ArticleJournal of medical Internet research2024
The Political Economy of Digital Health Equity: Structural Analysis.
Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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Who cites it
10 citing papers in PubMed.
- Applying Identity Theory to Mental Health Nursing: Lessons From 1980 to 2000 and Guidance for Nurse Researchers.Journal of psychiatric and mental health nursing · 2026Article
- A global call to action on the digital determinants of health.NPJ digital medicine · 2026Review
- Global Mapping of Telemedicine Regulation and Ethical Safeguards: Mixed Methods Exploratory Document Analysis.JMIR formative research · 2026Article
- Digital health tools and point solutions-pitfalls in population health program measurement.Frontiers in digital health · 2026Article
- Article
- Challenges and experiences in digital health equity: a qualitative exploration of the implementation of the Health Code system in China.International journal for equity in health · 2025Article
- Digital pulse: Social media reaction to South Africa's National Health Insurance implementation.African journal of primary health care & family medicine · 2025Article
- Assessing Equitable Development and Implementation of Artificial Intelligence-Enabled Patient Engagement Technologies: A Sociotechnical Systems Approach.Mayo Clinic proceedings. Digital health · 2025Review
- Stakeholder perceptions on institutional design of digital health regulatory frameworks: insights from Kenya, Rwanda and Uganda.Oxford open digital health · 2025Article
- Investigating Patient Use and Experience of Online Appointment Booking in Primary Care: Mixed Methods Study.Journal of medical Internet research · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Digital technologies have produced many innovations in care delivery and enabled continuity of care for many people when in-person care was impossible. However, a growing body of research suggests that digital health can also exacerbate health inequities for those excluded from its benefits for reasons of cost, digital literacy, and structural discrimination related to characteristics such as age, race, ethnicity, and socioeconomic status. In this paper, we draw on a political economy perspective to examine structural barriers to progress in advancing digital health equity at the policy level. Considering the incentive structures and investments of powerful actors in the field, we outline how characteristics of neoliberal capitalism in Western contexts produce and sustain digital health inequities by describing 6 structural challenges to the effort to promote health equity through digital health, as follows: (1) the revenue-first incentives of technology corporations, (2) the influence of venture capital, (3) inequitable access to the internet and digital devices, (4) underinvestment in digital health literacy, (5) uncertainty about future reimbursement of digital health, and (6) justified mistrust of digital health. Building on these important challenges, we propose future immediate and long-term directions for work to support meaningful change for digital health equity.
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Registered trials
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.