Digital Health: An Opportunity to Advance Health Equity for People With Disabilities.

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Milbank Quarterly Pub Date : 2025-08-28 DOI:10.1111/1468-0009.70049

Pankaj Jain, Bhav Jain, Rushabh Doshi, Urvish Jain, Henry Claypool, Ariana Aboulafia, Bonnielin K Swenor

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引用次数: 0

Abstract

Policy Points Universal Design and Inclusion: Mandate all digital health platforms, devices, and services be built on universal design principles and codeveloped with people with disabilities, ensuring compatibility with assistive technology and emergency response features. Standardized Disability Data Collection: Implement mandatory, standardized disability data collection in electronic health records with robust privacy protections, addressing the Patient Protection and Affordable Care Act Section 4302 gaps while enabling personalized care and research. Accessibility as Civil Rights: Treat accessibility as a civil rights issue with strict enforcement of Section 508, Americans With Disabilities Act, and Section 1557, including the patient interoperability mandate, penalties for noncompliance, and legal recourse for patients. Funding and Incentives: Establish funding incentives prioritizing disability equity, digital literacy programs, value-based payment models, and workforce training for healthcare professionals using disability-inclusive digital health tools.

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数字健康：促进残疾人健康平等的机会。

政策要点通用设计和包容：要求所有数字卫生平台、设备和服务建立在通用设计原则之上，并与残疾人共同开发，确保与辅助技术和应急响应功能兼容。标准化残疾数据收集：在电子健康记录中实施强制性、标准化的残疾数据收集，并提供强有力的隐私保护，解决《患者保护和平价医疗法案》第4302节的差距，同时实现个性化护理和研究。将可访问性视为公民权利：将可访问性视为公民权利问题，严格执行Section 508、美国残疾人法案和Section 1557，包括患者互操作性要求、对不遵守规定的处罚和对患者的法律追索权。资金和激励措施：建立资金激励措施，优先考虑残疾人平等、数字扫盲计划、基于价值的支付模式，以及使用残疾人包容性数字健康工具的医疗保健专业人员的劳动力培训。

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来源期刊

Milbank Quarterly 医学-卫生保健

CiteScore

9.60

自引率

3.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.