社区驱动的,基于生物伦理的数字包容性方法
Meghan Reading Turchioe1, Elise Li Zheng2, Niurka Suero-Tejeda3
1Meghan Reading Turchioe, PhD, MPH, RN, Assistant Professor, Columbia University School of Nursing, New York City, New York.
The Journal of cardiovascular nursing
|February 12, 2026
概括
数字健康工具可以改善在服务不足的社区中检测心房动 (AF). 以社区为中心的方法对于克服不信任和数字沟等障碍至关重要,确保公平的访问和参与.
科学领域:
- 数字健康数字健康
- 心血管健康 心血管健康
- 健康 公平 卫生 公平
背景情况:
- 心房动 (AF) 难以检测,因为它是偶发性的,数字健康提供连续监测解决方案.
- 黑人和拉丁裔人口面临更高的心血管疾病风险,在AF检测和治疗方面存在差异.
- 这些社区采用数字健康的障碍包括有限的访问,临床医生偏见,对医疗保健系统的不信任和工具利用率低.
研究的目的:
- 在患有心血管疾病的黑人和拉丁裔成年人和利益相关者中确定基于技术的AF监测的促进者和障碍.
- 检查分配正义的伦理考虑和数字健康采用信任建设.
- 提出解决AF监测数字健康差异的战略.
主要方法:
- 在2023年4月至9月期间,与25个不同的利益相关者 (患者,护理人员,临床医生,医疗保健工作者) 进行了半结构化访谈.
- 探索了使用社会生态框架影响数字健康采用的行为,环境和基于系统的因素.
- 通过定向内容分析分析了采访数据.
主要成果:
- 确定了障碍:自我效率低,财务/语言限制,隐私问题和对医疗保健的不信任.
- 确定的促进者:社区卫生工作者 (CHWs) 提供支持,家庭/社区参与和健康激励.
- 强调解决金融/物流障碍,通过社区参与建立信任,并为服务不足的人口量身定制干预措施.
结论:
- 数字健康设备可以在服务不足的社区增强AF检测和管理.
- 以社区为中心的战略对于弥合数字沟和建立信任至关重要.
- 利用医疗保健中心和值得信赖的社区环境,促进AF监测数字健康的访问,参与和公平.
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