数字卫生公平的政治经济:结构分析
James Shaw1,2, Wiljeana Glover3
1Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
数字健康创新提供了护理连续性,但可能会加剧健康不平等. 解决诸如企业激励和不平等获取等结构性障碍对于实现数字健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 数字健康数字健康
背景情况:
- 数字技术已经改变了医疗保健的提供,使得当面对面的服务是不可行的时,能够提供持续的护理.
- 然而,研究表明,数字健康可以加剧由于成本,数字素养和结构性歧视而导致的健康不平等.
研究的目的:
- 从政治经济的角度研究推动数字健康公平的结构性障碍.
- 确定新自由主义资本主义如何在政策层面维持数字健康不平等.
主要方法:
- 分析数字健康领域强大参与者的激励结构和投资.
- 探讨西方资本主义背景下的结构性挑战.
主要成果:
- 确定了6个结构性挑战:企业收入集中,风险资本的影响,互联网/设备的不平等接入,数字素养投资不足,退款不确定性和合理的不信任.
- 新自由主义资本主义的特点加剧了数字健康不平等.
结论:
- 需要采取政策层面的干预措施来解决已识别的结构性障碍.
- 提出了促进有意义的变革和实现数字健康公平的未来方向.
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