开发一个基于证据和共识的数字医疗公平框架
Elham Hatef1,2, Sarah Hudson Scholle3, Bryan Buckley3
1Division of General Internal Medicine, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, United States.
JAMIA open
|November 18, 2024
概括
这项研究开发了一个数字医疗公平框架,以确保技术解决方案改善健康公平. 该框架指导着在整个数字医疗保健生命周期中故意考虑公平性.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 医疗信息学 医疗信息学
背景情况:
- 数字医疗保健解决方案提供了潜在的好处,但有可能加剧现有的健康不平等.
- 需要一个结构化的方法来有意地将公平考虑纳入数字健康技术.
- 现有的框架可能无法在整个数字医疗保健生命周期中全面解决公平问题.
研究的目的:
- 开发一个基于证据和共识的数字医疗公平框架.
- 引导用户在数字医疗保健解决方案中故意考虑公平.
- 确保数字技术改善,而不是恶化医疗保健差距.
主要方法:
- 进行环境扫描,包括对相关文献进行范围审查.
- 与健康公平和数字健康专家进行了关键信息人采访.
- 召集了一个技术专家小组 (TEP) 来完善和验证框架领域.
主要成果:
- 从文献评论和采访中合成概念,将其纳入主域和子域.
- 该框架确定了三个核心领域:患者和社区特征,卫生系统特征和健康信息技术特征.
- 围绕数字医疗保健生命周期的五个阶段构建了框架:规划,开发,采购,实施/维护以及监测/改进/公平评估.
结论:
- 数字医疗公平框架为评估数字医疗解决方案的公平性提供了一个系统的工具.
- 它指导利益相关者在数字医疗保健生命周期的每个阶段积极解决潜在的不平等问题.
- 该框架旨在确保数字健康创新促进所有人口的健康平等.
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