Richardson Safiya, Lawrence Katharine, Schoenthaler Antoinette M, Mann Devin
New York University Grossman School of Medicine, New York City, NY, USA.
NPJ Digit Med. 2022 Aug 18;5(1):119. doi: 10.1038/s41746-022-00663-0.
We present a comprehensive Framework for Digital Health Equity, detailing key digital determinants of health (DDoH), to support the work of digital health tool creators in industry, health systems operations, and academia. The rapid digitization of healthcare may widen health disparities if solutions are not developed with these determinants in mind. Our framework builds on the leading health disparities framework, incorporating a digital environment domain. We examine DDoHs at the individual, interpersonal, community, and societal levels, discuss the importance of a root cause, multi-level approach, and offer a pragmatic case study that applies our framework.
我们提出了一个全面的数字健康公平框架，详细阐述了关键的健康数字决定因素（DDoH），以支持行业、卫生系统运营和学术界的数字健康工具创造者的工作。如果在开发解决方案时没有考虑到这些决定因素，医疗保健的快速数字化可能会扩大健康差距。我们的框架建立在领先的健康差距框架基础上，纳入了数字环境领域。我们在个人、人际、社区和社会层面审视了DDoH，讨论了根本原因、多层次方法的重要性，并提供了一个应用我们框架的务实案例研究。
