Re-Prioritizing Digital Health and Health Literacy in <i>Healthy People 2030</i> to Affect Health Equity

Jackson, Devlon; Trivedi, Neha; Baur, Cynthia

doi:10.1080/10410236.2020.1748828

Cited by 51 publications

(53 citation statements)

References 12 publications

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“…Recommendations at the level of health care organizations and health systems have been more varied. These have included encouragement to develop quality improvement activities focused on underserved or marginalized communities [ 12 , 18 , 27 ], educational initiatives for providers and leaders [ 12 , 23 , 29 , 33 ], and the collection of metrics that provide insight into equity-related outcomes [ 12 ]. Specific advice to clinicians has included strategies such as carefully planning a mix of in-person and virtual visits for clients especially at risk of poor health outcomes during the pandemic [ 25 ], and using telephone-based visits (over video visits) when a patient has access to a telephone but not a device that would enable a video visit [ 25 , 26 , 28 , 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…At the level of communities and patients, recommendations focused on both the engagement of community members in service development and strategies to enhance digital literacy [ 13 , 25 , 26 , 29 , 30 ]. Specific approaches advocated include developing partnerships with community-based organizations and using inclusive design strategies that involve diverse users in the design of the technology [ 13 , 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…At the level of policy and government, recommendations have focused on strategies for health policy makers and health care funders to enable access both to the infrastructure required for patients to participate in virtual care (ie, inclusive design standards, broadband internet, and digital devices) and the availability of virtual care services to entire populations (eg, by appropriately reimbursing virtual care) [13,15,23,25,[30][31][32][33]. In addition, policy-focused recommendations have emphasized the clarity of public health messaging about COVID-19 and related restrictions, and the role of digital technologies in enhancing the accuracy and reach of such messaging [24,29].…”

Section: Recommended Strategies To Promote Health Equitymentioning

confidence: 99%

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Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Shaw¹,

Brewer²,

Veinot³

2021

JMIR Form Res

122

117

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Background The COVID-19 health crisis has disproportionately impacted populations who have been historically marginalized in health care and public health, including low-income and racial and ethnic minority groups. Members of marginalized communities experience undue barriers to accessing health care through virtual care technologies, which have become the primary mode of ambulatory health care delivery during the COVID-19 pandemic. Insights generated during the COVID-19 pandemic can inform strategies to promote health equity in virtual care now and in the future. Objective The aim of this study is to generate insights arising from literature that was published in direct response to the widespread use of virtual care during the COVID-19 pandemic, and had a primary focus on providing recommendations for promoting health equity in the delivery of virtual care. Methods We conducted a narrative review of literature on health equity and virtual care during the COVID-19 pandemic published in 2020, describing strategies that have been proposed in the literature at three levels: (1) policy and government, (2) organizations and health systems, and (3) communities and patients. Results We highlight three strategies for promoting health equity through virtual care that have been underaddressed in this literature: (1) simplifying complex interfaces and workflows, (2) using supportive intermediaries, and (3) creating mechanisms through which marginalized community members can provide immediate input into the planning and delivery of virtual care. Conclusions We conclude by outlining three areas of work that are required to ensure that virtual care is employed in ways that are equity enhancing in a post–COVID-19 reality.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Recommended Strategies To Promote Health Equitymentioning

confidence: 99%

See 1 more Smart Citation

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Shaw¹,

Brewer²,

Veinot³

2021

JMIR Form Res

122

117

View full text Add to dashboard Cite

show abstract

“…American college students consider the internet to be their single most important source of health information [ 15 ]. Simultaneously, with multitudes of platforms, devices, and information streams, the digital landscape of health information has grown in complexity to the point where researchers struggle to assess young adults’ DHL [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions

Patil

Kostareva

Hadley

et al. 2021

IJERPH

149

141

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The COVID-19 pandemic has been accompanied by rapidly emerging evidence, changing guidance, and misinformation, which present new challenges for health literacy (HL) and digital health literacy (DHL) skills. This study explored whether COVID-19-related information access, attitudes, and behaviors were associated with health literacy and digital health literacy among college students in the United States. Self-reported measures of health literacy, along with items on pandemic-related attitudes, behaviors, information sources, and social networks, were collected online using a managed research panel. In July 2020, 256 responses were collected, which mirrored the racial/ethnic and gender diversity of U.S. colleges. Only 49% reported adequate HL, and 57% found DHL tasks easy overall. DHL did not vary by HL level. In multivariable models, both HL and DHL were independently associated with overall compliance with basic preventive practices. Higher DHL, but not HL, was significantly associated with greater willingness to get a COVID-19 vaccine and the belief that acquiring the disease would negatively impact their life. On average, respondents discussed health with 4–5 people, which did not vary by HL or DHL measures. The usage of online information sources varied by HL and DHL. The study findings can inform future student-focused interventions, including identifying the distinct roles of HL and DHL in pandemic information access, attitudes, and behaviors.

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“…Recommendations at the level of health care organizations and health systems have been more varied. These have included encouragement to develop quality improvement activities focused on underserved or marginalized communities [12,18,27], educational initiatives for providers and leaders [12,23,29,33], and the collection of metrics that provide insight into equity-related outcomes [12]. Specific advice to clinicians has included strategies such as carefully planning a mix of in-person and virtual visits for clients especially at risk of poor health outcomes during the pandemic [25], and using telephone-based visits (over video visits) when a patient has access to a telephone but not a device that would enable a video visit [25,26,28,29].…”

Section: Recommended Strategies To Promote Health Equitymentioning

confidence: 99%

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review (Preprint)

Shaw¹,

Brewer²,

Veinot³

2020

Preprint

View full text Add to dashboard Cite

BACKGROUND The COVID-19 health crisis has disproportionately impacted populations who have been historically marginalized in health care and public health, including low-income and racial and ethnic minority groups. Members of marginalized communities experience undue barriers to accessing health care through virtual care technologies, which have become the primary mode of ambulatory health care delivery during the COVID-19 pandemic. Insights generated during the COVID-19 pandemic can inform strategies to promote health equity in virtual care now and in the future. OBJECTIVE The aim of this study is to generate insights arising from literature that was published in direct response to the widespread use of virtual care during the COVID-19 pandemic, and had a primary focus on providing recommendations for promoting health equity in the delivery of virtual care. METHODS We conducted a narrative review of literature on health equity and virtual care during the COVID-19 pandemic published in 2020, describing strategies that have been proposed in the literature at three levels: (1) policy and government, (2) organizations and health systems, and (3) communities and patients. RESULTS We highlight three strategies for promoting health equity through virtual care that have been underaddressed in this literature: (1) simplifying complex interfaces and workflows, (2) using supportive intermediaries, and (3) creating mechanisms through which marginalized community members can provide immediate input into the planning and delivery of virtual care. CONCLUSIONS We conclude by outlining three areas of work that are required to ensure that virtual care is employed in ways that are equity enhancing in a post–COVID-19 reality.

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Re-Prioritizing Digital Health and Health Literacy in Healthy People 2030 to Affect Health Equity

Cited by 51 publications

References 12 publications

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review

Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions

Recommendations for Health Equity and Virtual Care Arising From the COVID-19 Pandemic: Narrative Review (Preprint)

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