ArticleYearbook of medical informatics2024
Social Determinants of Health in Digital Health Policies: an International Environmental Scan.
Article in Yearbook of medical informatics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
19 authors.
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Abstract
introductionSocial Determinants of Health (SDoH) include factors such as economic stability, education, social and community context, healthcare access, and the physical environment, which shape an individual's health and well-being. Given that the inclusion of SDoH factors is essential in improving the quality and equity of digital health, this study aims to examine how SDoH is incorporated within digital health policies internationally.
methodsAn environmental scan of digital health policies was conducted, including relevant documents from multiple countries and global organizations. Key content related to SDoH was extracted from the documents, and a content analysis was conducted to identify seven different SDoH domains (i.e., target audience, SDoH inclusion, addressing health inequities, SDoH-related key performance indicators, data collection on SDoH, interoperability standards, and data privacy and security). Data were aggregated at the global and continental levels to integrate and synthesize information from different countries and regions.
resultsA total of 28 digital health policies or strategies were identified across 16 international regions. The comparative analysis of health policies regarding SDoH reveals a pronounced disparity between the continental regions. Although the World Health Organization recognizes the significance of key performance indicators for monitoring SDoH and emphasizes the assessment of national digital health maturity, there's a noticeable lack of continent-specific policies reflecting these global initiatives at the continental level.
conclusionWhile some regional digital health strategies recognize SDoH, integration varies, and standardization is lacking. Future research should focus on data collection frameworks and comprehensive insights for policymakers.
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