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应对健康的数字决定因素:数字健康的主要优势与挑战

[Addressing the digital determinants of health: Main advantages and challenges of digital health].

作者信息

Alarcón Belmonte Iris, Jiménez Lozano Ana I, Sánchez Collado Consuelo, Forero Chaves Venus, Cabrera Majada Antonio, García-Gutiérrez Gómez Rocío

机构信息

Área de Calidad Asistencial y Seguridad de los Pacientes de Atención Primaria, Institut Català de la Salut, Barcelona, España; Facultad de Medicina, Universidad de Vic-Universidad Central de Cataluña (UVic-UCC), Vic, Barcelona, España; Grupo de Salud Digital de la Sociedad Catalana de Medicina Familiar y Comunitaria, Barcelona, España.

Centro de Atención Primaria Roger-Badal, Institut Català de la Salut, Barcelona, España; Grupo de trabajo COCOOPSI Salud Internacional de la Sociedad Catalana de Medicina Familiar y Comunitaria, Barcelona, España.

出版信息

Aten Primaria. 2025 Jun 23;57(10):103311. doi: 10.1016/j.aprim.2025.103311.

Abstract

The unequal distribution of social and digital determinants of health generates axes of inequity that may affect both the general population and healthcare professionals in their practice. This article explores specific social determinants that influence the use of digital health services. Regarding healthcare professionals, available evidence is limited. This study presents the perceptions and reflections of a focus group of family physicians on the use of digital tools. The participants expressed concern about inequities in access among patients, as well as difficulties related to access, use, and quality of use of these tools. Many of these issues could be addressed through professional training strategies and the availability of secure and high-speed internet connections in healthcare centers.

摘要

健康的社会和数字决定因素的不平等分布产生了不公平轴心,这可能会影响普通人群和医疗保健专业人员的执业。本文探讨了影响数字健康服务使用的具体社会决定因素。关于医疗保健专业人员,现有证据有限。本研究呈现了一个家庭医生焦点小组对数字工具使用的看法和思考。参与者对患者获取数字工具的不平等表示担忧,以及与这些工具的获取、使用和使用质量相关的困难。其中许多问题可以通过专业培训策略以及医疗中心提供安全高速的互联网连接来解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86c0/12240078/91bb76683946/gr1.jpg

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