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E-grāmata: Promises and Perils of Digital Strategies in Achieving Health Equity: Workshop Summary

  • Formāts: 82 pages
  • Izdošanas datums: 22-Jun-2016
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309438926
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  • Formāts: 82 pages
  • Izdošanas datums: 22-Jun-2016
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309438926
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Health care is in the midst of a dramatic transformation in the United States. Spurred by technological advances, economic imperatives, and governmental policies, information technologies are rapidly being applied to health care in an effort to improve access, enhance quality, and decrease costs. At the same time, the use of technologies by the consumers of health care is changing how people interact with the health care system and with health information.





These changes in health care have the potential both to exacerbate and to diminish the stark disparities in health and well-being that exist among population groups in the United States. If the benefits of technology flow disproportionately to those who already enjoy better coverage, use, and outcomes than disadvantaged groups, heath disparities could increase. But if technologies can be developed and implemented in such a way to improve access and enhance quality for the members of all groups, the ongoing transformation of health care could reduce the gaps among groups while improving health care for all.





To explore the potential for further insights into, and opportunities to address, disparities in underserved populations the National Academies of Sciences, Engineering, and Medicine held a workshop in October 2014. The workshop focused on (1) how communities are using digital health technologies to improve health outcomes for racial and ethnic minority populations, (2) how community engagement can improve access to high-quality health information for members of these groups, and (3) on models of successful technology-based strategies to reduce health disparities. This report summarizes the presentations and discussions at the workshop.

Table of Contents



Front Matter 1 Introduction of the Workshop 2 Technology and Health Disparities 3 Engaging Providers and Racial/Ethnic Minority Patients in Digital Strategies 4 Examples of Engaging Racial/Ethnic Minority Communities in Digital Health Strategies 5 Policy and Technology Perspectives 6 Synthesis of Workshop Messages References Appendix A: Examples of eHealth Solutions Featured at the Workshop Appendix B: Workshop Agenda Appendix C: Speaker Biographical Sketches
Acronyms And Abbreviations xiii
1 Introduction Of The Workshop
1(4)
Highlights of the Workshop
3(1)
Organization of the Report
4(1)
2 Technology And Health Disparities
5(10)
Equity at the Henry Ford Health System
6(1)
The Potential of Technology
7(1)
The Perils of Technology
8(1)
Engaging Communities
9(2)
The Diversity of Hope
11(1)
Realizing the Promise of Mobile Technologies
11(1)
Mobile Technologies and Health Disparities
12(1)
Using Mobile Technologies to Change Behavior
13(2)
3 Engaging Providers And Racial/Ethnic Minority Patients In Digital Strategies
15(12)
Creating a Movement for Change
16(2)
The Value of Theories
18(1)
A Health Literacy Perspective on Health Disparities
19(3)
Designing Systems for Health Literacy and Equity
22(5)
4 Examples Of Engaging Racial/Ethnic Minority Communities In Digital Health Strategies
27(8)
Reducing Digital and Health Inequities in Latina Immigrant Communities
28(2)
A Tailored Web-Based Intervention for Young MSM in Southeast Michigan
30(5)
5 Policy And Technology Perspectives
35(8)
Top-Down and Bottom-Up Approaches to Policy
36(2)
The Policy Perspective from an Integrated Health Care Delivery System
38(3)
Observations from a Technology Developer
41(2)
6 Synthesis Of Workshop Messages
43(4)
Generating Evidence of Effectiveness
43(1)
Privacy and Sustainability
44(1)
The In-Person Component
44(1)
Involving Communities
45(1)
Scalability and Adaptability
46(1)
Involving Providers
46(1)
References
47(2)
Appendixes
A Examples Of Ehealth Solutions Featured At The Workshop
49(8)
B Workshop Agenda
57(4)
C Speaker Biographical Sketches
61