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识别由科技行业主导的旨在解决数字健康公平性问题的举措。

Identifying technology industry-led initiatives to address digital health equity.

作者信息

Durocher Keri, Boparai Navi, Jankowicz Damian, Strudwick Gillian

机构信息

Centre for Addiction and Mental Health, Toronto, Ontario, Canada.

Arthur Labatt Family School of Nursing, Western University, London, Ontario, Canada.

出版信息

Digit Health. 2021 Nov 29;7:20552076211056156. doi: 10.1177/20552076211056156. eCollection 2021 Jan-Dec.

Abstract

OBJECTIVE

The COVID-19 pandemic has highlighted various barriers to health and the necessity of having access to digital health services. The technology industry can support addressing health barriers, promoting health equity and partnering with organizations to ensure access to digital health services for underserviced communities. The main objective of this study was to 1) identify what initiatives have been developed within the technology industry to address digital health equity; and to 2) determine whether these initiatives have been effective.

METHODS

A rapid review and a grey literature scan were conducted. The academic searches were performed using four databases, including Ovid MEDLINE, Scopus, CINAHL and PsychInfo. Two reviewers screened the articles for inclusion criteria. The grey literature scan was performed through Google and Million Short. Searches of technology industry initiatives were completed through scanning technology companies listed on the New York Stock Exchange, the Toronto Stock Exchange and iShares Expanded Tech Sector - Exchange Traded Fund.

RESULTS

Within the technology industry, 39 companies had relevant initiatives. These were identified as having one or more of the following: 1) having health-related collaborations with other companies, 2) promoting access to technology infrastructure and 3) delivering programs that supported notable inequities within the social determinants of health. Limited data are available on the effectiveness of these initiatives in reducing health inequities.

CONCLUSIONS

As technology in the delivery of health services continues to evolve, health equity initiatives must be supported through innovative strategies. Partnering with the technology industry may be one way of addressing these health equity challenges.

摘要

目的

新冠疫情凸显了各种健康障碍以及获取数字健康服务的必要性。科技行业可以支持消除健康障碍、促进健康公平,并与各组织合作,以确保服务不足的社区能够获得数字健康服务。本研究的主要目的是:1)确定科技行业内已制定了哪些举措来解决数字健康公平问题;2)确定这些举措是否有效。

方法

进行了快速综述和灰色文献扫描。学术搜索使用了四个数据库,包括Ovid MEDLINE、Scopus、CINAHL和PsychInfo。两名评审员筛选文章以确定纳入标准。灰色文献扫描通过谷歌和Million Short进行。通过扫描在纽约证券交易所、多伦多证券交易所和安硕科技行业交易所交易基金上市的科技公司,完成了对科技行业举措的搜索。

结果

在科技行业内,39家公司有相关举措。这些举措被确定为具有以下一项或多项:1)与其他公司开展与健康相关的合作;2)促进技术基础设施的获取;3)提供支持健康社会决定因素中显著不平等问题的项目。关于这些举措在减少健康不平等方面的有效性的数据有限。

结论

随着提供健康服务的技术不断发展,必须通过创新战略来支持健康公平举措。与科技行业合作可能是应对这些健康公平挑战的一种方式。

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