医疗保健服务中的数字排斥:范围审查
Zihao Xue1, Na Zhou1, Yixue Wu2
1Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
International journal for equity in health
|January 16, 2026
概括
医疗保健中的数字排斥,定义为缺乏数字接入或技能,显著加剧了健康不平等. 解决这个问题需要更好的理解和验证的工具,以确保所有人获得公平的数字健康服务.
科学领域:
- 数字健康数字健康
- 健康 公平 卫生 公平
- 医疗信息学 医疗信息学
背景情况:
- 数字排斥,即缺乏对数字技术的访问,技能或动机,加剧了健康不平等.
- 概念上的模糊性和不一致的测量阻碍了有效的策略来打击医疗保健中的数字排斥.
- 了解数字排斥对健康结果的影响对于制定有针对性的干预措施至关重要.
研究的目的:
- 澄清医疗保健环境中数字排斥的概念和维度.
- 检查现有的衡量数字排斥的方法.
- 了解数字排斥对患者健康结果的影响.
主要方法:
- 根据PRISMA-ScR指南进行全面的范围审查.
- 在九个主要数据库中进行系统的文献搜索,截至2024年12月1日.
- 通过两位独立审稿人的专题分析,对研究结果进行叙述综合.
主要成果:
- 39项研究表明,数字排斥在访问,用户能力和结果方面发挥作用,其维度包括可负担性,技术资源,数字能力,心理障碍和支持.
- 确定了19个评估工具,但大多数缺乏验证和医疗保健特异性.
- 数字排斥与不利的健康结果有关,如限制医疗接入,心理社会问题,认知能力下降和疾病风险增加.
结论:
- 医疗保健中的数字排斥是一个复杂的,多维的问题,具有严重的健康后果.
- 需要进一步的研究来完善概念理解,开发验证的评估工具,并探索因果关系的途径.
- 解决数字排斥问题对于促进公平获得数字卫生服务至关重要.
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