心臓代謝疾患に対するデジタル医療介入の設計と実施における民族的格差の理解:質的研究

Mel Ramasawmy¹, Nushrat Khan¹, David Sunkersing¹

¹Institute of Health Informatics, University College London, London, UK.

|November 24, 2023

まとめ

デジタル・ヘルス・インターベンション (DHIs) は,南アジア人や他の集団の健康格差を悪化させる可能性があります. デジタル・エクスクルーションに対処するには,包括的なデザイン,コミュニティの関与,そしてデジタル・ヘルス・ツールへの公平なアクセスのためのより良い規制が必要です.

科学分野:

デジタルヘルスの介入
健康上の不平等
心臓代謝疾患

背景:

COVID-19は心臓代謝疾患に対するデジタルヘルスケア介入 (DHI) を加速しました.
デジタル格差はリスクのある集団に不釣り合いな影響を及ぼしますイギリスの南アジア人もそうです
健康格差の拡大を防ぐには DHIの実施を理解することが重要です

研究の目的:

DHIの実施の利害関係者がデジタル格差をどのように認識し,対処するかを調査する.
心臓代謝疾患の予防と管理における公平なDHI実施のための勧告を策定する.

主な方法:

オンラインフォーカスグループと半構造面接を用いた定性研究
医療従事者,技術開発者,政策立案者,慈善団体の代表者を対象に
トランスクリプトされた音声録画のテーマ分析

主要な成果:

ステークホルダーは,南アジアの人々の言語,文化,食事に対応するためのDHIの必要性を認識しました.
デジタル・エクスクルーションと社会経済的な欠乏の強い関係が民族グループ全体で強調されました
公平性に関する懸念は,不平等なアクセス,十分なターゲットサポート,そしてDHIの委任のための質の証拠の必要性を含みます.

結論:

公平なデジタル・ヘルスには多部門間の協力が不可欠です
推奨事項には,デジタルスキルアップ,コミュニティの関与,DHIの設計と評価のための規制の監督が含まれています.
デジタル格差の解決は患者の成果を改善するための DHIの潜在力を実現するために不可欠です

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