数字健康干预的设计原则中的公平性
Laura Bitomsky1, Marcia Nißen1,2,3, Tobias Kowatsch4,5,6
1Centre for Digital Health Interventions, School of Medicine, University of St. Gallen, St. Gallen, Switzerland.
International journal for equity in health
|October 15, 2025
概括
这项研究开发了25个数字健康干预 (DHI) 的设计原则,以及它们的组织背景,以减少健康差异. 这些可操作的指导方针旨在从一开始就将公平纳入数字健康.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 健康差异 在健康上的差异
背景情况:
- 持续存在的健康差异凸显了对公平的数字健康干预措施 (DHIs) 的需求.
- 如果从一开始就不整合股权,DHI可能会扩大数字沟.
- 对以股权为中心的DHI设计缺乏可行的指导.
研究的目的:
- 为数字健康干预制定基于证据的,公平的设计原则.
- 为数字健康领域的研究人员和从业人员提供可操作的指导.
主要方法:
- 综合了42篇文章/指南,以制定初始设计原则 (2024年7月至10月).
- 通过三次半结构化的专家采访 (2024年11月-2025年1月) 改进了原则.
- 通过与DHI提供商的最终用户研讨会评估实际适用性 (2025年1月至3月).
主要成果:
- 通过设计原则确定了25个股权:15个是DHIs,10个是组织背景.
- DHI原则涵盖需求评估,设计,实施和评估.
- 组织原则涉及战略,人员,流程和伙伴关系;确定了3个实施挑战.
结论:
- 解决健康不平等问题需要超越DHI特定的设计,包括组织背景.
- 采用这些原则使数字健康公司能够优先考虑公平.
- 嵌入公平可以减少健康差距,并促进一个更具包容性的医疗保健生态系统.
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