Cited by 579Health disparities and outcomesTelemedicine and Telehealth ImplementationHealth Literacy and Information Accessibility

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Disparities in Health Care and the Digital Divide

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Saeed, Sy Atezaz, Masters, Ross MacRae·2021·Current Psychiatry Reports

DOI 10.1007/s11920-021-01274-4PMC PMC8300069

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Abstract

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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“[18–23].”
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“Lower-incomefamilies,whichdisproportionatelyincluderacial/ethnic minority groups, may have limited access to reliable internet, smartphones, or private spaces necessary for telemedicine 44,45 .”
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“A recurring debate in the digital health literature concerns whether observed disparities reflect inequities introduced by digital modalities themselves or simply mirror longstanding inequalities in healthcare access more broadly [ 35].”
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“However, some individuals—especially begin-ners—report dizziness or discomfort with strict 5:5 cycles, and reliance on external devices may limit accessibility and adherence (Saeed & Masters, 2021 ; Yadav & Yadav, 2015).”
Participants' experiences with and perceptions of a digital health intervention to reduce sugar-sweetened beverage intake: A mixed methods summative evaluation of iSIPsmarter”
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“Third, digital health interventions have great potential for reach given their relatively low cost and high scalability and the reduction in the digital divide (Saeed and Masters, 2021; Pew Research Center, 2024).”
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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
Publisher: Springer Science and Business Media LLC
Published: 2021-07-23
Volume: 23
Issue: 9
Pages: 61-61
ISSN: 1523-3812 (ISSN-L)
1535-1645
DOI: 10.1007/s11920-021-01274-4
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: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
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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