数字健康和公平获得护理服务
James Shaw1,2,3, Ibukun-Oluwa Omolade Abejirinde2,3,4, Payal Agarwal2,5
1Department of Physical Therapy, University of Toronto, Toronto, Canada.
PLOS digital health
|September 25, 2024
概括
数字健康解决方案应侧重于上游因素,如了解和寻求护理,以改善边缘化群体的健康公平. 这种方法比在接入点下游干预更有效.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 卫生系统 卫生系统
背景情况:
- 数字健康公平研究已经取得了进展,特别是在COVID-19后,有政策建议.
- 需要从卫生系统的角度来理解数字技术在公平获得护理方面的作用.
- 结构性边缘化的社区面临着独特的障碍,无法获得医疗保健.
研究的目的:
- 检查数字技术在实现公平获得护理方面的作用.
- 确定数字健康解决方案如何支持或阻碍边缘化群体的获取.
- 分析数字卫生应用程序与以患者为中心的访问和数字化支持的卫生系统框架的协调.
主要方法:
- 使用的 Levesque等人. 这是一个以患者为中心的访问框架.
- 采用世界卫生组织的数字化健康系统框架.
- 将这些框架映射出来,以评估数字健康对获得护理的各种维度的影响.
主要成果:
- 数字健康干预不成比例地集中在下游访问启动器上,产生有限的股权益.
- 访问的关键方面,特别是上游启用,在当前的数字健康战略中没有得到充分的解决.
- 数字健康应用程序只专注于下游接入点时,其对股权的影响较低.
结论:
- 数字健康干预措施当他们专注于上游因素 (理解,感知,寻求护理) 时,更能提高公平性.
- 政策制定者和资助者应该优先考虑数字解决方案,以增强个人导航和获得医疗保健的能力.
- 为了利用数字技术促进公平获得医疗保健,全面了解卫生系统至关重要.
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