Cargando…

Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era

BACKGROUND: The COVID-19 pandemic has given an unprecedented boost to already increased digital health services, which can place many vulnerable groups at risk of digital exclusion. To improve the likelihood of achieving digital health equity, it is necessary to identify and address the elements tha...

Descripción completa

Detalles Bibliográficos
Autores principales: Kaihlanen, Anu-Marja, Virtanen, Lotta, Buchert, Ulla, Safarov, Nuriiar, Valkonen, Paula, Hietapakka, Laura, Hörhammer, Iiris, Kujala, Sari, Kouvonen, Anne, Heponiemi, Tarja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840681/
https://www.ncbi.nlm.nih.gov/pubmed/35151302
http://dx.doi.org/10.1186/s12913-022-07584-4
_version_ 1784650680047239168
author Kaihlanen, Anu-Marja
Virtanen, Lotta
Buchert, Ulla
Safarov, Nuriiar
Valkonen, Paula
Hietapakka, Laura
Hörhammer, Iiris
Kujala, Sari
Kouvonen, Anne
Heponiemi, Tarja
author_facet Kaihlanen, Anu-Marja
Virtanen, Lotta
Buchert, Ulla
Safarov, Nuriiar
Valkonen, Paula
Hietapakka, Laura
Hörhammer, Iiris
Kujala, Sari
Kouvonen, Anne
Heponiemi, Tarja
author_sort Kaihlanen, Anu-Marja
collection PubMed
description BACKGROUND: The COVID-19 pandemic has given an unprecedented boost to already increased digital health services, which can place many vulnerable groups at risk of digital exclusion. To improve the likelihood of achieving digital health equity, it is necessary to identify and address the elements that may prevent vulnerable groups from benefiting from digital health services. This study examined the challenges experienced by vulnerable groups in using digital health services during the COVID-19 pandemic. METHODS: Qualitative descriptive design was utilized. Semi-structured interviews were conducted between October 2020 and May 2021. The participants (N = 74) were older adults, migrants, mental health service users, high users of health services, and the unemployed. Qualitative content analysis with both inductive and deductive approach was used to analyze the data. Challenges related to the use of digital health services were interpreted through digital determinants of health from the Digital Health Equity Framework. RESULTS: For most of the participants the access to digital health services was hampered by insufficient digital, and / or local language skills. The lack of support and training, poor health, as well as the lack of strong e-identification or suitable devices also prevented the access. Digital services were not perceived to be applicable for all situations or capable of replacing face-to-face services due to the poor communication in the digital environment. Fears and the lack of trust regarding digital platforms were expressed as well as concerns related to the security of the services. Contact with a health care professional was also considered less personal and more prone to misunderstandings in the digital environment than in face-to-face services. Finally, digital alternatives were not always available as desired by participants, or participants were unaware of existing digital services and their value. CONCLUSION: Several development needs in the implementation of digital health services were identified that could improve equal access to and benefits gained from digital services in the future. While digital health services are increasing, traditional face-to-face services will still need to be offered alongside the digital ones to ensure equal access to services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07584-4.
format Online
Article
Text
id pubmed-8840681
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-88406812022-02-16 Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era Kaihlanen, Anu-Marja Virtanen, Lotta Buchert, Ulla Safarov, Nuriiar Valkonen, Paula Hietapakka, Laura Hörhammer, Iiris Kujala, Sari Kouvonen, Anne Heponiemi, Tarja BMC Health Serv Res Research BACKGROUND: The COVID-19 pandemic has given an unprecedented boost to already increased digital health services, which can place many vulnerable groups at risk of digital exclusion. To improve the likelihood of achieving digital health equity, it is necessary to identify and address the elements that may prevent vulnerable groups from benefiting from digital health services. This study examined the challenges experienced by vulnerable groups in using digital health services during the COVID-19 pandemic. METHODS: Qualitative descriptive design was utilized. Semi-structured interviews were conducted between October 2020 and May 2021. The participants (N = 74) were older adults, migrants, mental health service users, high users of health services, and the unemployed. Qualitative content analysis with both inductive and deductive approach was used to analyze the data. Challenges related to the use of digital health services were interpreted through digital determinants of health from the Digital Health Equity Framework. RESULTS: For most of the participants the access to digital health services was hampered by insufficient digital, and / or local language skills. The lack of support and training, poor health, as well as the lack of strong e-identification or suitable devices also prevented the access. Digital services were not perceived to be applicable for all situations or capable of replacing face-to-face services due to the poor communication in the digital environment. Fears and the lack of trust regarding digital platforms were expressed as well as concerns related to the security of the services. Contact with a health care professional was also considered less personal and more prone to misunderstandings in the digital environment than in face-to-face services. Finally, digital alternatives were not always available as desired by participants, or participants were unaware of existing digital services and their value. CONCLUSION: Several development needs in the implementation of digital health services were identified that could improve equal access to and benefits gained from digital services in the future. While digital health services are increasing, traditional face-to-face services will still need to be offered alongside the digital ones to ensure equal access to services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07584-4. BioMed Central 2022-02-12 /pmc/articles/PMC8840681/ /pubmed/35151302 http://dx.doi.org/10.1186/s12913-022-07584-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kaihlanen, Anu-Marja
Virtanen, Lotta
Buchert, Ulla
Safarov, Nuriiar
Valkonen, Paula
Hietapakka, Laura
Hörhammer, Iiris
Kujala, Sari
Kouvonen, Anne
Heponiemi, Tarja
Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era
title Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era
title_full Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era
title_fullStr Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era
title_full_unstemmed Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era
title_short Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era
title_sort towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the covid-19 era
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840681/
https://www.ncbi.nlm.nih.gov/pubmed/35151302
http://dx.doi.org/10.1186/s12913-022-07584-4
work_keys_str_mv AT kaihlanenanumarja towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT virtanenlotta towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT buchertulla towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT safarovnuriiar towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT valkonenpaula towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT hietapakkalaura towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT horhammeriiris towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT kujalasari towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT kouvonenanne towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era
AT heponiemitarja towardsdigitalhealthequityaqualitativestudyofthechallengesexperiencedbyvulnerablegroupsinusingdigitalhealthservicesinthecovid19era