健康差距,临床试验和数字沟
Demilade Adedinsewo1, Lauren Eberly2, Olayemi Sokumbi3
1Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL.
Mayo Clinic proceedings
|December 3, 2023
概括
数字健康工具可以改善医疗保健,但可能会加剧差距. 解决社会决定因素和历史上的不公正对于在临床研究和医学中获得公平的机会至关重要.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 临床研究 临床研究
背景情况:
- 医疗保健和临床研究领域的快速技术进步带来了机遇和挑战.
- 人们担心数字沟可能会加剧现有的健康差距.
- 2019年新冠肺炎疫情突出并放大了社会和种族健康不平等.
研究的目的:
- 批判性地评估医学和临床研究数字化转型对健康公平的影响.
- 检查临床试验中的种族和民族多样性以及数字沟.
- 提出在临床试验中实现数字健康公平的策略.
主要方法:
- 审查有关数字健康,健康差异和临床试验多样性的现有文献.
- 分析历史不道德的研究实践及其对参与的影响.
- 检查特定领域的数字健康机会,如心血管医学和皮肤病学.
主要成果:
- 医疗保健的数字化转型有可能扩大数字差距,从而增加健康差距.
- 历史上的不公正,结构性种族主义和健康的社会/数字决定因素是平等的关键障碍.
- 新型数字技术为将公平纳入医疗保健和研究生态系统提供了机会.
结论:
- 针对性干预对于解决不平等问题和确保数字健康解决方案惠及所有人群至关重要.
- 需要以患者为中心的干预措施来缩小数字沟和减轻健康不平等.
- 实现数字健康公平需要专注于临床研究和医疗保健服务的包容性.
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