Bringing Health Care Equity to Diverse and Underserved Populations in Sleep Medicine and Research Through a Digital Health Equity Framework

Blanc, Judite; Hahn, K. Robert; Oliveira, Bruno; Phillips, R. K. S.; Duthely, Lunthita; Francois, Laura; Carrasco, Márquez; Moore, Jesse; Sternberg, Candice A.; Jean‐Louis, Girardin; Seixas, Azizi

doi:10.1016/j.jsmc.2023.05.009

Sleep Medicine Clinics

2023

DOI: 10.1016/j.jsmc.2023.05.009

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Bringing Health Care Equity to Diverse and Underserved Populations in Sleep Medicine and Research Through a Digital Health Equity Framework

Judite Blanc

K. Robert Hahn

Bruno Oliveira

et al.

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2024

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Cited by 2 publications

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“…While many health systems have made investments in patient portals, their adoption has been slower among underserved populations, including patients from racial and ethnic minority backgrounds, individuals with limited English proficiency, those with low socioeconomic status, older adults, and those with low literacy levels. [5][6][7][8][9][10] The intricate interplay of factors influencing adoption encompasses personal, social, technical, organizational, and healthcare dimensions. Studies show a patient-centric paradigm is needed that prioritizes the seamless integration of digital tools within the broader context of the patient's journey and treatment regimen.…”

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confidence: 99%

Implementing A Digital Health Navigator: Strategies & Experience in The Hospital Setting to alleviate Digital Equity

Saiyed, MD, MBA,

Ng, MD,

Cherry

et al. 2024

THMT

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Background: The implementation of telemedicine and digital health technologies in healthcare has increased, but patients still need help adopting and utilizing these technologies. To address this, a Digital Health Navigator (DHN) program was implemented to evaluate the benefits of improving patients’ adoption. Objectives: To alleviate digital equity within hospitals, we introduced a holistic digital health navigator program designed to promote the utilization of digital tools among hospitalized patients. To implement a DHN program to improve patient adoption of digital portals to engage in healthcare. To learn from the program to further develop patient-facing portal education for hospitalized patients to expand to other hospitals. Methods: Over a period of thirty days, the DHN program conducted patient visits in two hospitals, on portal usage, collecting data, and adapting protocols based on patient feedback. Results: Feedback from patients indicated 98% of patients found the education and the DHN to be helpful. 92% recommend the UPMC Central PA Portal for accessing their healthcare information. The DHN program proves beneficial in promoting portal usage and addressing technological barriers experienced by patients. We provide strategies and recommendations on how to implement such a program. Discussion: We successfully implemented a digital health navigator program for hospitalized patients across two hospitals. Patients reported a positive perception and satisfaction with digital health navigator visits . Notably, our model overcomes challenges related to limited internet access and mitigates technology-related anxiety during hospital stays. The DHN program proved beneficial in promoting hospital portal usage and addressing technological barriers experienced by patients. Implementation and sustained adoption of digital technologies across a large healthcare organization can be achieved through a well-coordinated, team-based, and systematic approach with a DHN. We provide strategies and recommendations on how to implement such a program

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mentioning

confidence: 99%

Implementing A Digital Health Navigator: Strategies & Experience in The Hospital Setting to alleviate Digital Equity

Saiyed, MD, MBA,

Ng, MD,

Cherry

et al. 2024

THMT

View full text Add to dashboard Cite

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Expanding a Behavioral View on Digital Health Access: Drivers and Strategies to Promote Equity

Kepper,

Fowler,

Kusters

et al. 2024

J Med Internet Res

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The potential and threat of digital tools to achieve health equity has been highlighted for over a decade but success in achieving equitable access to health technologies remains challenging. Our paper addresses renewed concerns regarding equity in digital health access that were deepened during the COVID-19 pandemic. Utilizing behavioral, equity, and access frameworks allowed for a unique and comprehensive exploration of current drivers of digital health inequities. This paper presents a compilation of strategies that have the potential for actionable impact on digital health equity. Multi-level factors drive unequal access, so strategies require action from tool developers, individual delivery agents, organizations, and systems to effect change. Strategies were shaped with a behavioral medicine focus as the field has a unique role in improving digital health access -arguably, all digital tools require the user (individual, provider, health system) to change behavior by engaging with the technology to generate impact. The paper presents a model that emphasizes using multi-level strategies across stages of design, delivery, dissemination, and sustainment to advance digital health access and foster health equity.

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Bringing Health Care Equity to Diverse and Underserved Populations in Sleep Medicine and Research Through a Digital Health Equity Framework

Cited by 2 publications

References 22 publications

Implementing A Digital Health Navigator: Strategies & Experience in The Hospital Setting to alleviate Digital Equity

Implementing A Digital Health Navigator: Strategies & Experience in The Hospital Setting to alleviate Digital Equity

Expanding a Behavioral View on Digital Health Access: Drivers and Strategies to Promote Equity

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