Disparities in Health Care and the Digital Divide
Open accessAbstract
Purpose of review Disparities in health outcomes are a well documented and worrisome part of our health care system. These disparities persist in spite of, and are occasionally exacerbated by, new technologies that are intended to improve health care. This results in a "digital divide" in which populations that have poorer health outcomes continue to have poorer health outcomes despite technological improvements.Recent findings In many ways, the digitical divide is already shrinking via improved access to internet and technology/process improvements. For example, people with schizophrenia, PTSD, and bipolar disorder have had their care successfully augmented by new technology. However, problems persist- being impoverished, female, and black all correlate with decreased probability of completing a telehealth visit, and millions of americans have insufficient internet access to complete telehealth visits. We must continue to utilize new technology in health care to improve outcomes, but we must also be wary to ensure those outcomes are equitable across different populations.
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In 2013, a mobile medical app (WellDoc's BlueStar Rx) was cleared by the FDA as a prescription digital therapeutic (PDT) to support the management of type 2 diabetes by analyzing patient data, formulating personalized guidance, and summarizing data analytics to the healthcare team for clinical decision support.
“In 2013, a mobile medical app (WellDoc's BlueStar Rx) was cleared by the FDA as a prescription digital therapeutic (PDT) to support the management of type 2 diabetes by analyzing patient data, formulating personalized guidance, and summarizing data analytics to the healthcare team for clinical decision support.56”
From Digital health technologies and major depressive disorder (2023) · cites this paper as [56]
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Cites
Crossing the Quality Chasm: A New Health System for the 21st Century
Baker, A. (2001) · BMJ · doi:10.1136/bmj.323.7322.1192 · Cited by 10,754 · see citing works
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., & Shekelle, P. G. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-10-200605160-00125 · Cited by 3,159 · see citing works
Fiscella, K. A., Franks, P. J., Gold, M. R., & Clancy, C. M. (2000) · JAMA · doi:10.1001/jama.283.19.2579 · Cited by 1,186 · see citing works
Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis
Agardh, E. E., Allebeck, P., Hallqvist, J., Moradi, T., & Sidorchuk, A. (2011) · International Journal of Epidemiology · doi:10.1093/ije/dyr029 · Cited by 1,067 · see citing works
Larrazabal, A. J., Nieto, N., Peterson, V., Milone, D. H., & Ferrante, E. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1919012117 · Cited by 685 · cited 2× · see citing works
“Agostina and colleagues make the case that databases that are skewed toward one gender significantly over another are worse at diagnosing disease in the under represented population [22 (cid:129) ].”
BackgroundDesigning and evaluating interventions to eliminate racial and ethnic disparities in health care
Cooper, L. A., Hill, M. N., & Powe, N. R. (2002) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2002.10633.x · Cited by 370 · see citing works
Amjad, S., MacDonald, I., Chambers, T., Osornio-Vargas, Á. R., Chandra, S., Voaklander, D. C., & Ospina, M. B. (2018) · Paediatric and Perinatal Epidemiology · doi:10.1111/ppe.12529 · Cited by 258 · see citing works
Telemedicine Outpatient Cardiovascular Care During the COVID-19 Pandemic
Eberly, L. A., Khatana, S. A. M., Nathan, A. S., Snider, C. K., Julien, H. M., Deleener, M. E., & Adusumalli, S. (2020) · Circulation · doi:10.1161/circulationaha.120.048185 · Cited by 243 · see citing works
Cheng, C. C., Beauchamp, A., Elsworth, G. R., & Osborne, R. H. (2020) · Journal of Medical Internet Research · doi:10.2196/18476 · Cited by 219 · see citing works
López, L., Green, A. R., Tan‐McGrory, A., King, R. K., & Betancourt, J. R. (2011) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(11)37055-9 · Cited by 186 · see citing works
Do We Still Have a Digital Divide in Mental Health? A Five-Year Survey Follow-up
Robotham, D., Satkunanathan, S., Doughty, L., & Wykes, T. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6511 · Cited by 184 · see citing works
Clinical Implications of Removing Race From Estimates of Kidney Function
Diao, J. A., Wu, G. J., Taylor, H. A., Tucker, J. K., Powe, N. R., Kohane, I. S., & Manrai, A. K. (2020) · JAMA · doi:10.1001/jama.2020.22124 · Cited by 125 · see citing works
The digital divide: How COVID-19's telemedicine expansion could exacerbate disparities
Bakhtiar, M., Elbuluk, N., & Lipoff, J. B. (2020) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2020.07.043 · Cited by 109 · see citing works
Zhao, J. Y., Song, B., Anand, E. J., Schwartz, D. G., Panesar, M., Jackson, G. P., & Elkin, P. L. (2017) · PubMed Central · Cited by 85 · see citing works
Improving Medication Adherence With Telemedicine for Adults With Severe Mental Illness
Schulze, L. N., Stentzel, U., Leipert, J., Schulte, J., Langosch, J. M., Freyberger, H. J., Hoffmann, W. U., Grabe, H. J., & van den Berg, N. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201800286 · Cited by 57 · see citing works
Scherr, S., Haim, M., & Arendt, F. (2018) · New Media & Society · doi:10.1177/1461444818801010 · Cited by 48 · see citing works
Health literacy of people living with mental illness or substance use disorders: A systematic review
Degan, T. J., Kelly, P. J., Robinson, L. D., Deane, F. P., & Smith, A. M. (2020) · Early Intervention in Psychiatry · doi:10.1111/eip.13090 · Cited by 45 · cited 1× · see citing works
“This is a concern for mental health patients especially, who have been shown to have generally lower levels of health literacy [15 (cid:129)(cid:129) ].”
BackgroundSunjaya, A. P., Chris, A., & Novianti, D. (2020) · Trends in Psychiatry and Psychotherapy · doi:10.1590/2237-6089-2019-0024 · Cited by 43 · see citing works
Improving Quality and Reducing Disparities
Aaron, K. F., & Clancy, C. M. (2003) · JAMA · doi:10.1001/jama.289.8.1033 · Cited by 38 · see citing works
Disparities Within Serious Mental Illness
Evans, T. S., Berkman, N. D., Brown, C., Gaynes, B. N., & Weber, R. P. (2016) · Europe PMC (PubMed Central) · Cited by 31 · see citing works
The Future of Telepsychiatry in India
Ibrahim, F. A., Pahuja, E., Dinakaran, D., Manjunatha, N., Kumar, C. N., & Math, S. B. (2020) · Indian Journal of Psychological Medicine · doi:10.1177/0253717620959255 · Cited by 31 · see citing works
Flagged first, then by citations
1 of the 22 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [1]Institute of Medicine. Unequal treatment: confronting racial and ethnic disparities in health care. National Academy Press, Washington, D.C 2003]. 25032386
Cited by
Sorted by citations
Fitzpatrick, P. J. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1264780 · Cited by 416 · see citing works
Shaping the future of healthcare: ethical clinical challenges and pathways to trustworthy AI
Goktas, P., & Grzybowski, A. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14051605 · Cited by 336 · see citing works
Badr, J., Motulsky, A., & Denis, J. (2024) · Health Policy · doi:10.1016/j.healthpol.2024.105122 · Cited by 295 · see citing works
Digital Twins: The New Frontier for Personalized Medicine?
Cellina, M. I., Cè, M., Alì, M., Irmici, G., Ibba, S., Caloro, E., Fazzini, D., Oliva, G., & Papa, S. (2023) · Applied Sciences · doi:10.3390/app13137940 · Cited by 178 · see citing works
He, K., Mao, R., Lin, Q., Ruan, Y., Lan, X., Feng, M., & Cambria, E. (2025) · Information Fusion · doi:10.1016/j.inffus.2025.102963 · Cited by 147 · see citing works
Recommendations to advance digital health equity: A systematic review of qualitative studies
Wilson, S., Tolley, C., Mc Ardle, R., Lawson, L., Beswick, E., Hassan, N., Slight, R., & Slight, S. (2024) · npj Digital Medicine · doi:10.1038/s41746-024-01177-7 · Cited by 139 · see citing works
“Based on the fi ndings published in peer-reviewed articles 24,47 – 60 , systematic reviews 61 – 64 , government reports 8,65 , and regulatory organisation documents 66 , we identi fi ed a number of sociodemographic factors that we complied into six groups, relating to Culture (ethnicity, language,…”
Bentley, S. V., Naughtin, C. K., McGrath, M. J., Irons, J. L., & Cooper, P. S. (2024) · AI and Ethics · doi:10.1007/s43681-024-00452-3 · Cited by 131 · see citing works
“On one hand, these digital technologies have been a significant driver of both economic growth and individual quality of life, particularly in terms of education and healthcare [11, 17, 18].”
Yang, R., Gao, S., & Jiang, Y. (2024) · BMC Geriatrics · doi:10.1186/s12877-024-05612-y · Cited by 130 · see citing works
Ahmed, M. M., Okesanya, O. J., Olaleke, N. O., Adigun, O. A., Adebayo, U. O., Oso, T. A., Eshun, G., & Lucero-Prisno, D. E. (2025) · Healthcare · doi:10.3390/healthcare13091060 · Cited by 106 · see citing works
“The digital divide, marked by disparities in Internet access, digital literacy, and affordability of digital tools, exacerbates existing health inequalities [28].”
Williams, C., & Shang, D. (2023) · Journal of Medical Internet Research · doi:10.2196/43604 · Cited by 88 · see citing works
“Telehealth requires a sufficient device, stable internet connection, private space, and digital literacy skills, which may not be adequate among this group [10].”
Nakayama, L. F., Binotti, W. W., Woite, N. L., Fernandes, C. O., Alfonso, P. G., Celi, L. A., & Regatieri, C. V. (2023) · Journal of Medical Internet Research · doi:10.2196/42483 · Cited by 84 · see citing works
“Digital health care has the potential to increase democratization and cost-effectiveness and improve patient care [5,21].”
Theodosopoulos, L., Fradelos, Ε. C., Παναγιώτου, Α., Dreliozi, A., & Tzavella, F. (2024) · Social Sciences · doi:10.3390/socsci13100530 · Cited by 74 · see citing works
Telemedicine, e-Health, and Digital Health Equity: A Scoping Review
Петретто, Д. Р., Carrogu, G. P., Gaviano, L., Berti, R., Pinna, M., Petretto, A. D., & Pili, R. (2024) · Clinical Practice and Epidemiology in Mental Health · doi:10.2174/0117450179279732231211110248 · Cited by 72 · see citing works
Woolley, K. E., Bright, D., Ayres, T., Morgan, F. M., Little, K. E., & Davies, A. R. (2023) · Journal of Medical Internet Research · doi:10.2196/44181 · Cited by 69 · see citing works
“Further high-quality research is required to address key evidence gaps identified in this scoping review.”
Samala, A. D., Rawas, S., Criollo-C, S., Bojić, L., Prasetya, F., Ranuharja, F., & Marta, R. (2024) · SN Computer Science · doi:10.1007/s42979-024-03538-1 · Cited by 85 · see citing works
Hollimon, L. A., Taylor, K. V., Fiegenbaum, R., Carrasco, M., Gomez, L. G., Chung, D. P., & Seixas, A. A. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1508686 · Cited by 65 · see citing works
“The COVID-19 pandemic magni fi ed these inequities, yet policy responses remained short-term, failing to create systemic changes that integrate affordability with availability and adequacy (23).”
A scoping review and expert consensus on digital determinants of health
van Kessel, R., Seghers, L.-E., Anderson, M., Schutte, N. M., Monti, G., Haig, M., Schmidt, J., Wharton, G., Román-Urrestarazu, A., Larrain, B., et al. (2025) · Bulletin of the World Health Organization · doi:10.2471/blt.24.292057 · Cited by 63 · see citing works
Digital health technology in clinical trials
Mittermaier, M., Venkatesh, K. P., & Kvedar, J. C. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00841-8 · Cited by 65 · see citing works
“On the other hand, trials using DHTs might also disadvantage groups who have limited access to the internet or sparse technology literacy 11,12 .”
BackgroundNursing in the Digital Age: Harnessing telemedicine for enhanced patient care
David-Olawade, A. C., Olawade, D. B., Ojo, I. O., Famujimi, M. E., Olawumi, T. T., & Esan, D. T. (2024) · Informatics and Health · doi:10.1016/j.infoh.2024.07.003 · Cited by 67 · see citing works
Understanding physical activity from a cultural-contextual lens
Rio, C. J., & Saligan, L. N. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1223919 · Cited by 63 · see citing works
“If social determinants are not addressed, the persistence of the digital divide will continue to prevent disadvantaged populations from experiencing the benefits of technology (9).”
BackgroundFord, T. J., Buchanan, D. M., Azeez, A., Benrimoh, D. A., Kaloiani, I., Bandeira, I. D., Hunegnaw, S. A., Lan, L., Gholmieh, M., Buch, V., et al. (2023) · Frontiers in Digital Health · doi:10.3389/fdgth.2023.1146806 · Cited by 61 · see citing works
“The utility of current treatments and other clinical interventions that require technologies like a smartphone, computer, or internet access hinge upon patients owning these devices or having access outside of their doctor’s office (60).”
BackgroundDigital Literacy 5.0 to Enhance Multicultural Education
Anurogo, D., Ramba, H. L., Putri, N. D., & Putri, U. M. P. (2023) · Multicultural Islamic Education Review · doi:10.23917/mier.v1i2.3414 · Cited by 85 · see citing works
Virtual Reality in Clinical Practice and Research: Viewpoint on Novel Applications for Nursing
Son, H., Ross, A. C., Mendoza-Tirado, E., & Lee, L. J. (2022) · JMIR Nursing · doi:10.2196/34036 · Cited by 55 · see citing works
“People with lower education and income levels may lag in getting information on treatments using VR technology as they tend to have limited eHealth literacy and poor access to health resources [41].”
BackgroundWall, H. K., Wright, J. S., Jackson, S. L., Daussat, L., Ramkissoon, N., Schieb, L. J., Stolp, H., Tong, X., & Loustalot, F. V. (2021) · American Journal of Hypertension · doi:10.1093/ajh/hpab170 · Cited by 54 · see citing works
Magill, M., Kiluk, B. D., & Ray, L. A. (2023) · Substance Abuse and Rehabilitation · doi:10.2147/sar.s362864 · Cited by 50 · see citing works
“36 A recent meta-analysis by Kiluk et al studied 15 clinical trials of technology-based CBT interventions for alcohol use.”
Hoagland, A., & Kipping, S. (2024) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2024.02.014 · Cited by 68 · see citing works
“82 In this section, we examine the effects of these disparities on health care outcomes and explore efforts to address these challenges, including social movements, service-related social innovations, social enterprises, and digital social innovations.”
BackgroundZhou, W., Cho, Y., Shang, S., & Jiang, Y. (2023) · Journal of Medical Internet Research · doi:10.2196/46721 · Cited by 47 · see citing works
“The digital divide can be caused not only by technology ownerships and broadband data access but also by trust between patients and providers and confidence in using health-related technology [44,45].”
A Critical Review of Global Digital Divide and the Role of Technology in Healthcare
Reddy, H., Joshi, S. H., Joshi, A., & Wagh, V. (2022) · Cureus · doi:10.7759/cureus.29739 · Cited by 52 · see citing works
“Owing to the prevalent socio-economic, cultural, financial, and other quality of healthcare determining disparities, the potential of health technology to increase access and achieve better health outcomes was not been fully materialized [7].”
Promises and Perils of Consumer Mobile Technologies in Cardiovascular Care
Varma, N., Han, J. K., PASSMAN, R. S., Rosman, L., Ghanbari, H., Noseworthy, P. A., Silva, J. N. A., Deshmukh, A. J., Sanders, P., Hindricks, G., et al. (2024) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2023.11.024 · Cited by 48 · see citing works
Ethical and legal implications of health monitoring wearable devices: A scoping review
Capulli, E., Druda, Y., Palmese, F., Butt, A. H., Domenicali, M., Macchiarelli, A. G., Silvani, A., Bedogni, G., & Ingravallo, F. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.117685 · Cited by 45 · see citing works
Paik, K., Hicklen, R., Kaggwa, F., Puyat, C. V. M., Nakayama, L. F., Ong, B., Shropshire, J., & Villanueva, C. (2023) · PLOS Digital Health · doi:10.1371/journal.pdig.0000313 · Cited by 44 · see citing works
Digital health technologies and major depressive disorder
McIntyre, R. S., Greenleaf, W., Bulaj, G., Taylor, S. T., Mitsi, G., Saliu, D., Czysz, A., Silvesti, G., Garcia, M., & Jain, R. (2023) · CNS Spectrums · doi:10.1017/s1092852923002225 · Cited by 38 · see citing works
“This divide may hinder access for patient populations who could benefit most from these technologies.(151) Mental health apps that saw a surge in downloads during the COVID-19 pandemic (eg, Headspace, Calm, Talkspace, Teladoc’s BetterHelp, and Noom) have since experienced declining downloads.”
BackgroundHarnessing the Power of Artificial Intelligence in Otolaryngology and the Communication Sciences
Wilson, B. S., Tucci, D. L., Moses, D. A., Chang, E. F., Young, N. M., Zeng, F., Lesica, N. A., Bur, A. M., Kavookjian, H. L., Mussatto, C. C., et al. (2022) · Journal of the Association for Research in Otolaryngology · doi:10.1007/s10162-022-00846-2 · Cited by 36 · see citing works
“…more-specific approaches are presented in Jones et al. (2017), Mollura et al. (2020), Troncoso (2020), Chakravorti (2021), Lesica et al. (2021), Saeed and Masters (2021), Wasmann et al. (2021), and Williams et al. (2021), and at https:// www. youtu be. com/ watch?v= fzokR z1pgb0 (a TEDx talk…”
BackgroundBuragohain, D., Khichar, S., Deng, C., Meng, Y., & Chaudhary, S. (2025) · Scientific Reports · doi:10.1038/s41598-025-00916-4 · Cited by 44 · see citing works
“Additionally, the digital divide issue needs addressing, as not everyone has access to the necessary technology or internet connectivity required for digital therapies 90 .”
Fong, M., Kaner, E., Rowland, M., Graham, H. E., McEvoy, L., Hallsworth, K., Cucato, G., Gibney, C., Nedkova, M., Prentis, J., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0286757 · Cited by 37 · see citing works
Biga, R., Nottebaum, S., Kozlakidis, Z., & Psomiadis, S. (2024) · Sustainable development goals series · doi:10.1007/978-3-031-62332-5_18 · Cited by 36 · see citing works
Vrany, E. A., Hill‐Briggs, F., Ephraim, P. L., Myers, A. K., Garnica, P., & Fitzpatrick, S. L. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1083145 · Cited by 35 · see citing works
“In the post-pandemic era, there continues to be a role for telehealth and health technology, which improve care in some instances and circumvent barriers such as limited access, transportation, or time to attend medical visits (51, 52).”
BackgroundYi, J., Yoon, J. Y., Won, C. W., Kim, M., & Lee, K. S. (2024) · BMC Public Health · doi:10.1186/s12889-024-18163-z · Cited by 33 · see citing works
“Therefore, health professionals and policymakers should advocate for digitally-underprivileged older adults to promote their ability to use technologies for health [6].”
BackgroundVirtual Care for Behavioral Health Conditions
Palmer, C. S., Levey, S. M. B., Kostiuk, M. A., Zisner, A. R., Tolle, L. W., Richey, R. M., & Callan, S. (2022) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2022.04.008 · Cited by 36 · see citing works
“While expanding the availability of telehealth provided increased access and continuity of care, it also has the potential to negatively impact health equity for patients.(54,56,57) For instance, since 2019, home broadband subscriptions and Smartphone possession have both increased.”
BackgroundMethodTowards online delivery of Dialectical Behaviour Therapy: A scoping review
Lakeman, R., King, P., Hurley, J., Tranter, R., Leggett, A., Campbell, K., & Herrera, C. (2022) · International Journal of Mental Health Nursing · doi:10.1111/inm.12976 · Cited by 33 · see citing works
Krishnamurthi, N., Schopfer, D. W., Shen, H., Rohrbach, G., Elnaggar, A., & Whooley, M. A. (2023) · Journal of the American Heart Association · doi:10.1161/jaha.122.025856 · Cited by 31 · see citing works
Ethical and social issues related to AI in healthcare
Mondal, H., & Mondal, S. (2024) · Methods in microbiology · doi:10.1016/bs.mim.2024.05.009 · Cited by 32 · see citing works
Powell‐Wiley, T. M., Brewer, L. C., Burke, L. E., Hernández, R., Kaar, J. L., Kepper, M. M., Kline, C. E., Lopez, K. N., Roberson, S. L., Spees, C., et al. (2025) · Circulation · doi:10.1161/cir.0000000000001314 · Cited by 31 · see citing works
Sharma, P., & Patten, C. A. (2022) · The Permanente Journal · doi:10.7812/tpp/21.156 · Cited by 29 · see citing works
Paccoud, I., Leist, A. K., Schwaninger, I., van Kessel, R., & Klucken, J. (2024) · Digital Health · doi:10.1177/20552076241277705 · Cited by 30 · see citing works
“74 This dif fi culty can exacerbate feelings of anxiety and stress and can negatively impact the ability of those with lower health literacy to make informed health choices.”
BackgroundBrückner, S., Sadare, O., Fesl, S., Scheibe, M., Lang, C., & Gilbert, S. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01568-4 · Cited by 28 · see citing works
“But without clear policies and social support systems, it can also reinforce existing social, economic, and health disadvantages, for example for the elderly or people with disabilities, subsequently deepening the digital divide 49 .”
Tracking the digital health gap in elderly: A study in Italian remote areas
Vainieri, M., Vandelli, A., Benvenuti, S. C., & Bertarelli, G. (2023) · Health Policy · doi:10.1016/j.healthpol.2023.104842 · Cited by 28 · see citing works
“Indeed, the decision to use less complex designs for apps and platforms specifically related to the health sector favours the use of these tools even by those with fewer skills (79,80), thus promoting the reduction of digital inequalities in healthcare (38,81).”
BackgroundGallegos-Rejas, V. M., Kelly, J. T., Lucas, K. R., Snoswell, C. L., Haydon, H. M., Pager, S., Smith, A. C., & Thomas, E. E. (2023) · Australian Health Review · doi:10.1071/ah23125 · Cited by 27 · see citing works
The Symbiosis of Virtual Reality Exposure Therapy and Telemental Health: A Review
Ong, T., Wilczewski, H., Soni, H., Nisbet, Q., Paige, S. R., Barrera, J. F., Welch, B. M., & Bunnell, B. E. (2022) · Frontiers in Virtual Reality · doi:10.3389/frvir.2022.848066 · Cited by 27 · see citing works
“Digital divides exclude people on the basis of geography, ethnicity, gender, and socioeconomic status (Saeed and Masters, 2021).”
BackgroundFostering an inclusive public transport system in the digital era: An interdisciplinary approach
Durand, A., Zijlstra, T., Hamersma, M., Hoen, A. '., van Oort, N., Hoogendoorn, S. P., & Hoogendoorn-Lanser, S. (2023) · Transportation Research Interdisciplinary Perspectives · doi:10.1016/j.trip.2023.100968 · Cited by 28 · see citing works
Raza, S., Shaban-Nejad, A., Dolatabadi, E., & Mamiya, H. (2024) · IEEE Access · doi:10.1109/access.2024.3509353 · Cited by 25 · see citing works
“This divide can be due to various factors, including but not limited to socio-economic status, geographical location, age, and education level [93], [15].”
Addressing the Digital Divide in Health Education: A Systematic Review
Bhoyar, A. G., Vagha, S. J., Mishra, V., Agrawal, M. S., & Kambala, S. R. (2024) · Cureus · doi:10.7759/cureus.70048 · Cited by 29 · see citing works
“Age, location, education levels, and socioeconomic position are a few of the factors contributing to this divide [3].”
BackgroundKhor, Y. H., Poberezhets, V., Buhr, R. G., Chalmers, J. D., Choi, H., Fan, V. S., George, M., Holland, A. E., Pinnock, H., Ryerson, C. J., et al. (2024) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202410-2080st · Cited by 28 · see citing works
“…and an immature digitalization of the national healthcare system, disparities in access (61% of men vs. 31% of women own a mobile phone and 67% of the urban population vs. 31% of the rural population has internet access [118]) only widen the digital divide, exacerbating health inequities (119).”
Social Determinants of Digital Health Adoption: Pilot Cross-sectional Survey
Patel, S. P., Sun, E., Reinhardt, A., Geevarghese, S., He, S., & Gazmararian, J. A. (2022) · JMIR Formative Research · doi:10.2196/39647 · Cited by 25 · see citing works
“Likewise, Saeed and Masters [28] noted that in psychiatric conditions, telehealth use is negatively correlated with lower socioeconomic status.”
BackgroundInfluentialEthical Considerations for Generative Artificial Intelligence in Plastic Surgery
Dhawan, R., Brooks, K. D., Shauly, O., Shay, D., & Losken, A. (2025) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000006825 · Cited by 25 · see citing works
“92 Plastic surgery, already grappling with existing concerns regarding diversity and inclusion, must make considerations regarding the price and availability of genAI technologies such that its integration advances and does not hinder health equity.”
Telehealth use in maternity care during a pandemic: A lot of bad, some good and possibility
Collins, E., Keedle, H., Jackson, M., Lequertier, B., Schmied, V. A., Boyle, J. A., Kildea, S. V., & Dahlen, H. G. (2024) · Women and Birth · doi:10.1016/j.wombi.2023.12.008 · Cited by 24 · see citing works
Virtual and Augmented Reality in Spine Surgery: An Era of Immersive Healthcare
Hasan, S. M., Miller, A., Higginbotham, D., Saleh, E. S., & McCarty, S. (2023) · Cureus · doi:10.7759/cureus.43964 · Cited by 24 · see citing works
“For instance, mobile-based VR solutions, which are relatively more affordable, can be an entry point for institutions in resource-limited settings [10].”
BackgroundInfluentialHe, J., Ahmad, S. F., Al‐Razgan, M., Ali, Y. A., & Irshad, M. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e28778 · Cited by 23 · see citing works
“This not only tries to cover the multifaced nature of technology adoption but also examine the differences in access, abilities, and utilization patterns across different demographics and their role in the metaverse adoption [46, 136 – 140].”
BackgroundRetractedGavette, H., McDonald, C. L., Kostick, K. M., Mullen, A., Najafi, B., & Finco, M. G. (2024) · Frontiers in Rehabilitation Sciences · doi:10.3389/fresc.2023.1335966 · Cited by 23 · see citing works
Khosravi, M., & Azar, G. (2024) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2024.39 · Cited by 23 · see citing works
“…within the literature of telehealth tools, which denotes the significant challenge of accessibility of telehealth tools to vulnerable populations with limitations in the access to the digital and inter-net-based tools (Ramsetty and Adams, 2020; Alkureishi et al., 2021; Saeed and Masters, 2021).”
BackgroundTarabichi, Y., Higginbotham, J., Riley, N., Kaelber, D. C., & Watts, B. (2023) · Journal of General Internal Medicine · doi:10.1007/s11606-023-08209-0 · Cited by 22 · see citing works
Jia, X. D., & Xing, H. (2025) · BMC Public Health · doi:10.1186/s12889-025-23411-x · Cited by 21 · see citing works
“The digital divide in society is the fact that the information disadvantaged have not fully benefited from information technology and society [19], emphasizes the uneven distribution of opportunities to access digital technology[20].”
Worldwide Survey on Digital Assistive Technology (DAT) Provision
Margot‐Cattin, I., Deblock-Bellamy, A., Wassmer, J., Ledgerd, R., von Zweck, C., & World Federation of Occupational Therapists (2024) · Occupational Therapy International · doi:10.1155/2024/9536020 · Cited by 21 · see citing works
“A digital divide is recognized where there is an unequal distribution of access to technology and the Internet between di ff erent groups of people [33], which can a ff ect DAT provision.”
BackgroundBiggs, M. A., Ehrenreich, K., Morris, N., Blanchard, K., Bustamante, C. K., Choimorrow, S. Y., Hauser, D., Hernandez, Y., Kapp, N., Kromenaker, T., et al. (2022) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000004757 · Cited by 20 · see citing works
eHealth literacy in the general population: a cross-sectional study in China
Sun, C., Meijer, E., Chavannes, N. H., Dai, H., Li, X., Wang, Y., Wu, L., Zhang, Q., & Kasteleyn, M. J. (2025) · BMC Public Health · doi:10.1186/s12889-025-21389-0 · Cited by 20 · see citing works
Telemedicine in Care of Sarcoma Patients beyond the COVID-19 Pandemic: Challenges and Opportunities
Tsagkaris, C., Trygonis, N., Spyrou, V., & Koulouris, A. (2023) · Cancers · doi:10.3390/cancers15143700 · Cited by 21 · see citing works
“Therefore, telecare for sarcoma can achieve its potential providing that both patients and physicians have sufficient command of and access to digital services [128,129].”
BackgroundRavi, S., Meyerowitz-Katz, G., Yung, C., Ayre, J., McCaffery, K., Maberly, G., & Bonner, C. (2025) · BMC Health Services Research · doi:10.1186/s12913-025-12496-0 · Cited by 19 · see citing works
Tiago, R. D. S., & Mitchell, A. (2024) · Digital Transformation in Higher Education, Part B · doi:10.1108/978-1-83608-424-220241004 · Cited by 51 · see citing works
Gainer, D. M., Wong, C., Embree, J. A., Sardesh, N., Amin, A., & Lester, N. A. (2023) · Substance Use & Misuse · doi:10.1080/10826084.2023.2167496 · Cited by 19 · see citing works
“While the use of telehealth may improve access to SUD treatment at the population level and reduce barriers to treatment, it risks further marginalization of those in need by exacerbating the digital divide (Early & Hernandez, 2021; Saeed & Masters, 2021).”
BackgroundArtificial intelligence: Applications in cardio-oncology and potential impact on racial disparities
Echefu, G. C., Shah, R., Sanchez, Z., Rickards, J., & Brown, S.-A. N. (2024) · American Heart Journal Plus Cardiology Research and Practice · doi:10.1016/j.ahjo.2024.100479 · Cited by 19 · see citing works
Stimpson, J. P., Park, S., Wilson, F. A., & Ortega, A. N. (2024) · JMIR Public Health and Surveillance · doi:10.2196/56881 · Cited by 18 · see citing works
“Social media platforms can serve as conduits for disseminating health-related disinforma-tion, often aimed at these specific communities [44].”
The Role of Artificial Intelligence in Managing Bipolar Disorder: A New Frontier in Patient Care
Milić, J., Zrnic, I., Grego, E., Jovic, D. P., Stanković, V. V., Djurdjevic, S., & Šapić, R. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14072515 · Cited by 18 · see citing works
“Additionally, ensuring that AI tools are designed to be user-friendly and accessible to a wide range of users, regardless of their technical expertise, is essential for increasing adoption [47].”
Cummins, M. R., Wong, B. G., Wan, N., Han, J., Shishupal, S., Gouripeddi, R., Ivanova, J., Franklin, A., Johnny, J. D., Ong, T., et al. (2025) · JAMIA Open · doi:10.1093/jamiaopen/ooaf056 · Cited by 18 · see citing works
“14–16 However, our results indicate that the relationship of these factors to tele-medicine use is intricate and context-dependent.”
Zöllner, J. P., Noda, A. H., McCoy, J., Schulz, J., Tsalouchidou, P., Langenbruch, L. M., Kovac, S., Knake, S., von Podewils, F., Hamacher, M., et al. (2022) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2022.0238 · Cited by 18 · see citing works
Berry, J. G., Ferrari, L. R., Ward, V. L., Hall, M., Desmarais, A., Raval, M. V., Tian, Y., Mathieu, D., Incorvia, J., & Meara, J. G. (2023) · Academic Pediatrics · doi:10.1016/j.acap.2023.08.012 · Cited by 18 · see citing works
Bareis, N., Tepper, M. C., Wang, R., Tang, F., Olfson, M., Dixon, L. B., Kimhy, D., Wall, M. M., Medalia, A. A., Finnerty, M. T., et al. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115497 · Cited by 18 · see citing works
Belmonte, I. A., Collado, R. S., Yuguero, O., Oliva, J. A., Martínez-Millana, A., & Pérez, C. S. (2024) · Atención Primaria · doi:10.1016/j.aprim.2024.102880 · Cited by 18 · see citing works
Li, Z., Liu, X., Tang, Z., Jin, N., Zhang, P., Eadon, M. T., Song, Q., Chen, Y., & Su, J. (2024) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocae158 · Cited by 19 · see citing works
The Impact of Clinical Decision Support on Health Disparities and the Digital Divide
Douthit, B. J., McCoy, A. B., & Nelson, S. D. (2023) · Yearbook of Medical Informatics · doi:10.1055/s-0043-1768722 · Cited by 17 · see citing works
“Population differences in physical health, mental health, and life expectancy are well-documented [1-4].”
BackgroundClosing the Digital Divide in Interventions for Substance Use Disorder
Hampton, J., Mugambi, P., Caggiano, E. G., Eugene, R., Valente, A., Taylor, M. M., & Carreiro, S. (2024) · Journal of Psychiatry and Brain Science · doi:10.20900/jpbs.20240002 · Cited by 17 · see citing works
“Quality improvements on healthcare disparities have been consistently documented to improve the treatment, diagnosis, and health outcomes of a variety of conditions [5].”
BackgroundYoon, E., Hur, S. I., Curtis, L. M., Benavente, J. Y., Wolf, M. S., & Serper, M. (2024) · JAMIA Open · doi:10.1093/jamiaopen/ooae026 · Cited by 16 · see citing works
Schwartz, J. B., Liu, R., Boscardin, W. J., Liu, Q., Lau, S. W. J., Khatri, S., & Tarn, D. M. (2024) · Journal of the American Geriatrics Society · doi:10.1111/jgs.18857 · Cited by 16 · see citing works
“There still exists a digital divide that contributes to health disparities 24 with lower socioeconomic status and higher age-associated digital challenges.”
BackgroundLi, M., Patel, J., & Katapally, T. R. (2025) · PLoS ONE · doi:10.1371/journal.pone.0315313 · Cited by 15 · see citing works
“However, a potential limitation is that participating in XR-CBT interventions requires access to advanced technologies, which may not be available to certain populations, particularly in low-income areas [91,92].”
What we can learn from selected, unmatched data: Measuring internet inequality in Chicago
Saxon, J., & Black, D. A. (2022) · Computers Environment and Urban Systems · doi:10.1016/j.compenvurbsys.2022.101874 · Cited by 15 · see citing works
Is the Rural Population Caught in the Whirlwind of the Digital Divide?
Kerras, H., Rosique, F., Bautista, S., & Gómez, M. D. D. M. (2022) · Agriculture · doi:10.3390/agriculture12121976 · Cited by 15 · see citing works
Impact of sleep quality and physical activity on blood pressure variability
de Havenon, A., Falcone, G. J., Rivier, C. A., Littig, L., Petersen, N., de Villèle, P., Prabhakaran, S., Kimberly, W. T., Mistry, E. A., & Sheth, K. N. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301631 · Cited by 15 · see citing works
Huang, B. (2024) · Current Psychology · doi:10.1007/s12144-024-06106-1 · Cited by 15 · see citing works
“Saeed and Masters ( 2021 ) aimed to explore disparities in healthcare access related to the digital divide.”
The Impact of Digitization on Legal Systems in Developing Countries
Bakhtiyorovich, D. I., Baratov, A., Ugli, K. S. A., Yakubova, I., Рахмонова, М., Mukumov, B., & Абдурахманова, Н. (2025) · Qubahan Academic Journal · doi:10.48161/qaj.v5n1a1246 · Cited by 15 · see citing works
“Both authorities arguably would not have authority to sanction a social media company that provides profiles of users to third-party advertisers when it is not clear whether the social media company provides the user profiles from its own database in the country [29].”
Nivethitha, V., Daniel, R., Surya, B., & Logeswari, G. (2025) · Journal of Postgraduate Medicine · doi:10.4103/jpgm.jpgm_634_24 · Cited by 15 · see citing works
“[28] Ensuring universal access to AI-driven healthcare is vital to prevent widening inequities.”
The impact of digital inequities on gastrointestinal cancer disparities in the United States
Fei‐Zhang, D. J., Moazzam, Z., Ejaz, A. M., Cloyd, J. M., Dillhoff, M., Beane, J. D., Bentrem, D. J., & Pawlik, T. M. (2023) · Journal of Surgical Oncology · doi:10.1002/jso.27257 · Cited by 15 · see citing works
“32,33 The implementation of telephone ‐ and internet ‐ based connected health technologies has been associated with greater patient and provider satisfaction, as well as improved cancer symptom management outcomes, particularly in rural communities.”
BackgroundPrevention of Pre-Eclampsia: Modern Strategies and the Role of Early Screening
Alipova, G., Ablakimova, N., Tussupkaliyeva, K., Bermagambetova, S., Космуратова, Ш. Б., Karimsakova, B., Gaiday, A. N., Gaiday, A., Dinets, A., & Tussupkaliyev, A. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14092970 · Cited by 18 · see citing works
“The digital divide poses another barrier, as limited internet access, lack of technical support, and inadequate training of healthcare personnel can hinder the deployment and maintenance of ML tools [132].”
Dysphagia in Older Adults is Associated With Food Insecurity and Being Homebound
Jones, H. N., Leiman, D. A., Starr, K. N. P., North, R., Pieper, C. F., Robison, R., & Cohen, S. M. (2023) · Journal of Applied Gerontology · doi:10.1177/07334648231177568 · Cited by 14 · see citing works
“While telehealth services may offer a method to improve healthcare access, there is evidence that disparities exist in this sphere as well (Sachs et al., 2021; Saeed & Masters, 2021).”
Telemedicine in an adolescent and young adult medicine clinic: a mixed methods study
Barney, A., Mendez-Contreras, S., Hills, N. K., Buckelew, S. M., & Raymond‐Flesch, M. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09634-x · Cited by 14 · see citing works
“These may include limited technology access, low health or digital literacy, patient acceptance, cost, healthcare infrastructure and policy barriers [36, 37, 39, 40].”
BackgroundQuality measures of virtual care in ambulatory healthcare environments: a scoping review
Petrie, S., Laur, C. V., Rios, P. D. L., Suarez, A., Makanjuola, O., Burke, E., Bhattacharyya, O. K., & Mukerji, G. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-078214 · Cited by 14 · see citing works
“20 This lack of consideration of equity is concerning, as virtual care has the potential to improve access to care for some typically underserved populations and worsen access for others, 21 making it an essential consideration in understanding the quality of care.”
BackgroundInternet Devices and Internet Access Among Migrant and Seasonal Farmworkers, North Carolina, 2023
Lee, J. G. L., Roby, M., Cofie, L. E., LePrevost, C. E., Harwell, E. L., Reed, E. C., Nieuwsma, J., Bloss, J., Anderson, G. C., Santillán-Deras, J. R., et al. (2024) · Public Health Reports · doi:10.1177/00333549241295632 · Cited by 14 · see citing works
Louch, G., Albutt, A., Smyth, K., & O'Hara, J. K. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07954-y · Cited by 14 · see citing works
“Our findings also add important novel details to the more common debates about digital exclusion [45], by suggesting that ‘hidden’ issues such as coercive or controlling behaviour could be compounded by providing access to EHRs.”
BackgroundPersonalized medicine and health equity: overcoming cost barriers and ethical challenges
Francisco, K. K. Y., Apuhin, A. E. C., Maravilla, N. M. A. T., Byers, M. C., Karim, H. B. A., Tan, M. J. T., & AlDahoul, N. (2025) · International Journal for Equity in Health · doi:10.1186/s12939-025-02710-0 · Cited by 27 · see citing works
“This perspective supports the idea that technology should be optimized to improve health outcomes for all [123].”
Noble Metal Nanoparticles for Point-of-Care Testing: Recent Advancements and Social Impacts
Luciano, K., Wang, X., Liu, Y., Eyler, G., Qin, Z., & Xia, X. (2022) · Bioengineering · doi:10.3390/bioengineering9110666 · Cited by 13 · see citing works
Sunshine, I., Kysh, L., & Lakshmanan, A. (2023) · mHealth · doi:10.21037/mhealth-23-10 · Cited by 13 · see citing works
Morgan, P., & Cogan, N. A. (2024) · Journal of Public Mental Health · doi:10.1108/jpmh-07-2024-0095 · Cited by 15 · see citing works
- Authors
- Saeed, S. A., & Masters, R. M.
- Affiliations
- East Carolina University (US)
- Corresponding author
- Saeed, Sy Atezaz
- ORCID
- Saeed, Sy Atezaz
- Venue
- Current Psychiatry Reports
- Published
- 2021-07-23
- Volume
- 23
- Issue
- 9
- Pages
- 61-61
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC8300069
- OpenAlex
- W3185220037
- Cited by
- 578
- References
- 22
- Citations by year
- 2026: 131 · 2025: 177 · 2024: 149 · 2023: 80 · 2022: 37 · 2021: 3
- FWCI
- 37.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- health care disparities, digital divide, telemedicine, internet access, health equity, schizophrenia, post-traumatic stress disorder, bipolar disorder, socioeconomic status, racial disparities, gender disparities, health technology
- MeSH terms
- Black or African American, Female, Humans, Telemedicine, Internet, Healthcare Disparities, Digital Divide
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