数字健康技术和不平等:对潜在影响的范围审查和政策建议
Janine Badr1, Aude Motulsky1, Jean-Louis Denis1
1Department of Health Management, Evaluation and Policy, School of Public Health, Université de Montréal, 7101 Av du Parc, H3N 1 × 9, Montréal, QC, Canada; Research Center, Centre hospitalier de l'Université de Montréal, 900 R. Saint-Denis, Montréal, QC H2 × 0A9, Montreal, Canada.
数字健康工具可以改善护理,但可能会加剧健康不平等. 政策必须侧重于数字公平,以确保所有人均享有公平的机会和利益.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 卫生政策 卫生政策
背景情况:
- 数字健康技术提供了潜在的好处,如降低成本和改善获得护理的机会.
- COVID-19大流行加速了数字健康的采用,突出了现有的不平等现象.
- 如果不公平地实施,数字健康可能会加剧健康差距的风险存在.
研究的目的:
- 审查COVID-19大流行期间和之后数字健康不平等如何被评估.
- 了解数字战略和政策如何促进数字公平.
- 发现数字健康差异评估中的差距.
主要方法:
- 使用PRISMA扩展用于范围审查的范围审查.
- 在2021年搜索了3个数据库,并在2022年进行了补充搜索.
- 确定了2055篇论文,保留了41篇以电子健康公平框架为指导的分析.
主要成果:
- 数字不平等主要在高收入国家报告,重点是基于社会人口统计因素的访问和使用.
- 与技术使用和背景和实施的相互作用相关的健康差异较少被记录.
- 大多数研究是在美国和其他高收入国家进行的.
结论:
- 政策建议强调在制定数字健康战略时采用公平的视角.
- 多层次和跨部门的合作对于将数字健康干预与子组需求相协调至关重要.
- 评估健康和福祉影响的分布对于为未来的数字健康战略和政策提供信息至关重要.
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