数字排斥和无家可归的人:对阿片类药物使用障碍护理的影响
Joseph Tay Wee Teck1,2,3, Hui Shan Tan1, Alexander Baldacchino1
1DigitAS Project, Population and Behavioral Science Division, School of Medicine, University of St Andrews, St Andrews, UK.
数字化支持的医疗保健可以将无家可归者 (PEH) 边缘化,原因是进入障碍和不信任. 有效的战略需要获得技术,适当的环境和联合生产,以建立信任和重新平衡权力动态.
科学领域:
- 数字健康 公平数字健康
- 无家可归的研究 无家可归的研究
- 公共卫生干预 公共卫生干预
背景情况:
- 无家可归者 (PEH) 面临着获得医疗保健的重大障碍,包括阿片类药物使用障碍 (OUD) 治疗.
- 数字医疗服务虽然对一些人有益,但由于现有的结构和个人挑战,可能会进一步边缘化PEH.
- 目前的数字排斥缓解策略可能不足以满足PEH的复杂需求.
研究的目的:
- 检查数字化医疗保健对无家可归者带来的挑战和机遇.
- 识别PEH人群中访问和受益于数字卫生服务的障碍.
- 为这些人群制定更有效,更公平的数字健康战略提供信息.
主要方法:
- 审查关于数字排斥和无家可归的当前文献.
- 分析影响数字服务采用和PEH受益的因素.
- 审查现有的缓解策略及其局限性.
主要成果:
- 提供设备和技能并不能保证PEH使用数字卫生服务或获益.
- 不稳定的生活状况和对机构的不信任使得持续的数字访问和参与变得复杂.
- 数字服务可能引入新的不平等,包括隐私问题和权力不平衡,影响PEH.
结论:
- 解决PEH的数字排斥需要不仅仅是技术提供;它需要改善访问,适当的物理环境,并通过联合制作建立信任.
- 合作,跨部门的努力至关重要,以使PEH参与数字化支持的护理.
- 重新平衡权力动态和集中PEH经验是公平数字健康整合的关键.
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