhance DHT access.
Conclusions:
- Addressing determinants of DHT access is crucial for benefiting under-represented communities.
- Equitable access to DHT can fill clinical evidence gaps and prevent perpetuating historical biases.
- A global perspective with tailored solutions is essential for realizing the full potential of DHT.
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