数字健康公平框架和关键概念:一个范围审查
Katherine K Kim1, Uba Backonja2,3
1Department of Public Health Sciences/Division of Health Informatics, School of Medicine, University of California Davis, Sacramento, CA 95616, United States.
Journal of the American Medical Informatics Association : JAMIA
|February 12, 2025
概括
数字健康公平需要理解有效干预的框架和概念. 这次审查确定了42个框架和243个概念,以改善数字健康平等和包容性.
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:
- 数字健康公平是全球优先事项,旨在实现对数字健康工具的公平访问,以获得积极的健康结果.
- 对数字健康,数字公平和健康公平的系统理解对于开发有效的干预措施至关重要.
- 本研究解决了对数字健康公平现有框架和概念的全面概述的需求.
研究的目的:
- 进行范围审查,以确定和描述与数字健康公平干预相关的已公布框架和概念.
- 系统地了解数字健康公平的格局,专注于现实世界的应用.
- 为数字健康公平干预措施的开发和评估提供信息.
主要方法:
- 对同行评审文献进行了范围审查,遵守PRISMA扩展范围审查指南.
- 搜索了五个数据库,寻找与数字健康或公平干预相关的或适用于数字健康或公平干预的框架.
- 根据社会生态模型指导,使用演和归纳方法分析了框架和概念.
主要成果:
- 包括44篇描述42个与数字和/或健康公平相关的框架的出版物;没有一个框架是全面的.
- 在43个类别中确定了243个概念,包括个人,社区和组织特征,社会背景,感知价值,影响,伙伴关系以及对服务和数据的访问.
- 框架主要侧重于解释数字和健康公平的生态系统,但缺乏整体方法.
结论:
- 提出数字健康公平的综合定义,并强调干预开发的关键框架和概念.
- 建议加强数字健康公平干预措施的开发和评估所需的概念.
- 这些发现旨在为寻求实现数字包容和推进数字健康公平的利益相关者提供信息.
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