Yee Kwang Chien, Bettiol Silvana, Nash Rosie, Macintyrne Kate, Wong Ming Chao, Nøhr Christian
School of Medicine, University of Tasmania.
School of Engineering and ICT, University of Tasmania.
Stud Health Technol Inform. 2018;247:591-595.
Advances in medicine have improved health and healthcare for many around the world. The challenge is achieving the best outcomes of health via healthcare delivery to every individual. Healthcare inequalities exist within a country and between countries. Health information technology (HIT) has provided a mean to deliver equal access to healthcare services regardless of social context and physical location. In order to achieve better health outcomes for every individual, socio-cultural factors, such as literacy and social context need to consider. This paper argues that HIT while improves healthcare inequalities by providing access, might worsen healthcare inequity. In order to improve healthcare inequity using HIT, this paper argues that we need to consider patients and context, and hence the concept of context driven care. To improve healthcare inequity, we need to conceptually consider the patient's view and methodologically consider design methods that achieve participatory outcomes.
医学的进步改善了全世界许多人的健康状况和医疗保健水平。挑战在于通过为每个人提供医疗服务来实现最佳的健康结果。一个国家内部以及不同国家之间都存在医疗保健不平等现象。卫生信息技术（HIT）提供了一种手段，无论社会背景和地理位置如何，都能实现平等获得医疗服务的机会。为了让每个人都能获得更好的健康结果，需要考虑社会文化因素，如识字率和社会背景。本文认为，卫生信息技术虽然通过提供获取途径改善了医疗保健不平等现象，但可能会加剧医疗保健不公平。为了利用卫生信息技术改善医疗保健不公平现象，本文认为我们需要考虑患者和具体情况，因此提出了情境驱动护理的概念。为了改善医疗保健不公平现象，我们需要从概念上考虑患者的观点，并从方法上考虑实现参与性结果的设计方法。
