An introduction to digital determinants of health

被引：38

作者：

Chidambaram, Swathikan ^{[1
,2
]}

Jain, Bhav ^{[3
]}

Jain, Urvish ^{[4
]}

Mwavu, Rogers ^{[5
]}

Baru, Rama ^{[6
]}

Thomas, Beena ^{[7
]}

Greaves, Felix ^{[8
,9
]}

Jayakumar, Shruti

Jain, Pankaj ^{[10
,11
]}

Rojo, Marina ^{[12
]}

Battaglino, Marina Ridao ^{[12
]}

Meara, John G. ^{[13
]}

Sounderajah, Viknesh ^{[1
,2
]}

Celi, Leo Anthony ^{[14
,15
]}

Darzi, Ara ^{[1
,2
]}

机构：

[1] Imperial Coll London, St Marys Hosp, Dept Surg & Canc, London, England

[2] Imperial Coll London, Inst Global Hlth Innovat, South Kensington Campus, London, England

[3] MIT, Cambridge, MA USA

[4] Univ Pittsburgh, Dietrich Sch Arts & Sci, Sch Med, Pittsburgh, PA USA

[5] Mbarara Univ Sci & Technol, Mbarara, Uganda

[6] Jawaharlal Nehru Univ, Ctr Social Med & Community Hlth, New Delhi, India

[7] Natl Inst Res TB, Indian Council Med Res, Chennai, India

[8] Natl Inst Hlth & Care Excellence, Sci Evidence & Analyt, London, England

[9] Imperial Coll London, Fac Med, Sch Publ Hlth, London, England

[10] Highmark Hlth, Hlth Plan Consumer & Provider Technol, Pittsburgh, PA 15222 USA

[11] Indiana Univ Penn, Dept Mkt, Indiana, PA USA

[12] Univ Buenos Aires, Sch Med, Lab Mol Biol & Pathol, Buenos Aires, DF, Argentina

[13] Dept Plast & Oral Surg, Longwood Ave, Boston, MA USA

[14] Beth Israel Deaconess Med Ctr, Div Pulm Crit Care & Pain Med, Boston, MA 02215 USA

[15] MIT, Inst Med Engn & Sci, Lab Computat Physiol, Boston, MA USA

来源：

PLOS DIGITAL HEALTH | 2024年 / 3卷 / 01期

关键词：

ARTIFICIAL-INTELLIGENCE; INFORMATION; ACCURACY; BIAS; CARE;

D O I：

10.1371/journal.pdig.0000346

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

In recent years, technology has been increasingly incorporated within healthcare for the provision of safe and efficient delivery of services. Although this can be attributed to the benefits that can be harnessed, digital technology has the potential to exacerbate and reinforce preexisting health disparities. Previous work has highlighted how sociodemographic, economic, and political factors affect individuals' interactions with digital health systems and are termed social determinants of health [SDOH]. But, there is a paucity of literature addressing how the intrinsic design, implementation, and use of technology interact with SDOH to influence health outcomes. Such interactions are termed digital determinants of health [DDOH]. This paper will, for the first time, propose a definition of DDOH and provide a conceptual model characterizing its influence on healthcare outcomes. Specifically, DDOH is implicit in the design of artificial intelligence systems, mobile phone applications, telemedicine, digital health literacy [DHL], and other forms of digital technology. A better appreciation of DDOH by the various stakeholders at the individual and societal levels can be channeled towards policies that are more digitally inclusive. In tandem with ongoing work to minimize the digital divide caused by existing SDOH, further work is necessary to recognize digital determinants as an important and distinct entity.

引用

页数：14

共 87 条

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