Challenges in Promoting Health Equity and Reducing Disparities in Access Across New and Established Technologies
Open accessAbstract
Medical innovations and novel technologies stand to improve the return on high levels of health spending in developed countries, particularly in cardiovascular care. However, cardiac innovations also disrupt the landscape of accessing care, potentially creating disparities in who has access to novel and extant technologies. These disparities might disproportionately harm vulnerable groups, including those whose nonmedical conditions-including social determinants of health-inhibit timely access to diagnoses, referrals, and interventions. We first document the barriers to access novel and existing technologies in isolation, then proceed to document their interaction. Novel cardiac technologies might affect existing available services, and change the landscape of care for vulnerable patient groups who seek access to cardiology services. There is a clear need to identify and heed lessons learned from the dissemination of past innovations in the development, funding, and dissemination of future medical technologies to promote equitable access to cardiovascular care. We conclude by highlighting and synthesizing several policy implications from recent literature.
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Knowledge generation disparities in GenAI nursing education research could perpetuate global inequities in technology adoption.
“While North America (42.1 %) and Asia (29.9 %) dominate the discourse, Africa's minimal contribution (0.9 %) and limited European engagement (10.3 %) signal knowledge generation disparities that could perpetuate global inequities in technology adoption (Hoagland and Kipping, 2024).”
From Patterns, advances, and gaps in using ChatGPT and similar technologies in nursing education: A PAGER scoping review (2025) · cites this paper as Hoagland and Kipping, 2024
North America (42.1%) and Asia (29.9%) dominate the GenAI nursing education discourse, while Africa's contribution is minimal (0.9%) and European engagement is limited (10.3%).
“While North America (42.1 %) and Asia (29.9 %) dominate the discourse, Africa's minimal contribution (0.9 %) and limited European engagement (10.3 %) signal knowledge generation disparities that could perpetuate global inequities in technology adoption (Hoagland and Kipping, 2024).”
From Patterns, advances, and gaps in using ChatGPT and similar technologies in nursing education: A PAGER scoping review (2025) · cites this paper as Hoagland and Kipping, 2024
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Amankwaa, I., Ekpor, E., Cudjoe, D., Kobiah, E., Fuseini, A.-K. J., Diebieri, M., Gyamfi, S., & Brownie, S. (2025) · Nurse Education Today · doi:10.1016/j.nedt.2025.106822 · Cited by 20 · see citing works
- Authors
- Hoagland, A., & Kipping, S.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Hoagland, Alex
- Venue
- Canadian Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2024-06
- Volume
- 40
- Issue
- 6
- Pages
- 1154-1167
- ISSN
- 0828-282X (ISSN-L)
- OpenAlex
- W4392244920
- Cited by
- 68
- References
- 7
- Citations by year
- 2026: 17 · 2025: 45 · 2024: 6
- FWCI
- 7.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Canadian Journal of Cardiology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- health equity, health disparities, health care access, cardiovascular care, social determinants of health, vulnerable populations, barriers to care, health policy, health spending
- MeSH terms
- Health Equity, Cardiovascular Diseases, Health Services Accessibility, Humans, Biomedical Technology, Healthcare Disparities
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