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Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities

Healthcare has long struggled to improve services through technology without further widening health disparities. With the significant expansion of digital health, a group of healthcare professionals and scholars from across the globe are proposing the official usage of the term “Digital Determinant...

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Autores principales: Holmes Fee, Casey, Hicklen, Rachel Scarlett, Jean, Sidney, Abu Hussein, Nebal, Moukheiber, Lama, de Lota, Michelle Foronda, Moukheiber, Mira, Moukheiber, Dana, Anthony Celi, Leo, Dankwa-Mullan, Irene
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569606/
https://www.ncbi.nlm.nih.gov/pubmed/37824481
http://dx.doi.org/10.1371/journal.pdig.0000314
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author Holmes Fee, Casey
Hicklen, Rachel Scarlett
Jean, Sidney
Abu Hussein, Nebal
Moukheiber, Lama
de Lota, Michelle Foronda
Moukheiber, Mira
Moukheiber, Dana
Anthony Celi, Leo
Dankwa-Mullan, Irene
author_facet Holmes Fee, Casey
Hicklen, Rachel Scarlett
Jean, Sidney
Abu Hussein, Nebal
Moukheiber, Lama
de Lota, Michelle Foronda
Moukheiber, Mira
Moukheiber, Dana
Anthony Celi, Leo
Dankwa-Mullan, Irene
author_sort Holmes Fee, Casey
collection PubMed
description Healthcare has long struggled to improve services through technology without further widening health disparities. With the significant expansion of digital health, a group of healthcare professionals and scholars from across the globe are proposing the official usage of the term “Digital Determinants of Health” (DDOH) to explicitly call out the relationship between technology, healthcare, and equity. This is the final paper in a series published in PLOS Digital Health that seeks to understand and summarize current knowledge of the strategies and solutions that help to mitigate the negative effects of DDOH for underinvested communities. Through a search of English-language Medline, Scopus, and Google Scholar articles published since 2010, 345 articles were identified that discussed the application of digital health technology among underinvested communities. A group of 8 reviewers assessed 132 articles selected at random for the mention of solutions that minimize differences in DDOH. Solutions were then organized by categories of policy; design and development; implementation and adoption; and evaluation and ongoing monitoring. The data were then assessed by category and the findings summarized. The reviewers also looked for common themes across the solutions and evidence of effectiveness. From this limited scoping review, the authors found numerous solutions mentioned across the papers for addressing DDOH and many common themes emerged regardless of the specific community or digital health technology under review. There was notably less information on solutions regarding ongoing evaluation and monitoring which corresponded with a lack of research evidence regarding effectiveness. The findings directionally suggest that universal strategies and solutions can be developed to address DDOH independent of the specific community under focus. With the need for the further development of DDOH measures, we also provide a framework for DDOH assessment.
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spelling pubmed-105696062023-10-13 Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities Holmes Fee, Casey Hicklen, Rachel Scarlett Jean, Sidney Abu Hussein, Nebal Moukheiber, Lama de Lota, Michelle Foronda Moukheiber, Mira Moukheiber, Dana Anthony Celi, Leo Dankwa-Mullan, Irene PLOS Digit Health Review Healthcare has long struggled to improve services through technology without further widening health disparities. With the significant expansion of digital health, a group of healthcare professionals and scholars from across the globe are proposing the official usage of the term “Digital Determinants of Health” (DDOH) to explicitly call out the relationship between technology, healthcare, and equity. This is the final paper in a series published in PLOS Digital Health that seeks to understand and summarize current knowledge of the strategies and solutions that help to mitigate the negative effects of DDOH for underinvested communities. Through a search of English-language Medline, Scopus, and Google Scholar articles published since 2010, 345 articles were identified that discussed the application of digital health technology among underinvested communities. A group of 8 reviewers assessed 132 articles selected at random for the mention of solutions that minimize differences in DDOH. Solutions were then organized by categories of policy; design and development; implementation and adoption; and evaluation and ongoing monitoring. The data were then assessed by category and the findings summarized. The reviewers also looked for common themes across the solutions and evidence of effectiveness. From this limited scoping review, the authors found numerous solutions mentioned across the papers for addressing DDOH and many common themes emerged regardless of the specific community or digital health technology under review. There was notably less information on solutions regarding ongoing evaluation and monitoring which corresponded with a lack of research evidence regarding effectiveness. The findings directionally suggest that universal strategies and solutions can be developed to address DDOH independent of the specific community under focus. With the need for the further development of DDOH measures, we also provide a framework for DDOH assessment. Public Library of Science 2023-10-12 /pmc/articles/PMC10569606/ /pubmed/37824481 http://dx.doi.org/10.1371/journal.pdig.0000314 Text en © 2023 Holmes Fee et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Review
Holmes Fee, Casey
Hicklen, Rachel Scarlett
Jean, Sidney
Abu Hussein, Nebal
Moukheiber, Lama
de Lota, Michelle Foronda
Moukheiber, Mira
Moukheiber, Dana
Anthony Celi, Leo
Dankwa-Mullan, Irene
Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities
title Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities
title_full Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities
title_fullStr Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities
title_full_unstemmed Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities
title_short Strategies and solutions to address Digital Determinants of Health (DDOH) across underinvested communities
title_sort strategies and solutions to address digital determinants of health (ddoh) across underinvested communities
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569606/
https://www.ncbi.nlm.nih.gov/pubmed/37824481
http://dx.doi.org/10.1371/journal.pdig.0000314
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