Disparities in Health Care and the Digital Divide.

Disparities in Health Care and the Digital Divide.
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DOI:
10.1007/s11920-021-01274-4
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发表时间:
2021-07-23
影响因子:
6.7
通讯作者:
Masters RM
Masters RM
中科院分区:
医学2区
文献类型:
--
作者:
Saeed SA;Masters RM

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健康结果的差异是我们医疗保健系统中一个有据可查且令人担忧的部分。尽管有旨在改善卫生保健的新技术,但这些差距仍然存在,有时还因这些新技术而加剧。这导致了“数字鸿沟”,即健康状况较差的人群,尽管技术有所改进,但健康状况仍然较差。在许多方面,通过改善互联网接入和技术/流程改进,数字鸿沟已经在缩小。例如,患有精神分裂症、创伤后应激障碍和双相情感障碍的人已经通过新技术成功地加强了他们的护理。然而,问题仍然存在——贫困、女性和黑人都与完成远程医疗访问的可能性降低有关,数百万美国人没有足够的互联网接入来完成远程医疗访问。我们必须继续利用医疗保健方面的新技术来改善结果,但我们也必须谨慎确保这些结果在不同人群中是公平的。
Disparities in health outcomes are a well documented and worrisome part of our health care system. These disparities persist in spite of, and are occasionally exacerbated by, new technologies that are intended to improve health care. This results in a “digital divide” in which populations that have poorer health outcomes continue to have poorer health outcomes despite technological improvements. In many ways, the digitical divide is already shrinking via improved access to internet and technology/process improvements. For example, people with schizophrenia, PTSD, and bipolar disorder have had their care successfully augmented by new technology. However, problems persist- being impoverished, female, and black all correlate with decreased probability of completing a telehealth visit, and millions of americans have insufficient internet access to complete telehealth visits. We must continue to utilize new technology in health care to improve outcomes, but we must also be wary to ensure those outcomes are equitable across different populations.
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