数字初级保健服务,程序正义和交叉性:一种批判性的现实主义方法
Gina Netto1, Farjana Islam1, Sara Bailey2
1Institute of Place, Environment and Society, Heriot-Watt University, Edinburgh, UK.
Sociology of health & illness
|September 22, 2025
概括
数字化医疗转型使种族少数群体的程序性正义变得更糟. 解决数字贫困,识字和服务设计对于公平获得医疗保健至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 健康的社会决定因素
背景情况:
- 全球卫生保健系统的快速数字化.
- 在医疗服务利用方面存在的种族不平等.
- 数字化对种族少数群体的程序性正义的影响尚未得到充分探索.
研究的目的:
- 调查种族少数群体个人数字初级保健中的程序正义.
- 分析社会决定因素和压迫体系 (种族主义,父权制) 对数字医疗保健的影响.
- 应用一个批判性的现实主义交叉框架来评估声音,信任和公正性.
主要方法:
- 开发一个新的批判现实主义交叉的理论和分析框架.
- 对来自英国少数族裔社区的100名参与者的采访进行了定性分析.
- 基于声音,信任和公正的数字初级保健体验的评估.
主要成果:
- 在数字初级保健中,针对种族少数群体的个人在发言,信任和公正方面发现了重大缺陷.
- 数字贫困,数字素养差异和英语水平成为关键障碍.
- 社会决定因素和压迫系统的交叉性影响了数字医疗体验.
结论:
- 迫切需要解决数字初级保健中的程序司法缺陷.
- 建议包括解决数字贫困,提高数字素养和语言支持.
- 积极使用数字服务和改进服务设计/劳动力培训对于减少种族不平等至关重要.
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