在促进数字健康公平和预防数字健康不公平的过程中,数字健康决定因素是解决多层次复杂因果模型的一种方法:范围综述

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
D. Petretto, Gian Pietro Carrogu, L. Gaviano, Roberta Berti, Martina Pinna, Andrea Domenico Petretto, Roberto Pili
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引用次数: 0

摘要

随着医疗服务的逐步数字化以及远程医疗和电子健康的普及,促进数字健康公平(DHE)显然是支持健康潜力的必要条件,以避免一些人可能遭受意外的不公平。在本文中,我们考虑了所谓的 "数字健康决定因素"(DDoH)及其与健康决定因素(DoH)之间的关系,探讨了可能产生不公平风险的复杂因果过程。根据 PRISMA-ScR 指南中提出的方法框架,我们对 DDoH 的定义(Scopus、Pubmed 和 Web of Science 电子数据库)进行了范围审查。纳入标准:有关 DDoH 定义的论文,无时间限制,所有研究设计均符合条件。关于 "数据鸿沟 "与 "数字鸿沟 "之间的联系,以及 "数据鸿沟 "作为障碍和促进因素对各种健康和功能结果的影响,已达成共识。作者建议修改 "彩虹模型 "或其他有关数字鸿沟的概念模型,或将其与数字鸿沟结合起来。为促进 DHE,作者建议考虑多维复杂因果模型,不同层面之间相互依存,相互促进。研究 DDoH 及其与主要健康决定因素的关系可能是在促进 DHE 的过程中解决复杂因果模型的一种方法。然而,由于它们是在多维因果背景下发挥作用的,因此任何干预措施都应考虑到不同相关层面之间、不同层面内部的相互依存关系,以及相互促进的效应。要想更全面地了解该领域的情况,还需要开展进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital determinants of health as a way to address multilevel complex causal model in the promotion of Digital health equity and the prevention of digital health inequities: A scoping review
With the progressive digitization of health services and the current spread of Telemedicine and e-Health, it became clear that promoting Digital health equity (DHE) is necessary to support health potential, to avoid that some individuals can incur in unintended inequities. In this paper, we address the complex causal process(es) that may generate risk of inequities, considering the so-called “Digital Determinants of health” (DDoH) and their relationship with determinants of health (DoH). We conducted a scoping review, according to methodological framework proposed in PRISMA-ScR guidelines, on the definition of DDoH (Scopus, Pubmed and Web of Science electronic databases). Inclusion criteria: papers on the definition of DDoH, no time limits, all study designs eligible. There is an agreement on the link between DDoHs and “digital divide” and on their effects on a wide range of health, functioning outcomes, both as barriers and as facilitators. Authors proposed to modify or integrate with DDoHs the “Rainbow model” or other conceptual models on DoH. To promote DHE, authors suggest considering a multidimensional complex causal model, with interdependence among the different levels and the mutually reinforcing effects. To study DDoH and their relationship with main determinants of health could be a way to address the complex causal model in the promotion of DHE. However, as they act in a multidimensional causal context, any intervention may consider the interdependence among different involved levels, within them, and the mutually reinforcing effects. Further research is needed to gain a more complete picture of the field.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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