Department of Clinical Operations and Evidence, Ovia Health, Boston, Massachusetts.
Semin Reprod Med. 2024 Jun;42(2):140-150. doi: 10.1055/s-0044-1791206. Epub 2024 Sep 30.
The rise in smartphone utilization and technology uptake has popularized digital health interventions as a means of supporting healthy pregnancies and optimizing maternal and child health. Digital health interventions include several modalities, such as telemedicine, remote patient monitoring, smartphone applications, web-based interventions, wearables, and health information technology. However, the impact of these interventions on improving maternal and infant health outcomes by race and socioeconomic status to achieve birth equity is unknown. This review summarizes current literature on the impact of digital health interventions on the outcomes of communities of color and lower socioeconomic status in the United States. We demonstrate there is emerging evidence of the impact of digital health interventions on maternal health outcomes, particularly for telemedicine, but evidence specifically focused on assessing outcomes by race and ethnicity and for other modalities, like mHealth apps or wearables, is limited. Digital health interventions may play a part in birth equity initiatives, but should not be considered a standalone solution, and instead should be integrated into other existing efforts to achieve birth equity, like diversifying the clinician workforce, expanding access to high-quality prenatal and postpartum care, or delivering respectful maternity care.
智能手机的使用和技术的普及使得数字健康干预措施成为支持健康妊娠和优化母婴健康的一种手段。数字健康干预措施包括多种方式，如远程医疗、远程患者监测、智能手机应用程序、基于网络的干预措施、可穿戴设备和健康信息技术。然而，这些干预措施对于改善种族和社会经济地位母婴健康结果以实现生育公平的影响尚不清楚。本综述总结了目前关于数字健康干预措施对美国有色人种和社会经济地位较低的社区的影响的文献。我们证明了数字健康干预措施对产妇健康结果的影响正在出现，特别是对于远程医疗，但专门评估种族和民族以及其他方式（如移动健康应用程序或可穿戴设备）结果的证据有限。数字健康干预措施可能在生育公平倡议中发挥作用，但不应被视为独立的解决方案，而应与其他现有的实现生育公平的努力相结合，如使临床医生队伍多样化、扩大获得高质量产前和产后护理的机会或提供尊重产妇的护理。
