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电子健康使用中的平等挑战:丹麦公民调查的部分结果

Equality Challenges in the Use of eHealth: Selected Results from a Danish Citizens Survey.

作者信息

Petersen Lone Stub, Bertelsen Pernille

机构信息

Department of Development and Planning, Aalborg University, Aalborg, Denmark.

出版信息

Stud Health Technol Inform. 2017;245:793-797.

Abstract

The increased focus on and use of citizen/patient generated health data has spurred a wide range of personal health technology projects within digital intervention in health, e.g. telehealth. These developments are focused on objectives of improving health, but also claiming to provide health services at a lower cost. However, the question is: do the ways healthcare technologies are designed and developed support and improve healthcare services for those who need it the most? Survey data from our study point toward health informatics challenges in reaching the people who are considered in 'health risk' group, who, in this study, are interpreted as people with low level of education. The study shows that this group is less likely to use and communicate through health information technologies (HIT) and is generally more sceptical towards the benefits of HIT. We conclude that there is a need to pay specific attention to the patient groups that are socio-economically and health wise weakest during HIT design and development. It would also provide equality and equity in digital health intervention and access to healthcare for them in the future.

摘要

对公民/患者生成的健康数据的更多关注和使用,推动了健康数字干预领域(如远程医疗)中的一系列个人健康技术项目。这些发展聚焦于改善健康的目标,同时也声称能以更低成本提供健康服务。然而,问题在于:医疗技术的设计和开发方式是否支持并改善了对最需要者的医疗服务?我们研究的调查数据指出了在接触被视为“健康风险”群体(在本研究中被解释为低教育水平人群)时健康信息学所面临的挑战。研究表明,该群体不太可能使用健康信息技术(HIT)进行交流,并且总体上对HIT的益处更为怀疑。我们得出结论,在HIT的设计和开发过程中,需要特别关注社会经济和健康状况最薄弱的患者群体。这也将在未来为他们提供数字健康干预和平等获得医疗服务的机会。

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