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缩小数字鸿沟:创建远程医疗公平仪表盘的框架

Narrowing the Digital Divide: Framework for Creating Telehealth Equity Dashboards.

作者信息

Luke Michael J, Craig Sansanee, Pak-Gorstein Suzinne, Arellano Marlíse, Zhang Jessica, Wright S Margaret, Chuo John, Scribano Philip V

机构信息

Children's Hospital of Philadelphia, Philadelphia, PA, United States.

Clinical Futures, Children's Hospital of Philadelphia, Philadelphia, PA, United States.

出版信息

Interact J Med Res. 2024 Sep 4;13:e57435. doi: 10.2196/57435.

DOI:10.2196/57435
PMID:39231423
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411219/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/11411219/4fcae7682aff/ijmr_v13i1e57435_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/11411219/a0401f87f626/ijmr_v13i1e57435_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/11411219/4fcae7682aff/ijmr_v13i1e57435_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/11411219/a0401f87f626/ijmr_v13i1e57435_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/11411219/4fcae7682aff/ijmr_v13i1e57435_fig2.jpg

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本文引用的文献

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Social Determinants of Health and Patients' Technology Acceptance of Telehealth During the COVID-19 Pandemic: Pilot Survey.COVID-19 大流行期间的健康社会决定因素和患者对远程医疗的技术接受度:试点调查。
JMIR Hum Factors. 2023 Nov 7;10:e47982. doi: 10.2196/47982.
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Strategies to Bridge Equitable Implementation of Telehealth.促进远程医疗公平实施的策略。
Interact J Med Res. 2023 May 15;12:e40358. doi: 10.2196/40358.
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Social Determinants of Digital Health Adoption: Pilot Cross-sectional Survey.数字健康采用的社会决定因素:试点横断面调查
JMIR Form Res. 2022 Dec 6;6(12):e39647. doi: 10.2196/39647.
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Defining Telehealth for Research, Implementation, and Equity.为研究、实施和公平界定远程医疗。
J Med Internet Res. 2022 Apr 13;24(4):e35037. doi: 10.2196/35037.
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Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond.儿科远程医疗在 COVID-19 大流行时代及以后的应用。
Pediatrics. 2021 Sep;148(3). doi: 10.1542/peds.2020-047795. Epub 2021 Jul 2.
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Understanding Telemedicine's "New Normal": Variations in Telemedicine Use by Specialty Line and Patient Demographics.理解远程医疗的“新常态”:按专业类别和患者特征划分的远程医疗使用变化。
Telemed J E Health. 2022 Jan;28(1):51-59. doi: 10.1089/tmj.2021.0041. Epub 2021 Mar 25.
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The Critical Role of Racial/Ethnic Data Disaggregation for Health Equity.种族/族裔数据分类在健康公平中的关键作用。
Popul Res Policy Rev. 2021;40(1):1-7. doi: 10.1007/s11113-020-09631-6. Epub 2021 Jan 8.
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Patterns (N Y). 2020 Nov 11;1(9):100141. doi: 10.1016/j.patter.2020.100141. eCollection 2020 Dec 11.
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Estimating the Unknown: Greater Racial and Ethnic Disparities in COVID-19 Burden After Accounting for Missing Race and Ethnicity Data.估算未知:在考虑缺失种族和族裔数据后,COVID-19 负担中的更大种族和族裔差异。
Epidemiology. 2021 Mar 1;32(2):157-161. doi: 10.1097/EDE.0000000000001314.
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Pediatrics. 2020 Nov;146(5). doi: 10.1542/peds.2020-1781. Epub 2020 Aug 18.