Strengthening the evidence base on the use of digital health technologies to accelerate progress towards universal health coverage DOI Creative Commons

Mathilde Forslund,

Kirsten Mathieson,

Yacine Djibo

и другие.

Oxford Open Digital Health, Год журнала: 2024, Номер 2

Опубликована: Янв. 1, 2024

Digital health and the digital transformation of systems are an enabler accelerator to achieving Universal Health Coverage (UHC) in low- middle-income countries. This can help close equity gaps, enhance primary healthcare, improve efficiency outcomes. However, landscape is characterized by fragmented initiatives investments, insufficient political will, inadequate governance data. special collection Oxford Open showcases impacts interventions approaches towards expanded healthcare access improved commentary makes case for policy innovation leadership, robust data a people-centred approach leverage benefits transformation. Prioritizing these areas accessibility, affordability, quality care, UHC goals.

Язык: Английский

Challenges for remote patient monitoring programs in rural and regional areas: a qualitative study DOI Creative Commons
Joel Fossouo Tagne, Kara Burns,

Teresa O’Brein

и другие.

BMC Health Services Research, Год журнала: 2025, Номер 25(1)

Опубликована: Март 13, 2025

Abstract Background Access to healthcare significantly influences health outcomes, and rural, regional remote populations face greater challenges in accessing than urban populations. Digital tools, such as patient monitoring (RPM), have significant potential address these challenges, yet there is little research on the facilitators barriers of RPM regions. Aim This study aims identify understand staff implementing rural Australia, with focus that arose after onset COVID-19 pandemic. Methods Semi-structured groups were conducted professionals from publicly funded services western Victoria, Australia. An open-ended interview guide based Consolidated Framework for Implementation Research (CFIR) was used key themes strategies effective implementation. The analysis considered at micro, meso, macro levels. Results Several implementation identified across different levels: (1) Micro-Level Factors, perceived low digital literacy language among individuals; (2) Meso-Level including disparities IT infrastructure device availability, limited training opportunities, need enhanced governance within settings; (3) Macro-Level encompassing evolving funding models reliability service providers. Despite participants acknowledged benefits improved technological interoperability, community engagement, a data-driven approach quality improvement. Importantly, flexible, tailored accommodate specific needs deemed valuable. Conclusion Effective deployment areas viewed by crucial bridging divides. However, if developed settings are not recalibrated risk failure may escalate. Future initiatives must prioritize region-specific policy reforms aimed ensuring equitable financial resource allocation enhance access settings. ensure solutions both adaptable effective, unique each community.

Язык: Английский

Процитировано

1

Political determinants of digital health: beyond the rainbow DOI Creative Commons
Sara L.M. Davis

Health Promotion International, Год журнала: 2025, Номер 40(2)

Опубликована: Март 5, 2025

Abstract In 2021, the World Health Organization issued its first global strategy on digital technologies and health, calling member states to develop their own national health strategies. However, normative tools that guide development of these strategies do not prompt consider how broader political factors, such as law policy, governance, civic engagement, could shape outcomes in age. The gender divide, algorithmic biases linked race, transnational private sector actors, more must be thoroughly addressed future Experiences from HIV response have demonstrated it is possible this, by mobilizing diverse government non-governmental actors systematically assess act strengthen legal environment for health. This essay draws critically engage with recent literature determinants proposing an approach analyzing including commercial other laws, policies, engagement relevant By rendering visible role politics, can mobilize broad collaborations advocacy creates enabling environment.

Язык: Английский

Процитировано

0

"Promoting the use of digital health equity audits also to avoid armful infodemiology": editorial (Preprint) DOI

Massimiliano Biondi,

Fabio Filippetti,

GIORGIO BRANDI

и другие.

Опубликована: Апрель 4, 2025

BACKGROUND Health disparities persist and are influenced by digital transformation. Although tools offer opportunities, they can also exacerbate existing inequalities, a problem amplified the COVID-19 pandemic related infodemic. Equity Audit (HEA) tools, such as those developed in United Kingdom, provide framework to assess equity but require adaptation for context. Digital Determinants of (DDoH) increasingly recognized crucial factors influencing health outcomes era. OBJECTIVE This editorial proposes an approach extend HEA principles create specific framework, named (DHEA), designed systematically address inequities within design, implementation, evaluation technologies, with focus on DDoH. METHODS A cyclical DHEA model based is proposed, integrating them frameworks. The cycle comprises six phases: 1) Scoping audit mobilizing team (including community members); 2) Developing profile identifying (assessing DDoH at individual, interpersonal, community, societal levels); 3) Identifying high-impact actions inequities; 4) Prioritizing maximum impact; 5) Implementing supporting change; 6) Evaluating progress, impact, refining. method emphasizes multi-level interventions stakeholder engagement. RESULTS main result articulation itself: structured, 6-phase guide organizations analysis proactive mitigation health-related disparities. explicitly integrates assessment across multiple levels (individual, societal) promotes development targeted ensure solutions promote equity. CONCLUSIONS offers integrated consider social, epidemiological, health, technological variables, aiming reduce through conscious use new technologies. It emphasized that technologies be cause or solution inequalities; proposed tool foster Its systematic adoption, along collaborative (co-design) trust-building, help benefits digitalization equitably distributed, while strengthening trust institutions. Continued attention needed manage emerging challenges infodemiology era Big Data AI. CLINICALTRIAL NN

Язык: Английский

Процитировано

0

DiScO: novel rapid systems mapping to inform digital transformation of health systems DOI Creative Commons
Tarun Reddy Katapally, Nadine Elsahli, Jasmin Bhawra

и другие.

Frontiers in Public Health, Год журнала: 2024, Номер 12

Опубликована: Окт. 25, 2024

Global health systems are confronting challenges that intersect climate change with evolving communicable and non-communicable public risks. Addressing these requires integration via citizen big data exist outside systems. However, across jurisdictions is a complex challenge stakeholder input. This study's purpose was to conduct rapid mapping international system stakeholders inform the development implementation of global digital science observatory (DiScO), which aims catalyze transformation jurisdictions.

Язык: Английский

Процитировано

2

Strengthening the evidence base on the use of digital health technologies to accelerate progress towards universal health coverage DOI Creative Commons

Mathilde Forslund,

Kirsten Mathieson,

Yacine Djibo

и другие.

Oxford Open Digital Health, Год журнала: 2024, Номер 2

Опубликована: Янв. 1, 2024

Digital health and the digital transformation of systems are an enabler accelerator to achieving Universal Health Coverage (UHC) in low- middle-income countries. This can help close equity gaps, enhance primary healthcare, improve efficiency outcomes. However, landscape is characterized by fragmented initiatives investments, insufficient political will, inadequate governance data. special collection Oxford Open showcases impacts interventions approaches towards expanded healthcare access improved commentary makes case for policy innovation leadership, robust data a people-centred approach leverage benefits transformation. Prioritizing these areas accessibility, affordability, quality care, UHC goals.

Язык: Английский

Процитировано

2