Friis-Healy Elsa A, Nagy Gabriela A, Kollins Scott H
Department of Psychiatry and Behavioral Services, Duke University School of Medicine, Durham, NC, United States.
Duke University School of Nursing, Durham, NC, United States.
JMIR Ment Health. 2021 Jan 26;8(1):e25456. doi: 10.2196/25456.
The behavioral health toll of the COVID-19 pandemic and systemic racism has directed increased attention to the potential of digital health as a way of improving access to and quality of behavioral health care. However, as the pandemic continues to widen health disparities in racially and ethnically minoritized groups, concerns arise around an increased reliance on digital health technologies exacerbating the digital divide and reinforcing rather than mitigating systemic health inequities in communities of color. As funding for digital mental health continues to surge, we offer five key recommendations on how the field can "REACT" to ensure the development of approaches that increase health equity by increasing real-world evidence, educating consumers and providers, utilizing adaptive interventions to optimize care, creating for diverse populations, and building trust. Recommendations highlight the need to take a strengths-based view when designing for racially and ethnically diverse populations and embracing the potential of digital approaches to address complex challenges.
新冠疫情和系统性种族主义对行为健康造成的损害，已使人们更加关注数字健康在改善行为健康护理的可及性和质量方面的潜力。然而，随着疫情继续扩大种族和少数族裔群体的健康差距，人们开始担心，对数字健康技术的更多依赖会加剧数字鸿沟，并强化而非缓解有色人种社区的系统性健康不平等。随着数字心理健康资金的持续激增，我们就该领域如何“做出反应”提出五项关键建议，以确保通过增加实际证据、教育消费者和提供者、利用适应性干预措施优化护理、为不同人群创造条件以及建立信任等方式，开发出能够增进健康公平的方法。这些建议强调，在为种族和民族多样化人群设计时，需要采取基于优势的观点，并充分利用数字方法应对复杂挑战的潜力。
