关于健康数字决定因素的范围审查和专家共识
Robin van Kessel1, Laure-Elise Seghers1, Michael Anderson1
1LSE Health, Department of Health Policy, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, London, England.
数字化转型重塑了健康决定因素,发现了127个新的或改变的因素. 其中30个需要采取紧急政策行动,以应对数字时代不断变化的健康结果.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 卫生政策 卫生政策
背景情况:
- 社会数字化正在迅速发展.
- 了解它对健康决定因素的影响至关重要.
- 现有的框架可能无法捕捉最近的变化.
研究的目的:
- 通过数字化转型改变的健康决定因素进行映射.
- 识别新兴的社会,商业,政治和数字健康因素.
- 确定政策干预的优先领域.
主要方法:
- 从2018年开始对评论进行系统的文献搜索 (MEDLINE,Embase,Web of Science).
- 在PubMed,谷歌学者和专家来源的记录中进行了补充搜索.
- 主题分析和两轮共识过程,以评估政策的紧迫性.
主要成果:
- 分析了204条评论,确定了127个健康决定因素 (37个数字,33个社会,33个商业/经济,24个政治).
- 30个决定因素 (23.6%) 被优先考虑为紧急政策行动.
- 开发了一个新的框架来对社会领域内的决定因素进行分类.
结论:
- 数字化在多个领域显著影响健康决定因素.
- 政策决策,个人行为和更广泛的因素在数字生态系统中相互作用.
- 研究结果为解决复杂,不断变化的健康决定因素网络的策略提供了信息.
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