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医疗保健中的数字鸿沟:富人与穷人的故事?

Digital Disparities in Healthcare: A Tale of the Haves and Have-Nots?

作者信息

Chen Allen M

机构信息

Department of Radiation Oncology, University of California, Irvine, Chao Family Comprehensive Cancer Center, Orange, CA, USA.

出版信息

J Patient Exp. 2025 May 21;12:23743735251343585. doi: 10.1177/23743735251343585. eCollection 2025.

Abstract

While the digitalization of healthcare and the advent of consumer-centered technologies have led to advancements in patient engagement, it is evident that certain, underprivileged segments of society might not be benefiting. The purpose of this review was to thus analyze the expanding data focusing on digital disparities in healthcare and was designed based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) statement. First, a literature search of original, peer-reviewed publications was undertaken to identify studies pertaining to disparities in the utilization of digital technologies in healthcare using a variety of customized retrieval terms. Articles published from January 2014 to January 2024 were included. Subsequently, a total of 247 peer-reviewed studies were identified which were used to construct a framework for interpretation. The core themes could broadly be categorized into digital health portals ( = 74), telemedicine ( = 57), healthcare wearables ( = 49), digital intervention tools ( = 35), and virtual education ( = 32). While the potential of digital health to fundamentally transform the nature of patient-centric care is increasingly being recognized, the growing "digital divide" between the "haves" and "have-nots" with respect to nearly every facet of technology implementation raises concern regarding the perpetuation of inequities across society.

摘要

虽然医疗保健的数字化和以消费者为中心的技术的出现推动了患者参与度的提高,但显然社会中某些弱势群体可能并未从中受益。因此,本综述的目的是分析围绕医疗保健领域数字鸿沟不断扩展的数据,并根据系统评价与荟萃分析方案的首选报告项目(PRISMA-P)声明进行设计。首先,通过使用各种定制检索词,对原始的、经过同行评审的出版物进行文献检索,以识别与医疗保健领域数字技术使用差异相关的研究。纳入了2014年1月至2024年1月发表的文章。随后,共识别出247项经过同行评审的研究,并用于构建一个解释框架。核心主题大致可分为数字健康门户(74项)、远程医疗(57项)、医疗可穿戴设备(49项)、数字干预工具(35项)和虚拟教育(32项)。虽然数字健康从根本上改变以患者为中心的护理性质的潜力越来越受到认可,但在技术实施的几乎每个方面,“有”和“没有”之间日益扩大的“数字鸿沟”引发了对社会不平等持续存在的担忧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43c2/12099147/6f48ea463d41/10.1177_23743735251343585-fig1.jpg

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