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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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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. |
format | Online Article Text |
id | pubmed-7586788 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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