Evidence map›Paper›PMID 40578855›Full record

ArticleBMJ open2025

Advancing health equity and the role of digital health technologies: a scoping review.

Laura Bitomsky, Estelle Pfitzer, Marcia Nißen, Tobias Kowatsch

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Equity by design principles for digital health interventions.International journal for equity in health · 2025
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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

4 authors.

Laura BitomskySchool of Medicine, University of St Gallen, St Gallen, Switzerland.ORCID http://orcid.org/0009-0002-9545-0268
Estelle PfitzerSchool of Medicine, University of St Gallen, St Gallen, Switzerland.
Marcia NißenSchool of Medicine, University of St Gallen, St Gallen, Switzerland.ORCID http://orcid.org/0000-0002-6082-8825
Tobias KowatschSchool of Medicine, University of St Gallen, St Gallen, Switzerland tobias.kowatsch@unisg.ch.ORCID http://orcid.org/0000-0001-5939-4145

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth disparities persist, posing significant health, social and economic challenges. Digital health technologies (DHTs) present a promising opportunity to address these inequities and advance health equity. Despite this potential, a comprehensive and structured overview of existing frameworks and guidelines on advancing health equity and a clear understanding of the potential of DHTs in their implementation to systematically close the healthcare gap is yet to be done.

objectiveTo this end, our objectives are twofold: first, to identify frameworks and guidelines that promote health equity and second, to pinpoint the role of DHTs as an avenue for their implementation. We conducted a scoping review informed by Arksey and O'Malley's five-stage framework, methodological guidelines by the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. SOURCES OF EVIDENCE: A comprehensive search was conducted across seven databases on 6 December 2023: PubMed, EMBASE, Cochrane, PsycINFO, Scopus, Web of Science and WISO. ELIGIBILITY CRITERIA: We included primary and secondary studies published in English between 2010 and 2023 focusing on advancing health equity for priority populations. CHARTING

methodsFor the analysis, we applied multistaged coding approaches to answer our twofold objective.

resultsThe search identified 6419 studies, of which 38 met our final inclusion criteria and were included in this review. We extracted 559 recommendations on advancing health equity and synthesised these into 82 distinct recommendations across five levels of initiative and 19 areas of initiative. Thereby, 24% of the included studies explicitly mentioned the use of (digital) technology with 10 impact opportunities on advancing health equity.

conclusionOur synthesis offers key insights into the advancement of health equity across different levels of initiative and the role of DHTs in their implementation. This offers practitioners and researchers alike a comprehensive overview to make health equity advancement more tangible and actionable. REGISTRATION DETAILS: https://osf.io/94pht.

Indexed as

Biomedical TechnologyDigital TechnologyHealth EquityDigital HealthHealthcare DisparitiesHumansDigital TechnologyHealth EquityHealth informaticsPUBLIC HEALTH

Identifiers

PMID40578855
PMCPMC12207129

What OpenQuestion holds

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LicenceCC BY-NC
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.