Moving Towards Equity With Digital Health Innovations for Stroke Care.
Moving Towards Equity With Digital Health Innovations for Stroke Care.
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DOI：
10.1161/strokeaha.121.035307
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发表时间：
2022-03
期刊：
影响因子：
8.3
通讯作者：
Casillas A
中科院分区：
文献类型：
--
作者：
Verma A;Towfighi A;Brown A;Abhat A;Casillas A
长期以来，数字健康一直被视为扩大医疗保健机会的一种手段。由于冠状病毒-19型疾病(新冠肺炎)的流行加速了许多卫生系统整合数字护理工具，数字卫生可能提供一条更容易获得中风预防和治疗的途径，特别是对于历史上处于不利地位的患者群体。卒中管理由多个时间点组成，在这些时间点，数字医疗创新有可能增加健康获取和治疗：从一级预防，到对缺血性卒中进行时间敏感的检测，给予溶栓剂和考虑血管内干预，再到适当的急性后护理、康复和终身二级卒中预防-卒中护理依赖于多学科和标准化的方法。然而，正如我们在这篇聚焦更新中有针对性地讨论的那样，代表性不足的个人面临着多层次的数字健康差距，这可能会削弱这些数字进步的好处。因此，随着卫生系统寻求将创新和公平的数字卫生解决方案整合到中风护理中，这些多层次的需求必须得到讨论和考虑。
Digital Health has long been championed as a means to expanding access to health care. Now that the Coronavirus-19 disease (COVID-19) pandemic accelerated many health systems’ integration of digital tools for care, digital health may provide a path towards more accessible stroke prevention and treatment, particularly for historically disadvantaged patient populations. Stroke management is composed of multiple timepoints where digital health innovations have the potential to augment health access and treatment: from primary prevention, to the time-sensitive detection of ischemic stroke, administration of thrombolytic agents and consideration for endovascular interventions, to appropriate post-acute care, rehabilitation, and lifelong secondary stroke prevention — stroke care relies on a multidisciplinary and standardized approach. However, as we discuss pointedly in this Focused Update, underrepresented individuals face multilevel digital health disparities that potentially diminish the benefits of these digital advances. As such, these multilevel needs must be discussed and accounted for as health systems seek to integrate innovative and equitable digital health solutions towards stroke care.
影响因子：
3.2
作者：
Kummer B;Shakir L;Kwon R;Habboushe J;Jetté N
通讯作者：
Jetté N