Multilevel Determinants of Digital Health Equity: A Literature Synthesis to Advance the Field

被引:42
作者
Lyles, Courtney R. [1 ,2 ,3 ,4 ]
Oanh Kieu Nguyen [3 ,5 ,6 ]
Khoong, Elaine C. [1 ,3 ]
Aguilera, Adrian [3 ,7 ,8 ]
Sarkar, Urmimala [1 ,3 ]
机构
[1] Univ Calif San Francisco, Dept Med, Div Gen Internal Med, Zuckerberg San Francisco Gen Hosp, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA
[3] Univ Calif San Francisco, Ctr Vulnerable Populat, San Francisco, CA 94143 USA
[4] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA
[5] Univ Calif San Francisco, Dept Med, Div Hosp Med, Zuckerberg San Francisco Gen Hosp, San Francisco, CA 94143 USA
[6] Chan Zuckerberg Biohub, San Francisco, CA USA
[7] Univ Calif Berkeley, Sch Social Welf, Berkeley, CA 94720 USA
[8] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA
关键词
digital health; health equity; social determinants of health; health technology; PARTICIPATORY RESEARCH; MOBILE APPLICATIONS; CARE SETTINGS; PEER SUPPORT; INTERVENTION; ENGAGEMENT; PROMOTION; IMPROVE; IMPACT;
D O I
10.1146/annurev-publhealth-071521-023913
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Current digital health approaches have not engaged diverse end users or reduced health or health care inequities, despite their promise to deliver more tailored and personalized support to individuals at the right time and the right place. To achieve digital health equity, we must refocus our attention on the current state of digital health uptake and use across the policy, system, community, individual, and intervention levels. We focus here on (a) outlining a multilevel framework underlying digital health equity; (b) summarizing five types of interventions/programs (with example studies) that hold promise for advancing digital health equity; and (c) recommending future steps for improving policy, practice, and research in this space.
引用
收藏
页码:383 / 405
页数:23
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