Neter Efrat, Western Max J, Cooper Rosie, Silva Anabelle Macedo, König Laura M
Ruppin Academic Center, Emek Hefer, Israel.
Centre for Motivation and Behaviour Change, Department for Health, University of Bath, Bath, UK.
Glob Health Res Policy. 2025 Jul 30;10(1):31. doi: 10.1186/s41256-025-00433-x.
Over the past decade, the integration of information and communications technologies (ICTs) in healthcare has grown significantly, as has the rapid increase in internet access and mobile device ownership by individuals. However, challenges such as the digital divide, encompassing disparities in access, usage skills, and the benefits derived from ICT use, persist. Addressing this divide is crucial for maximizing the potential of digital health technologies, particularly for more vulnerable people in society who often require the most support. This commentary paper's aim is to advocate training, in both educational and healthcare settings, so as to contribute towards bridging the digital divide. We propose that educational programs for healthcare professionals in academic institutions can integrate modules on the digital health divide within existing courses on social determinants of health (e.g., sociology, epidemiology, and health informatics) or in specific courses on digital health. The recommended courses should include modules on the digital divide, its causes, implications, and strategies to first assess and then enhance digital and health literacy among patients. Training healthcare professionals in work settings would be part of continuous professional development. This training should include assessing digital health literacy, identifying barriers to uptake, engagement and impact of digital health tools, and providing tailored education on digital health tools or interventions. Healthcare professionals should follow protocols to ensure the effective use of digital health tools by diverse patients and have access to community resources for ongoing support. Finally, the paper suggests service-wide international standards for ameliorating the digital divide.
在过去十年中,信息通信技术(ICTs)在医疗保健领域的整合显著增长,个人互联网接入和移动设备拥有量也迅速增加。然而,诸如数字鸿沟等挑战依然存在,这包括在接入、使用技能以及ICT使用所带来的益处方面的差距。解决这一鸿沟对于充分发挥数字健康技术的潜力至关重要,特别是对于社会中往往最需要支持的弱势群体而言。本评论文章的目的是倡导在教育和医疗环境中开展培训,以有助于弥合数字鸿沟。我们建议,学术机构中针对医疗保健专业人员的教育项目可以在现有的健康社会决定因素课程(如社会学、流行病学和健康信息学)中,或在数字健康的特定课程中纳入关于数字健康鸿沟的模块。推荐的课程应包括关于数字鸿沟、其成因、影响以及首先评估然后提高患者数字素养和健康素养的策略的模块。在工作环境中对医疗保健专业人员进行培训将是持续专业发展的一部分。这种培训应包括评估数字健康素养、识别数字健康工具的采用、参与和影响方面的障碍,以及提供关于数字健康工具或干预措施的定制教育。医疗保健专业人员应遵循规程,以确保不同患者有效使用数字健康工具,并能够获得社区资源以获得持续支持。最后,本文提出了改善数字鸿沟的全行业国际标准。