Digital Health Equity: Addressing Power, Usability, and Trust to Strengthen Health Systems

International Journal of Engineering Pedagogy

article

Han Koehle¹  Clair Kronk²  Young Ji Lee³ 

[1] Student Affairs Health Equity Initiative, University of California Santa Barbara;Center for Medical Informatics, Yale University School of Medicine;School of Nursing, University of Pittsburgh

关键词: Health equity;    gender identity;    informatics;    health inequities;    healthcare disparities;   

DOI  :  10.1055/s-0042-1742512

来源: International Society for Engineering Education (IGIP), Kassel University Press

【 摘 要 】

Background: Without specific attention to health equity considerations in design, implementation, and evaluation, the rapidexpansion of digital health approaches threatens to exacerbaterather than ameliorate existing health disparities.Methods: We explored known factors that increase digital healthinequity to contextualize the need for equity-centered informatics.This work used a narrative review method to summarize issuesabout inequities in digital health and to discuss future directionsfor researchers and clinicians. We searched literature using acombination of relevant keywords (e.g., “digital health”, “healthequity”, etc.) using PubMed and Google Scholar.Results: We have highlighted strategies for addressing medicalmarginalization in informatics according to vectors of power suchas race and ethnicity, gender identity and modality, sexuality,disability, housing status, citizenship status, and criminalizationstatus.Conclusion: We have emphasized collaboration with user andpatient groups to define priorities, ensure accessibility andlocalization, and consider risks in development and utilization ofdigital health tools. Additionally, we encourage consideration ofpotential pitfalls in adopting these diversity, equity, and inclusion(DEI)-related strategies.

【 授权许可】

Unknown