学习健康系统:我们可以做什么关于数字健康不平等的范式转变
Sonya Cressman1, Ibukun-Oluwa Omolade Abejirinde2, Joan Assali3
1Evaluation Lead, Digital Emergency Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC.
学习健康系统 (LHS) 将社会责任纳入工作流程,弥合数字健康差距. 它们通过数据驱动的伙伴关系和权力再分配来促进公平的数字健康,就像在不列颠哥伦比亚省看到的那样.
科学领域:
- 公共卫生 公共卫生
- 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:
- 学习健康系统 (LHSs) 将社会责任纳入日常运营.
- 临床医疗服务可以指导政府解决数字健康差距的问题.
- 患者呼吁数字健康公平需要响应,数据驱动的合作伙伴关系.
研究的目的:
- 探索学习健康系统 (LHS) 如何促进数字健康中的公平.
- 检查LHS在跨越数字健康差距的桥梁建设中的作用.
- 为公平的数字健康伙伴关系提出一个问责制框架.
主要方法:
- 利用不列颠哥伦比亚省的811服务作为一个LHS的案例研究.
- 分析了为数字健康服务提供服务而开发的基础设施和结果.
- 检查了对患者访问数字健康服务的财务影响.
主要成果:
- 英国哥伦比亚省811服务展示了数字健康支持的LHS基础设施.
- 该模型解决了患者关于数字健康访问,结果和成本的询问.
- 采用LHS方法涉及权力再分配,可能会遇到阻力.
结论:
- 临床医疗服务提供了一个在数字健康中嵌入社会问责和公平的模式.
- 英国哥伦比亚811案例说明了实际应用和基础设施的发展.
- 提出了一个问责制框架,以促进公平的数字健康伙伴关系.
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