开发数字健康解决方案的实用指南,以提高英国痴呆症护理的公平性
Beth Wolff1, Simon Nielsen2, Achilles Kiwanuka3
1London School of Hygiene and Tropical Medicine, University of London, London, United Kingdom.
Frontiers in digital health
|January 3, 2025
概括
数字健康解决方案 (DHS) 可以加剧健康不平等,但实际指导方针可以改善痴呆患者的获取. 开发公平的DHS需要开发人员,提供商和用户之间的合作.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
- 老年医疗护理 医疗护理
背景情况:
- 数字医疗保健解决方案 (DHS) 提供了好处,但有可能加剧健康差距.
- 不平等地获得DHS是一个日益关注的问题,特别是对于像痴呆症患者这样的弱势群体.
- 这项研究解决了DHS公平发展的需要,以确保更广泛地获得护理.
研究的目的:
- 评估用于指导数字健康解决方案开发的公平框架.
- 通过公平的DHS,提高英国痴呆症患者获得护理的机会.
- 为设计公平的DHS产品创建实用指南.
主要方法:
- 对四个数据库和灰色文献进行的范围审查确定了相关的股权框架和设计原则.
- 对确定框架和原则的分析为改善DHS公平性提供了建议.
- 以患者为中心的设计原则被整合到开发指南中.
主要成果:
- 34个出版物和报告符合审查的纳入标准.
- 在分析的四个股权框架中,其中一个被选择用于进一步开发.
- 基于以患者为中心的设计,制定了公平的产品开发准则.
结论:
- 国土安全部可以增加医疗保健不平等,但战略设计和协作可以减轻这一点.
- 实用指南和开发者-最终用户合作对于公平的DHS至关重要.
- 未来的研究应该侧重于指导方针的可用性和DHS采用的制度障碍.
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