Accessing medical care in the era of the digital revolution: arguing the case for the "digitally marginalised".

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-10-21 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1468633
Anoop C Choolayil, Sadhishkumar Paranthaman, Vijesh Sreedhar Kuttiatt
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Abstract

This article explores the intersection of healthcare accessibility and digitalisation from a rights perspective. Drawing from two illustrative cases presented to a filariasis management clinic in Puducherry, where the authors are affiliated, the article argues that despite the multiple benefits that digital health poses, there are individuals and sections of society that experience marginalisation in healthcare owing to digitalisation. Collating the data generated through the observations of the authors and the narratives of the patients, the article illustrates that such marginalisation can originate even from a relatively simple ICT adaptation like text message-based appointments, inducing health inequities. The impact of such digital marginalisation disproportionately affects vulnerable sections like older adults and the rural population in an intersectional pattern where disadvantages compound to produce larger health inequities for the affected. The study advocates for bridging the digital divide through efforts including digital literacy-when possible-and alternative solutions like dedicated helpdesks, training healthcare staff and involving NGOs and voluntary organisations to ensure health equity for the digitally marginalised.

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在数字革命时代获得医疗服务:为 "数字边缘人 "辩护。
本文从权利的角度探讨了医疗保健可及性与数字化之间的交集。文章从作者所在的普杜切里丝虫病管理诊所的两个说明性案例出发,论证了尽管数字化医疗带来了多种益处,但仍有一些个人和社会阶层因数字化而在医疗保健领域遭遇边缘化。通过对作者的观察和患者的叙述所产生的数据进行整理,文章说明了这种边缘化甚至可以源于相对简单的信息和通信技术改造,如基于文本信息的预约,从而导致健康不平等。这种数字边缘化的影响不成比例地影响着老年人和农村人口等弱势人群,在这种交叉模式下,不利因素复合在一起,为受影响者带来了更大的健康不平等。该研究提倡通过各种努力来弥合数字鸿沟,包括在可能的情况下开展数字扫盲,以及采用专门的服务台、培训医疗保健人员、让非政府组织和志愿组织参与进来等替代解决方案,以确保数字边缘化人群的健康平等。
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CiteScore
4.20
自引率
0.00%
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0
审稿时长
13 weeks
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