在国家医疗保健系统中量化数字健康不平等
Joe Zhang1,2, Jack Gallifant2,3, Robin L Pierce4
1Institute of Global Health Innovation, Imperial College London, London, UK joe.zhang@imperial.ac.uk.
BMJ health & care informatics
|November 25, 2023
概括
英格兰的数字健康不平等表明,社会经济贫困与像NHS App这样的数字健康工具的使用率较低有关. 这种差异影响着数百万人,可能会扩大医疗保健差距.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 数字健康不平等,定义为人口群体之间不同使用数字工具的不平等,在国家卫生服务 (NHS) 中没有得到量化.
- 国家数字健康干预措施的推出,如智能手机应用程序和在线初级保健服务,为衡量全国范围内的这种不平等提供了机会.
- 了解这些差异对于在数字时代提供公平的医疗保健至关重要.
研究的目的:
- 为了量化英格兰各地的数字健康不平等.
- 识别与使用数字卫生服务相关的人口因素.
- 分析社会经济贫困与采用数字健康工具之间的关系.
主要方法:
- 使用多变量回归分析来检查关联.
- 调查的人口和医疗保健提供者的特点 (人口统计,社会经济地位,疾病负担,地理,资源).
- 评估了2021/2022年期间两个独立数字服务 (国家应用程序,在线初级保健) 的激活情况.
主要成果:
- 在分析的两种干预措施中,在增加的社会经济贫困和减少数字健康利用之间发现了显著的关联.
- 确定英格兰427万患者,特别是最贫困地区的患者,与NHS App的不激活有关.
- 社会经济贫困成为影响数字卫生服务获取和使用的关键因素.
结论:
- 这些发现表明,由于技术驱动,医疗保健不平等的扩大趋势令人担忧.
- 迫切需要有针对性的激励措施来促进数字化包容.
- 解决数字差距至关重要,以防止其转化为健康结果的差异.
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