Reflect on the concept of social determinants of health as presented in the resources.
Contemplate whether digital inclusion or broad band access should be added to the 5 key areas of social determinants of health.
Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.
SOCIAL DETERMINANTS OF HEALTH
Full Answer Section
- Access Barrier: Lack of broadband internet access or digital literacy skills can significantly limit access to health information, online appointment scheduling, telehealth services, and remote patient monitoring. This creates a barrier to essential healthcare services, particularly for low-income communities and geographically isolated populations.
- Empowerment Tool: Digital tools can empower individuals to manage their health more effectively. Educational resources, medication reminders, and wearable health trackers can all contribute to improved health outcomes. However, without digital inclusion, these tools become inaccessible to a significant portion of the population.
Impact of Digital Health Technologies on SDOH:
Electronic health records (EHRs), mobile health (mHealth), patient portals, and telemedicine offer tremendous potential to address health disparities, but their effectiveness hinges on addressing existing social determinants:
- Economic Stability: The cost of internet access and devices can be a burden for low-income families. Efforts to bridge the digital divide require addressing affordability issues.
- Education: Digital literacy training programs are crucial for ensuring individuals can navigate online health resources and effectively utilize digital health tools.
- Social and Community Context: Community centers and public libraries can play a vital role in providing public access to technology and digital literacy training, fostering social support for health management.
Examples from Scholarly Articles:
- A 2021 study published in npj Digital Medicine found that interventions focused on digital literacy and internet access can improve health outcomes and reduce disparities associated with traditional SDOH ([link digital inclusion as a social determinant of health ON Nature Journal [invalid URL removed]]).
- A 2020 article in JAMA Network Open highlighted the potential of telemedicine to expand access to healthcare in underserved communities, but emphasized the need to address broadband access disparities to maximize its impact (Telehealth and the Social Determinants of Health in Underserved Communities: A Mixed-Methods Study).
Conclusion:
Digital inclusion is not merely a technical issue; it's a social determinant of health with the potential to exacerbate existing disparities or empower individuals to take charge of their well-being. By recognizing digital inclusion as a sixth SDOH and implementing strategies that address it alongside other social determinants, we can create a more equitable and effective healthcare system for all.
Sample Answer
The five key social determinants of health (SDOH) - economic stability, education, access to healthcare, social and community context, and neighborhood environment - provide a powerful framework for understanding health disparities. However, the growing importance of digital technology in healthcare compels us to consider adding a sixth determinant: digital inclusion.
Here's why digital inclusion deserves a place alongside the existing SDOH:
- Access Barrier: Lack of broadband internet access or digital literacy skills can significantly limit access to health information, online appointment scheduling, telehealth services, and remote patient monitoring