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Digital Primary Care Services, Procedural Justice and Intersectionality: A Critical Realist Approach.

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Summary
This summary is machine-generated.

Digital healthcare transformation has worsened procedural justice for racially minoritized groups. Addressing digital poverty, literacy, and service design is crucial for equitable healthcare access.

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Area of Science:

  • Health Services Research
  • Digital Health Equity
  • Social Determinants of Health

Background:

  • Rapid digitalization of healthcare systems globally.
  • Existing ethnic inequalities in health service utilization.
  • Under-explored impact of digitalization on procedural justice for racially minoritized populations.

Purpose of the Study:

  • To investigate procedural justice in digital primary care for racially minoritized individuals.
  • To analyze the influence of social determinants and oppression systems (racism, patriarchy) on digital healthcare.
  • To apply a critical realist intersectional framework to assess voice, trust, and impartiality.

Main Methods:

  • Development of a novel critical realist intersectional theoretical and analytical framework.
  • Qualitative analysis of interviews with 100 participants from racially minoritized communities in the UK.
  • Evaluation of digital primary care experiences based on voice, trust, and impartiality.

Main Results:

  • Significant shortcomings identified in voice, trust, and impartiality for racially minoritized individuals in digital primary care.
  • Digital poverty, varying digital literacy, and English language proficiency emerged as key barriers.
  • Intersectionality of social determinants and oppression systems impacts digital healthcare experiences.

Conclusions:

  • Urgent need to address procedural justice deficits in digital primary care.
  • Recommendations include tackling digital poverty, enhancing digital literacy and language support.
  • Proactive use of digital services and improved service design/workforce training are essential to reduce ethnic inequalities.