了解心脏代谢疾病数字健康干预措施的设计和实施中的种族不平等:一项定性研究
Mel Ramasawmy1, Nushrat Khan1, David Sunkersing1
1Institute of Health Informatics, University College London, London, UK.
Lancet (London, England)
|November 24, 2023
概括
数字卫生干预措施 (DHIs) 可以加剧南亚人和其他群体的健康不平等. 应对数字排斥需要包容性设计,社区参与和更好的监管,
科学领域:
- 数字卫生干预措施
- 健康上的不平等
- 心脏代谢疾病
背景情况:
- COVID-19加速了对心脏代谢疾病的数字健康干预 (DHIs).
- 数字不平等不成比例地影响受风险群体,
- 了解DHI的实施是防止健康差距加剧的关键.
研究的目的:
- 探索DHI实施的利益相关者如何感知和解决数字不平等问题.
- 在心脏代谢疾病的预防和管理中制定公平的DHI实施建议.
主要方法:
- 通过在线聚焦小组和半结构面试进行定性研究.
- 对医疗保健专业人员,技术开发人员,政策制定者和慈善机构代表进行有目的抽样.
- 对转录的音频记录进行反思性主题分析.
主要成果:
- 利益关方认识到, 人类卫生机构需要适应南亚人口的语言,文化和饮食.
- 在各族群中,数字排斥与社会经济贫困之间有着强烈的联系.
- 公平性问题包括不平等的准入,不足的有针对性的支持,以及对DHI调试的质量证据的需求.
结论:
- 多部门合作对于公平的数字健康至关重要.
- 建议包括数字化升级资源,社区参与和DHI设计和评估的监管.
- 解决数字不平等问题对于实现医疗保健机构在改善患者结果方面的潜力至关重要.
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