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Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017

Informed by a discourse analysis, this article examines the framing of equity within the UK's digital health policies between 2010 and 2017, focusing on England's development of NHS Digital and its situation within the UK Government's wider digital strategy. Analysis of significant po...

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Detalles Bibliográficos
Autores principales: Rich, Emma, Miah, Andy, Lewis, Sarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586788/
https://www.ncbi.nlm.nih.gov/pubmed/31599987
http://dx.doi.org/10.1111/1467-9566.12980
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author Rich, Emma
Miah, Andy
Lewis, Sarah
author_facet Rich, Emma
Miah, Andy
Lewis, Sarah
author_sort Rich, Emma
collection PubMed
description Informed by a discourse analysis, this article examines the framing of equity within the UK's digital health policies between 2010 and 2017, focusing on England's development of NHS Digital and its situation within the UK Government's wider digital strategy. Analysis of significant policy documents reveals three interrelated discourses that are engaged within England's digital health policies: equity as a neoliberal imaginary of digital efficiency and empowerment; digital health as a pathway towards democratising health care through data‐sharing, co‐creation and collaboration; and finally, digital health as a route towards extending citizen autonomy through their access to data systems. It advances knowledge of the relationship between digital health policy and health inequalities. Revealing that while inclusion remains a priority area for policymakers, equity is being constituted in ways that reflect broader discourses of neoliberalism, empowerment and the turn to the market for technological solutionism, which may potentially exacerbate health inequalities.
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spelling pubmed-75867882020-10-30 Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017 Rich, Emma Miah, Andy Lewis, Sarah Sociol Health Illn Promissory Digital Health Informed by a discourse analysis, this article examines the framing of equity within the UK's digital health policies between 2010 and 2017, focusing on England's development of NHS Digital and its situation within the UK Government's wider digital strategy. Analysis of significant policy documents reveals three interrelated discourses that are engaged within England's digital health policies: equity as a neoliberal imaginary of digital efficiency and empowerment; digital health as a pathway towards democratising health care through data‐sharing, co‐creation and collaboration; and finally, digital health as a route towards extending citizen autonomy through their access to data systems. It advances knowledge of the relationship between digital health policy and health inequalities. Revealing that while inclusion remains a priority area for policymakers, equity is being constituted in ways that reflect broader discourses of neoliberalism, empowerment and the turn to the market for technological solutionism, which may potentially exacerbate health inequalities. John Wiley and Sons Inc. 2019-10-10 2019-10 /pmc/articles/PMC7586788/ /pubmed/31599987 http://dx.doi.org/10.1111/1467-9566.12980 Text en © 2019 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL) This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Promissory Digital Health
Rich, Emma
Miah, Andy
Lewis, Sarah
Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017
title Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017
title_full Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017
title_fullStr Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017
title_full_unstemmed Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017
title_short Is digital health care more equitable? The framing of health inequalities within England's digital health policy 2010–2017
title_sort is digital health care more equitable? the framing of health inequalities within england's digital health policy 2010–2017
topic Promissory Digital Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586788/
https://www.ncbi.nlm.nih.gov/pubmed/31599987
http://dx.doi.org/10.1111/1467-9566.12980
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