Luke Michael J, Craig Sansanee, Pak-Gorstein Suzinne, Arellano Marlíse, Zhang Jessica, Wright S Margaret, Chuo John, Scribano Philip V
Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Interact J Med Res. 2024 Sep 4;13:e57435. doi: 10.2196/57435.
Telehealth presents both the potential to improve access to care and to widen the digital divide contributing to health care disparities and obliging health care systems to standardize approaches to measure and display telehealth disparities. Based on a literature review and the operational experience of clinicians, informaticists, and researchers in the Supporting Pediatric Research on Outcomes and Utilization of Telehealth (SPROUT)-Clinical and Translational Science Awards (CTSA) Network, we outline a strategic framework for health systems to develop and optimally use a telehealth equity dashboard through a 3-phased approach of (1) defining data sources and key equity-related metrics of interest; (2) designing a dynamic and user-friendly dashboard; and (3) deploying the dashboard to maximize engagement among clinical staff, investigators, and administrators.
远程医疗既具有改善医疗服务可及性的潜力,也有可能扩大数字鸿沟,进而导致医疗保健差异,迫使医疗保健系统规范衡量和显示远程医疗差异的方法。基于文献综述以及远程医疗结果与利用支持儿科研究(SPROUT)-临床与转化科学奖(CTSA)网络中临床医生、信息学家和研究人员的运营经验,我们概述了一个战略框架,供卫生系统通过三个阶段的方法来开发和优化使用远程医疗公平仪表板:(1)定义数据源和关键的公平相关指标;(2)设计一个动态且用户友好的仪表板;(3)部署仪表板以最大限度地提高临床工作人员、研究人员和管理人员的参与度。