Digital Health Paradox: International Policy Perspectives to Address Increased Health Inequalities for People Living With Disabilities

The COVID-19 pandemic accelerated the uptake of digital health worldwide and highlighted many benefits of these innovations. However, it also stressed the magnitude of inequalities regarding accessing digital health. Using a scoping review, this article explores the potential benefits of digital tec...

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Published in:Journal of medical Internet research Vol. 24; no. 2; p. e33819
Main Authors: van Kessel, Robin, Hrzic, Rok, O'Nuallain, Ella, Weir, Elizabeth, Wong, Brian Li Han, Anderson, Michael, Baron-Cohen, Simon, Mossialos, Elias
Format: Journal Article
Language:English
Published: Canada Journal of Medical Internet Research 22.02.2022
Gunther Eysenbach MD MPH, Associate Professor
JMIR Publications
Subjects:
Australia
Autism
Canada
Case studies
Coronaviruses
COVID-19
Digital literacy
Digital technology
Disability
Disability studies
Disease transmission
Ecosystem
Employment
Epidemics
Estonia
False information
Foreign policy
Health care
Health care policy
Health disparities
Health education
Health literacy
Health services
Health Status Disparities
Humans
Inequality
Infrastructure
Innovations
Literacy
Medical policy
Pandemics
People with disabilities
Persons with Disabilities
Policy
Population
Public health
SARS-CoV-2
Sweden
Technological change
Technology and civilization
United Kingdom
United States
Uptake
Viewpoint
United States
Canada
United Kingdom
Sweden
Australia
Estonia
United Kingdom > UK
inclusion
health systems
digital health
health policy
disability
people living with disabilities
digital technologies
eHealth
ISSN:1438-8871, 1439-4456, 1438-8871
Online Access:Get full text
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Abstract The COVID-19 pandemic accelerated the uptake of digital health worldwide and highlighted many benefits of these innovations. However, it also stressed the magnitude of inequalities regarding accessing digital health. Using a scoping review, this article explores the potential benefits of digital technologies for the global population, with particular reference to people living with disabilities, using the autism community as a case study. We ultimately explore policies in Sweden, Australia, Canada, Estonia, the United Kingdom, and the United States to learn how policies can lay an inclusive foundation for digital health systems. We conclude that digital health ecosystems should be designed with health equity at the forefront to avoid deepening existing health inequalities. We call for a more sophisticated understanding of digital health literacy to better assess the readiness to adopt digital health innovations. Finally, people living with disabilities should be positioned at the center of digital health policy and innovations to ensure they are not left behind.
AbstractList The COVID-19 pandemic accelerated the uptake of digital health worldwide and highlighted many benefits of these innovations. However, it also stressed the magnitude of inequalities regarding accessing digital health. Using a scoping review, this article explores the potential benefits of digital technologies for the global population, with particular reference to people living with disabilities, using the autism community as a case study. We ultimately explore policies in Sweden, Australia, Canada, Estonia, the United Kingdom, and the United States to learn how policies can lay an inclusive foundation for digital health systems. We conclude that digital health ecosystems should be designed with health equity at the forefront to avoid deepening existing health inequalities. We call for a more sophisticated understanding of digital health literacy to better assess the readiness to adopt digital health innovations. Finally, people living with disabilities should be positioned at the center of digital health policy and innovations to ensure they are not left behind.
The COVID-19 pandemic accelerated the uptake of digital health worldwide and highlighted many benefits of these innovations. However, it also stressed the magnitude of inequalities regarding accessing digital health. Using a scoping review, this article explores the potential benefits of digital technologies for the global population, with particular reference to people living with disabilities, using the autism community as a case study. We ultimately explore policies in Sweden, Australia, Canada, Estonia, the United Kingdom, and the United States to learn how policies can lay an inclusive foundation for digital health systems. We conclude that digital health ecosystems should be designed with health equity at the forefront to avoid deepening existing health inequalities. We call for a more sophisticated understanding of digital health literacy to better assess the readiness to adopt digital health innovations. Finally, people living with disabilities should be positioned at the center of digital health policy and innovations to ensure they are not left behind.The COVID-19 pandemic accelerated the uptake of digital health worldwide and highlighted many benefits of these innovations. However, it also stressed the magnitude of inequalities regarding accessing digital health. Using a scoping review, this article explores the potential benefits of digital technologies for the global population, with particular reference to people living with disabilities, using the autism community as a case study. We ultimately explore policies in Sweden, Australia, Canada, Estonia, the United Kingdom, and the United States to learn how policies can lay an inclusive foundation for digital health systems. We conclude that digital health ecosystems should be designed with health equity at the forefront to avoid deepening existing health inequalities. We call for a more sophisticated understanding of digital health literacy to better assess the readiness to adopt digital health innovations. Finally, people living with disabilities should be positioned at the center of digital health policy and innovations to ensure they are not left behind.
Audience Academic
Author van Kessel, Robin
Wong, Brian Li Han
O'Nuallain, Ella
Anderson, Michael
Hrzic, Rok
Mossialos, Elias
Baron-Cohen, Simon
Weir, Elizabeth
AuthorAffiliation 1 Department of International Health Care and Public Health Research Institute Maastricht University Maastricht Netherlands
6 The Lancet and Financial Times Commission on Governing Health Futures 2030: Growing up in a digital world Global Health Centre The Graduate Institute Geneva Switzerland
7 Steering Committee European Public Health Association Digital Health Section Utrecht Netherlands
5 Autism Research Center Department of Psychiatry University of Cambridge Cambridge United Kingdom
3 Global Health Workforce Network Youth Hub World Health Organization Geneva Switzerland
9 Institute of Global Health Innovation Imperial College London London United Kingdom
2 Studio Europa Maastricht University Maastricht Netherlands
8 Department of Health Policy London School of Economics and Political Science London United Kingdom
4 Public Sector Strategy Team Deloitte Consulting Pty Ltd Sydney Australia
AuthorAffiliation_xml – name: 1 Department of International Health Care and Public Health Research Institute Maastricht University Maastricht Netherlands
– name: 3 Global Health Workforce Network Youth Hub World Health Organization Geneva Switzerland
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– name: 9 Institute of Global Health Innovation Imperial College London London United Kingdom
– name: 2 Studio Europa Maastricht University Maastricht Netherlands
– name: 7 Steering Committee European Public Health Association Digital Health Section Utrecht Netherlands
– name: 8 Department of Health Policy London School of Economics and Political Science London United Kingdom
– name: 5 Autism Research Center Department of Psychiatry University of Cambridge Cambridge United Kingdom
– name: 6 The Lancet and Financial Times Commission on Governing Health Futures 2030: Growing up in a digital world Global Health Centre The Graduate Institute Geneva Switzerland
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ContentType Journal Article
Copyright Robin van Kessel, Rok Hrzic, Ella O'Nuallain, Elizabeth Weir, Brian Li Han Wong, Michael Anderson, Simon Baron-Cohen, Elias Mossialos. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.02.2022.
COPYRIGHT 2022 Journal of Medical Internet Research
2022. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
Robin van Kessel, Rok Hrzic, Ella O'Nuallain, Elizabeth Weir, Brian Li Han Wong, Michael Anderson, Simon Baron-Cohen, Elias Mossialos. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.02.2022. 2022
Copyright_xml – notice: Robin van Kessel, Rok Hrzic, Ella O'Nuallain, Elizabeth Weir, Brian Li Han Wong, Michael Anderson, Simon Baron-Cohen, Elias Mossialos. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.02.2022.
– notice: COPYRIGHT 2022 Journal of Medical Internet Research
– notice: 2022. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.
– notice: Robin van Kessel, Rok Hrzic, Ella O'Nuallain, Elizabeth Weir, Brian Li Han Wong, Michael Anderson, Simon Baron-Cohen, Elias Mossialos. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.02.2022. 2022
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Issue 2
Keywords inclusion
health systems
digital health
health policy
disability
people living with disabilities
digital technologies
eHealth
Language English
License Robin van Kessel, Rok Hrzic, Ella O'Nuallain, Elizabeth Weir, Brian Li Han Wong, Michael Anderson, Simon Baron-Cohen, Elias Mossialos. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 22.02.2022.
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 work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.
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  text: 2022-02-22
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Gunther Eysenbach MD MPH, Associate Professor
JMIR Publications
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