在埃塞俄比亚的初级医疗保健系统中绘制数字医疗转型中的不平等情况,使用PROGRESS-plus:范围审查
Ibsa Mussa1,2, Rabelani Dagada2
1School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Digital health
|December 22, 2025
概括
由于社会决定因素,埃塞俄比亚的数字健康不平等不成比例地影响农村和边缘化人口. 公平获得数字卫生技术需要解决基础设施,设计和治理问题,而不仅仅是技术扩张.
科学领域:
- 全球健康 全球健康
- 数字健康 公平数字健康 公平
- 卫生系统研究 卫生系统研究
背景情况:
- 数字健康技术 (DHT) 对全民健康覆盖至关重要,但在像埃塞俄比亚这样的低资源环境中存在显著的公平差距.
- 世界卫生组织 (WHO) 承认DHT的重要性,但它们在埃塞俄比亚的初级医疗保健 (PHC) 系统中的实施面临着持续的差异.
研究的目的:
- 检查社会身份 (性别,居住地,收入) 如何影响埃塞俄比亚卫生健康中心 (PHC) 获得,使用和与DHT接触的不平等.
- 应用PROGRESS-Plus框架来了解在埃塞俄比亚背景下数字健康不平等的形成.
主要方法:
- 根据Arksey和O'Malley的框架进行了范围审查,Levac等加强了这一框架. 和PRISMA-ScR 2020的指导方针.
- 在多个数据库 (PubMed,Scopus等) 进行的搜索. 2015年至2025年间发表的研究的灰色文献和灰色文献.
- 使用PROGRESS-Plus框架进行数据综合,主题分析,描述性统计,并与世卫组织数字健康分类学和NASSS框架进行集成.
主要成果:
- 21项研究揭示了与居住,教育,社会经济地位,性别,职业和边缘化群体地位相关的持续数字健康不平等.
- 结构性障碍,连接性差,设备有限和数字技能不足不成比例地影响农村和牧民社区.
- 先进的DHT (人工智能,远程医疗,EMR) 集中在城市地区,而参与受文化相关性,信任和机构准备程度的影响.
结论:
- 埃塞俄比亚医疗保健中心的数字化转型受到交叉社会决定因素的阻碍,这表明仅仅技术扩张不足以实现公平.
- 以公平为中心的以基础设施,上下文设计,能力建设和包容性治理为重点的数字战略对于可持续的采用至关重要.
- 解决社会决定因素和确保包容性方法对于所有埃塞俄比亚人口的有意义的数字健康转型至关重要.
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