E-Health Innovations, Collaboration, and Healthcare Disparities: Developing Criteria for Culturally Competent Evaluation

E-Health Innovations, Collaboration, and Healthcare Disparities: Developing Criteria for Culturally Competent Evaluation
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DOI:
10.1037/a0033386
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发表时间:
2013-09-01
影响因子:
1.3
通讯作者:
Askari, Sabrina F.
Askari, Sabrina F.
中科院分区:
医学4区
文献类型:
--
作者:
Bacigalupe, Gonzalo;Askari, Sabrina F.

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电子健康改变了医疗保健临床医生,机构,患者,护理人员,家庭,倡导者和研究人员的合作方式。目前很少有准则来评估社会技术对促进家庭健康的影响,更没有准则来评估社会技术改善健康差距的能力。有助于发展、维持和加强协作性卫生议程的卫生社交媒体工具可能有助于改善卫生保健不公平现象;然而,这种联系不应被视为理所当然。在这篇文章中,我们提出了一个新兴的社会技术在医疗保健的分类与发展的评估标准,评估他们的能力,促进合作和积极影响医疗保健公平的目的。研究结果是基于系统的互联网民族志观察,定性分析的电子健康工具范例,并回顾文献。为了对数据收集和分析进行三角测量,研究小组咨询了社交媒体医疗保健专家,为评估标准提出了建议。选定的案例说明了分析结论。线的研究,需要准确率和可靠地衡量社会媒体电子健康产品的能力,以解决健康差距的建议。
E-Health alters how health care clinicians, institutions, patients, caregivers, families, advocates, and researchers collaborate. Few guidelines exist to evaluate the impact of social technologies on furthering family health and even less on their capacity to ameliorate health disparities. Health social media tools that help develop, sustain, and strengthen the collaborative health agenda may prove useful to ameliorate health care inequities; the linkage should not, however, be taken for granted. In this article we propose a classification of emerging social technologies in health care with the purpose of developing evaluative criteria that assess their ability to foster collaboration and positively impact health care equity. The findings are based on systematic Internet ethnographic observations, a qualitative analysis of e-health tool exemplars, and a review of the literature. To triangulate data collection and analysis, the research team consulted with social media health care experts in making recommendations for evaluation criteria. Selected cases illustrate the analytical conclusions. Lines of research that are needed to accurately rate and reliably measure the ability of social media e-health offerings to address health disparities are proposed.