Social Health Inequalities and eHealth: A Literature Review With Qualitative Synthesis of Theoretical and Empirical Studies
Social Health Inequalities and eHealth: A Literature Review With Qualitative Synthesis of Theoretical and Empirical Studies
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社会健康不平等和电子医疗：理论与实证研究定性综合的文献综述
DOI：
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发表时间：
2017
影响因子：
7.4
通讯作者：
Dominique Giroux
中科院分区：
文献类型：
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作者：
Karine Latulippe;Christine Hamel;Dominique Giroux
电子卫生正在迅速发展，并带来了减少社会卫生不平等（SHIs）的希望。然而，它似乎也有可能增加这些风险。本综述的总体目标是阐明如何确保电子卫生有助于减少SHIs而不是加剧它们。本次审查有三个目标：(1)确定在健康方面面临社会不平等风险的人的特征；(2)确定开发避免SHI增加的电子卫生工具的可能性；(3)对易受SHI影响的人群使用电子健康工具的过程进行建模。方法采用EPPI方法（伦敦大学教育研究所的政策和信息实践证据），在两个数据库中检索SHIs和eHealth及其衍生词的标题和摘要。定性、定量和混合文章被纳入并评估。采用软件NVivo （QSR International）提取数据，并允许数据的元合成。结果在保留的73篇文章中，10篇为理论，7篇为综述，56篇为实证研究。在后者中，40个使用定量方法，8个使用定性方法，4个使用混合方法，只有4个基于参与性研究-行动方法。电子卫生领域的数字鸿沟是一个严重的障碍，也是SHI的重要组成部分。种族和低收入是确定有SHI风险人群的最常用特征。通过电子卫生保健减少意外死亡最有希望的行动是旨在普及电子卫生保健工具，了解用户的文化水平，创建尊重未来用户文化属性的电子卫生保健工具，并鼓励有意外死亡风险的人参与。结论：电子健康有可能扩大SHI风险人群与其他人群之间的鸿沟。电子卫生技术的广泛扩展要求严格考虑干预措施，这些干预措施不太可能加剧SHI。
Background eHealth is developing rapidly and brings with it a promise to reduce social health inequalities (SHIs). Yet, it appears that it also has the potential to increase them. Objectives The general objective of this review was to set out how to ensure that eHealth contributes to reducing SHIs rather than exacerbating them. This review has three objectives: (1) identifying characteristics of people at risk of experiencing social inequality in health; (2) determining the possibilities of developing eHealth tools that avoid increasing SHI; and (3) modeling the process of using an eHealth tool by people vulnerable to SHI. Methods Following the EPPI approach (Evidence for Policy and Practice of Information of the Institute of Education at the University of London), two databases were searched for the terms SHIs and eHealth and their derivatives in titles and abstracts. Qualitative, quantitative, and mixed articles were included and evaluated. The software NVivo (QSR International) was employed to extract the data and allow for a metasynthesis of the data. Results Of the 73 articles retained, 10 were theoretical, 7 were from reviews, and 56 were based on empirical studies. Of the latter, 40 used a quantitative approach, 8 used a qualitative approach, 4 used mixed methods approach, and only 4 were based on participatory research-action approach. The digital divide in eHealth is a serious barrier and contributes greatly to SHI. Ethnicity and low income are the most commonly used characteristics to identify people at risk of SHI. The most promising actions for reducing SHI via eHealth are to aim for universal access to the tool of eHealth, become aware of users’ literacy level, create eHealth tools that respect the cultural attributes of future users, and encourage the participation of people at risk of SHI. Conclusions eHealth has the potential to widen the gulf between those at risk of SHI and the rest of the population. The widespread expansion of eHealth technologies calls for rigorous consideration of interventions, which are not likely to exacerbate SHI.
健康数字合作伙伴关系：开发旨在促进健康和福祉的社区特定健康门户的步骤。
DOI：
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发表时间：
2007
期刊：
AMIA ... Annual Symposium proceedings. AMIA Symposium
影响因子：
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作者：
Kukafka,Rita;Khan,SharibA;Hutchinson,Carly;McFarlane,DelanoJ;Li,Jianhua;Ancker,JessicaS;Cohall,Alwyn
通讯作者：
Cohall,Alwyn