数字心理健康及其不满:关于技术的假设,这些假设制造了公平获取障碍
Ellen E Kozelka1, Stephanie C Acquilano1, Monirah Al-Abdulmunem1
1Department of Anthropology, University of Vermont, Burlington (Kozelka); Dartmouth Institute for Health Policy & Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire (Acquilano, Elwyn); Westat, Lebanon, New Hampshire (Al-Abdulmunem, Drake); Mental Health Center of Greater Manchester, Manchester, New Hampshire (Guarino); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Drake); Department of Anthropology, Dartmouth College, Hanover, New Hampshire (Carpenter-Song).
对严重精神疾病的数字心理健康工具的访问是有限的. 关键障碍包括临床环境,数字素养和成本,需要以上下文为中心的设计来实现现实世界.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 数字心理健康干预措施显示出严重精神疾病恢复的前景.
- 访问这些数字工具是广泛采用的重要障碍.
- 融入社区卫生机构面临挑战.
研究的目的:
- 识别和讨论阻碍数字心理健康工具整合的关键假设.
- 强调以上下文为中心的设计对于有效实施的重要性.
主要方法:
- 讨论三个关键假设:临床背景,数字素养和财务负担.
- 强调以民族学为中心,以上下文为中心的研究设计.
主要成果:
- 远程医疗改变了临床环境,影响了干预环境.
- 移动设备访问并不等同于数字素养.
- 数字心理健康护理往往不是经济上可以获得的.
结论:
- 解决临床背景,数字素养和成本方面的假设至关重要.
- 以上下文为中心的民族学设计可以改善数字资源的转移到实践中.
- 克服接入障碍对于利用数字心理健康潜力至关重要.
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