一个概念框架和对数字健康技术干预和健康公平的总体审查
1Department of Economics and Management, University of Trento, Trento, Italy.
BMC health services research
|November 29, 2025
概括
数字健康干预措施显示出希望,但健康公平影响尚不清楚. 这项研究提供了一个框架和审查,以指导公平的数字健康设计,专注于慢性疾病和解决数字沟.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 干预科学 干预科学
背景情况:
- 关于数字健康干预的证据迅速出现,需要对健康公平的清晰度.
- 现有的研究缺乏一个统一的框架来绘制数字健康对健康公平的影响.
- 关于数字卫生干预措施如何解决或加剧健康不平等问题,仍然存在不确定性.
研究的目的:
- 提出一个概念框架,将数字健康与健康公平联系起来.
- 通过总体审查,绘制和总结有关数字健康干预措施有效性,可接受性和可行性的现有证据.
- 为公平的数字健康干预措施的设计提供信息,并解决数字沟.
主要方法:
- 进行了针对慢性疾病的数字卫生干预措施的系统审查 (2005-2025) 的综合审查.
- 搜索电子数据库进行系统审查,提取干预,公平考虑和方法质量 (AMSTAR-2) 的数据.
- 使用数字健康和健康公平的新开发的概念框架绘制结果.
主要成果:
- 35项系统性审查符合资格标准;远程医疗是最常见的干预措施.
- 包括的系统性审查的质量各不相同,大多数专注于公平和横向不平等.
- 临床决策支持系统在审查的文献中明显缺席.
结论:
- 概念框架有助于绘制有关健康公平的数字健康研究.
- 使用该框架进行进一步的研究可以更好地为弥合数字沟的干预提供信息.
- 未来的研究应该优先考虑针对特定数字健康应用和结果的以公平为重点的元分析.
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