当代通用实践中的访问和分选:数字候选人的新理论
Francesca H Dakin1, Sarah Rybczynska-Bunt2, Rebecca Rosen3
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Social science & medicine (1982)
|April 19, 2024
概括
数字健康平台造成了接入不平等,因为并非所有患者都能浏览复杂的系统. 本研究引入了数字候选理论,以了解技术和人类因素如何影响弱势群体获得医疗保健.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 卫生社会学 卫生社会学
背景情况:
- 当代医疗保健的获取依赖于复杂的社会技术网络.
- 数字化介导的分组正在取代传统的同步患者-提供者互动.
- 在获得医疗保健方面日益扩大的不平等是一个越来越令人担忧的问题.
研究的目的:
- 在一般实践中通过数字技术的透视来调查医疗保健获取的日益扩大的不平等.
- 通过整合现有的理论框架,开发"数字候选人"的新理论.
- 了解数字平台和人类行为者如何影响患者获得护理.
主要方法:
- 在一般实践中对远程和数字技术进行多站点研究的定性数据集.
- 理论框架将候选理论与社会技术和技术结构理论结合起来.
- 分析人类和技术参与者如何体现社会结构并影响接入途径.
主要成果:
- 数字技术嵌入了关于用户能力的假设,从而带来了多样化的患者体验.
- 患者自我评估,使用数字平台和自我倡导的能力是由不利因素决定的.
- 不完整或有缺陷的数字提交可能会导致优先级下降或误导,员工无法完全缓解所有情况.
结论:
- 数字候选人的新理论解释了数字系统如何加剧健康不平等.
- 医疗保健的准入是由患者的能力和技术设计的相互作用所塑造的.
- 未来的服务必须共同设计,以减轻数字健康技术和途径的排斥趋势.
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