Evidence map›Paper›PMID 35191848›Full record

ArticleJournal of medical Internet research2022

Digital Health Paradox: International Policy Perspectives to Address Increased Health Inequalities for People Living With Disabilities.

Robin van Kessel, Rok Hrzic, Ella O'Nuallain, Elizabeth Weir, Brian Li Han Wong, Michael Anderson, Simon Baron-Cohen, Elias Mossialos

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
15.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 3 syntheses or guidelines pooled it, 125 citations in OpenAlex.

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  15. Digital Health Literacy of People with Intellectual Disabilities: A Scoping Review to Map the Evidence.International journal of environmental research and public health · 2025
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  20. Patterns of Online Stress Management Information-Seeking Behavior in Hungary.International journal of environmental research and public health · 2025
    Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Robin van KesselDepartment of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.ORCID 0000-0001-6309-6343
Rok Hrzic *Department of International Health, Care and Public Health Research Institute, Maastricht University, Maastricht, Netherlands.ORCID 0000-0003-3860-4777
Ella O'Nuallain *Public Sector Strategy Team, Deloitte Consulting Pty Ltd, Sydney, Australia.ORCID 0000-0001-8860-9707
Elizabeth Weir *Autism Research Center, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-5434-9193
Brian Li Han WongGlobal Health Workforce Network Youth Hub, World Health Organization, Geneva, Switzerland.ORCID 0000-0001-8709-5847
Michael AndersonDepartment of Health Policy, London School of Economics and Political Science, London, United Kingdom.ORCID 0000-0002-8454-4640
Simon Baron-CohenAutism Research Center, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-9217-2544
Elias MossialosDepartment of Health Policy, London School of Economics and Political Science, London, United Kingdom.ORCID 0000-0001-8664-9297
Maastricht University · NLUniversity of Cambridge · GBImperial College London · GBLondon School of Economics and Political Science · GBWorld Health Organization · CH

Funding

Wellcome TrustWorld Health Organization 001
6 · The paper itself

Abstract

The COVID-19 pandemic accelerated the uptake of digital health worldwide and highlighted many benefits of these innovations. However, it also stressed the magnitude of inequalities regarding accessing digital health. Using a scoping review, this article explores the potential benefits of digital technologies for the global population, with particular reference to people living with disabilities, using the autism community as a case study. We ultimately explore policies in Sweden, Australia, Canada, Estonia, the United Kingdom, and the United States to learn how policies can lay an inclusive foundation for digital health systems. We conclude that digital health ecosystems should be designed with health equity at the forefront to avoid deepening existing health inequalities. We call for a more sophisticated understanding of digital health literacy to better assess the readiness to adopt digital health innovations. Finally, people living with disabilities should be positioned at the center of digital health policy and innovations to ensure they are not left behind.

Indexed as

COVID-19Persons with DisabilitiesEcosystemHealth Status DisparitiesHumansPandemicsPolicySARS-CoV-2United Statesdigital healthdigital technologiesdisabilityeHealthhealth policyhealth systemsinclusionpeople living with disabilities

Identifiers

PMID35191848
PMCPMC8905475
OpenAlexW3213759232

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.