3042University of Dundee, Dundee, Scotland, United Kingdom.
1016NHS Scotland, Glasgow, Scotland, United Kingdom.
Healthc Manage Forum. 2022 Sep;35(5):279-285. doi: 10.1177/08404704221107362. Epub 2022 Jul 1.
Response to COVID-19 has both intentionally and unintentionally progressed the digitization of health and community care, which can be viewed as a human rights issue considering that access to health and community care is a human right. In this article, we reviewed two cases of digitization of health and community care during the pandemic; one in Scotland, United Kingdom and another in British Columbia, Canada. An integrated analysis revealed that digitization of health and community care has intended positive and unintended negative consequences. Based on the analysis, we suggest five areas of improvement for equity in care: building on the momentum of technology advantages; education and digital literacy; information management and security; development of policy and regulatory frameworks; and the future of digital health and community care. This article sheds light on how health practitioners and leaders can work to enhance equity in care experiences amid the changing digital landscape.
应对 COVID-19 疫情在有意无意间推动了医疗和社区保健的数字化发展，考虑到享有医疗和社区保健是一项人权，这可以被视为一个人权问题。在本文中，我们回顾了疫情期间医疗和社区保健数字化的两个案例；一个在英国苏格兰，另一个在加拿大不列颠哥伦比亚省。综合分析表明，医疗和社区保健的数字化既有预期的积极影响，也有意外的负面影响。基于分析，我们提出了改善保健公平性的五个方面：利用技术优势的势头；教育和数字素养；信息管理和安全；制定政策和监管框架；以及数字医疗和社区保健的未来。本文揭示了医疗从业者和领导者如何在不断变化的数字环境中努力提高保健体验的公平性。
