The Role of Digital Transformation in Addressing Health Inequalities in Coastal Communities: Barriers and Enablers

Overview

Journal Front Health Serv

Specialty Health Services

Date 2023 Sep 15

PMID 37711604

Authors

Sheena Asthana

Samantha Prime

Affiliations

Soon will be listed here.

Abstract

Healthcare systems worldwide are striving for the "quadruple aim" of better population health and well-being, improved experience of care, healthcare team well-being (including that of carers) and lower system costs. By shifting the balance of care from reactive to preventive by facilitating the integration of data between patients and clinicians to support prevention, early diagnosis and care at home, many technological solutions exist to support this ambition. Yet few have been mainstreamed in the NHS. This is particularly the case in English coastal areas which, despite having a substantially higher burden of physical and mental health conditions and poorer health outcomes, also experience inequalities with respect to digital maturity. In this paper, we suggest ways in which digital health technologies (DHTs) can support a greater shift towards prevention; discuss barriers to digital transformation in coastal communities; and highlight ways in which central, regional and local bodes can enable transformation. Given a real risk that variations in digital maturity may be exacerbating coastal health inequalities, we call on health and care policy leaders and service managers to understands the potential benefits of a digital future and the risks of failing to address the digital divide.

References

Fotis T, Kioskli K, Sundaralingam A, Fasihi A, Mouratidis H . Co-creation in a digital health living lab: A case study. Front Public Health. 2023; 10:892930. PMC: 9887018. DOI: 10.3389/fpubh.2022.892930. View

Sapienza J, Masten A . Understanding and promoting resilience in children and youth. Curr Opin Psychiatry. 2011; 24(4):267-73. DOI: 10.1097/YCO.0b013e32834776a8. View

Cullinan M, Scott R, Linogao J, Bradwell H, Cooper L, McGinn C . Development and Demonstration of a Wireless Ultraviolet Sensing Network for Dose Monitoring and Operator Safety in Room Disinfection Applications. Sensors (Basel). 2023; 23(5). PMC: 10007517. DOI: 10.3390/s23052493. View

Domhardt M, Engler S, Nowak H, Lutsch A, Baumel A, Baumeister H . Mechanisms of Change in Digital Health Interventions for Mental Disorders in Youth: Systematic Review. J Med Internet Res. 2021; 23(11):e29742. PMC: 8665396. DOI: 10.2196/29742. View

Koh W, Felding S, Budak K, Toomey E, Casey D . Barriers and facilitators to the implementation of social robots for older adults and people with dementia: a scoping review. BMC Geriatr. 2021; 21(1):351. PMC: 8191065. DOI: 10.1186/s12877-021-02277-9. View

Manuel Duran J, Jongsma K . Who is afraid of black box algorithms? On the epistemological and ethical basis of trust in medical AI. J Med Ethics. 2021; . DOI: 10.1136/medethics-2020-106820. View

De Witte N, Adriaensen I, Broeckx L, Van der Auwera V, Van Daele T . Cross-cultural differences in user-centred research: An international living lab survey. Health Informatics J. 2021; 27(3):14604582211038268. DOI: 10.1177/14604582211038268. View

Dermody G, Whitehead L, Wilson G, Glass C . The Role of Virtual Reality in Improving Health Outcomes for Community-Dwelling Older Adults: Systematic Review. J Med Internet Res. 2020; 22(6):e17331. PMC: 7296414. DOI: 10.2196/17331. View

Al Ani M, Garas G, Hollingshead J, Cheetham D, Athanasiou T, Patel V . Which Electronic Health Record System Should We Use? A Systematic Review. Med Princ Pract. 2022; 31(4):342-351. PMC: 9485928. DOI: 10.1159/000525135. View

10.

Sanchez-Comas A, Synnes K, Hallberg J . Hardware for Recognition of Human Activities: A Review of Smart Home and AAL Related Technologies. Sensors (Basel). 2020; 20(15). PMC: 7435866. DOI: 10.3390/s20154227. View

11.

Longhini J, Rossettini G, Palese A . Digital Health Competencies Among Health Care Professionals: Systematic Review. J Med Internet Res. 2022; 24(8):e36414. PMC: 9437781. DOI: 10.2196/36414. View

12.

Elliot A, Turiano N, Infurna F, Lachman M, Chapman B . Lifetime trauma, perceived control, and all-cause mortality: Results from the Midlife in the United States Study. Health Psychol. 2018; 37(3):262-270. PMC: 6057153. DOI: 10.1037/hea0000585. View

13.

Majumder S, Mondal T, Deen M . Wearable Sensors for Remote Health Monitoring. Sensors (Basel). 2017; 17(1). PMC: 5298703. DOI: 10.3390/s17010130. View

14.

Asthana S, Gibson A . Averting a public health crisis in England's coastal communities: a call for public health research and policy. J Public Health (Oxf). 2021; 44(3):642-650. PMC: 9424058. DOI: 10.1093/pubmed/fdab130. View

15.

Skrove M, Romundstad P, Indredavik M . Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the Young-HUNT study. Soc Psychiatry Psychiatr Epidemiol. 2012; 48(3):407-16. DOI: 10.1007/s00127-012-0561-2. View

16.

Muralitharan S, Nelson W, Di S, McGillion M, Devereaux P, Barr N . Machine Learning-Based Early Warning Systems for Clinical Deterioration: Systematic Scoping Review. J Med Internet Res. 2021; 23(2):e25187. PMC: 7892287. DOI: 10.2196/25187. View

17.

Davies A, Mueller J, Moulton G . Core competencies for clinical informaticians: A systematic review. Int J Med Inform. 2020; 141:104237. DOI: 10.1016/j.ijmedinf.2020.104237. View

18.

The Lancet Public Health . Education: a neglected social determinant of health. Lancet Public Health. 2020; 5(7):e361. PMC: 7326385. DOI: 10.1016/S2468-2667(20)30144-4. View

19.

Hollis C, Falconer C, Martin J, Whittington C, Stockton S, Glazebrook C . Annual Research Review: Digital health interventions for children and young people with mental health problems - a systematic and meta-review. J Child Psychol Psychiatry. 2016; 58(4):474-503. DOI: 10.1111/jcpp.12663. View

20.

Uddin M, Khaksar W, Torresen J . Ambient Sensors for Elderly Care and Independent Living: A Survey. Sensors (Basel). 2018; 18(7). PMC: 6068532. DOI: 10.3390/s18072027. View