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本文引用的文献

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Access to Technology and Digital Literacy as Determinants of Health and Health Care.技术获取和数字素养作为健康和医疗保健的决定因素。
Creat Nurs. 2023 Aug;29(3):258-263. doi: 10.1177/10784535231211682. Epub 2023 Nov 1.
2
In search of a fix to the primary health care chasm in India: can institutionalizing a public health cadre and inducting family physicians be the answer?寻求解决印度基层医疗保健差距的办法:将公共卫生干部制度化并引入家庭医生会是答案吗?
Lancet Reg Health Southeast Asia. 2023 Apr 18;13:100197. doi: 10.1016/j.lansea.2023.100197. eCollection 2023 Jun.
3
Intersection of class, caste, gender and unmet healthcare needs in India: Implications for health policy.印度阶级、种姓、性别与未满足的医疗需求的交叉点:对卫生政策的影响。
Health Policy Open. 2021 Apr 2;2:100040. doi: 10.1016/j.hpopen.2021.100040. eCollection 2021 Dec.
4
Digital Transformation in Healthcare: Technology Acceptance and Its Applications.医疗保健领域的数字化转型:技术接受及其应用。
Int J Environ Res Public Health. 2023 Feb 15;20(4):3407. doi: 10.3390/ijerph20043407.
5
Exploring Telehealth Readiness in a Resource Limited Setting: Digital and Health Literacy among Older People in Rural India (DAHLIA).在资源有限环境中探索远程医疗的准备情况:印度农村老年人的数字素养与健康素养(达利娅研究)
Geriatrics (Basel). 2022 Mar 1;7(2):28. doi: 10.3390/geriatrics7020028.
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Disparities in Health Care and the Digital Divide.医疗保健方面的差异与数字鸿沟。
Curr Psychiatry Rep. 2021 Jul 23;23(9):61. doi: 10.1007/s11920-021-01274-4.
7
Bibliometric Analysis and Methodological Review of Mobile Health Services and Applications in India.印度移动医疗服务和应用的文献计量分析与方法学回顾。
Int J Med Inform. 2021 Jan;145:104330. doi: 10.1016/j.ijmedinf.2020.104330. Epub 2020 Nov 10.
8
eHealth and mHealth.电子健康与移动健康。
Eur J Hosp Pharm. 2019 Jan;26(1):57-58. doi: 10.1136/ejhpharm-2018-001819. Epub 2018 Dec 21.
9
Current Status and Future Directions of mHealth Interventions for Health System Strengthening in India: Systematic Review.印度用于加强卫生系统的移动健康干预措施的现状与未来方向:系统评价
JMIR Mhealth Uhealth. 2018 Oct 26;6(10):e11440. doi: 10.2196/11440.
10
Case Study Observational Research: A Framework for Conducting Case Study Research Where Observation Data Are the Focus.案例研究观察性研究:一个以观察数据为重点进行案例研究的框架。
Qual Health Res. 2017 Jun;27(7):1060-1068. doi: 10.1177/1049732316649160. Epub 2016 May 22.

数字革命时代的医疗服务获取:为“”的情况辩护

Accessing medical care in the era of the digital revolution: arguing the case for the "".

作者信息

Choolayil Anoop C, Paranthaman Sadhishkumar, Kuttiatt Vijesh Sreedhar

机构信息

Unit of Clinical and Molecular Medicine, ICMR-Vector Control Research Centre, Puducherry, India.

出版信息

Front Digit Health. 2024 Oct 21;6:1468633. doi: 10.3389/fdgth.2024.1468633. eCollection 2024.

DOI:10.3389/fdgth.2024.1468633
PMID:39498099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11532061/
Abstract

This article explores the intersection of healthcare accessibility and digitalisation from a rights perspective. Drawing from two illustrative cases presented to a filariasis management clinic in Puducherry, where the authors are affiliated, the article argues that despite the multiple benefits that digital health poses, there are individuals and sections of society that experience marginalisation in healthcare owing to digitalisation. Collating the data generated through the observations of the authors and the narratives of the patients, the article illustrates that such marginalisation can originate even from a relatively simple ICT adaptation like text message-based appointments, inducing health inequities. The impact of such digital marginalisation disproportionately affects vulnerable sections like older adults and the rural population in an intersectional pattern where disadvantages compound to produce larger health inequities for the affected. The study advocates for bridging the digital divide through efforts including digital literacy-when possible-and alternative solutions like dedicated helpdesks, training healthcare staff and involving NGOs and voluntary organisations to ensure health equity for the digitally marginalised.

摘要

本文从权利视角探讨了医疗可及性与数字化的交叉点。作者以提交给本地治里一家丝虫病管理诊所(作者所属机构)的两个实例为依据,认为尽管数字健康带来诸多益处,但仍有个人和社会群体因数字化而在医疗保健中遭遇边缘化。通过整理作者观察所得的数据以及患者的叙述,本文表明,即使是像基于短信预约这样相对简单的信息通信技术应用,也可能导致这种边缘化,进而引发健康不平等。这种数字边缘化的影响以交叉模式 disproportionately 影响老年人和农村人口等弱势群体,不利因素相互叠加,给受影响者造成更大的健康不平等。该研究主张通过多种努力弥合数字鸿沟,包括尽可能开展数字素养培训,以及设立专门服务台、培训医护人员、让非政府组织和志愿组织参与等替代解决方案,以确保数字边缘化群体的健康公平。