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医疗机构应如何促进医疗保健技术创新带来的利益公平分配?

How Should Organizations Promote Equitable Distribution of Benefits from Technological Innovation in Health Care?

作者信息

Nambisan Satish, Nambisan Priya

机构信息

The Nancy and Joseph Keithley Professor of Technology Management at Case Western Reserve University's Weatherhead School of Management in Cleveland, Ohio.

An associate professor and the chair of the Department of Health Informatics and Administration in the College of Health Sciences at the University of Wisconsin, Milwaukee, where she is also the founder and director of Social Media and Health Research & Training Lab.

出版信息

AMA J Ethics. 2017 Nov 1;19(11):1106-1115. doi: 10.1001/journalofethics.2017.19.11.stas1-1711.

Abstract

Technological innovations typically benefit those who have good access to and an understanding of the underlying technologies. As such, technology-centered health care innovations are likely to preferentially benefit users of privileged socioeconomic backgrounds. Which policies and strategies should health care organizations adopt to promote equitable distribution of the benefits from technological innovations? In this essay, we draw on two important concepts-co-creation (the joint creation of value by multiple parties such as a company and its customers) and digitalization (the application of new digital technologies and the ensuing changes in sociotechnical structures and relationships)-and propose a set of policies and strategies that health care organizations could adopt to ensure that benefits from technological innovations are more equitably distributed among all target populations, including resource-poor communities and individuals.

摘要

技术创新通常使那些能够很好地接触并理解基础技术的人受益。因此,以技术为中心的医疗保健创新可能会优先惠及社会经济背景优越的用户。医疗保健组织应采取哪些政策和策略来促进技术创新带来的利益公平分配?在本文中,我们借鉴两个重要概念——共同创造(公司及其客户等多方共同创造价值)和数字化(新数字技术的应用以及随之而来的社会技术结构和关系的变化),并提出一套医疗保健组织可以采用的政策和策略,以确保技术创新带来的利益在所有目标人群中更公平地分配,包括资源匮乏的社区和个人。

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