Population health-based approaches to utilizing digital technology: a strategy for equity
Open accessAbstract
Health care disparities and high chronic disease rates burden many communities and disproportionally impact racial/ethnic populations in the United States. These disparities vary geographically, increase health care expenses, and result in shortened lifespans. Digital technologies may be one tool for addressing health disparities and improving population health by increasing individuals' access to health information-especially as most low-income U.S. residents gain access to smartphones. The Aetna Foundation partners with organizations to use digital technologies, including mobile applications, data collection, and related platforms, for learning and sharing. Projects range from the broad-childhood education, lifestyle modification, health IT training, and nutrition education, to the specific-local healthy foods, stroke rehabilitation, and collection of city-level data. We describe our approaches to grantmaking and discuss lessons learned and their implications. When combined with sound policy strategies, emerging, scalable, digital technologies will likely become powerful allies for improving health and reducing health disparities.
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Many people in remote or low-income settings are not well supported by conventional health care.
“Many people in remote or low-income settings are not well supported by conventional health care.121”
From Artificial intelligence in diabetes management: Advancements, opportunities, and challenges (2023) · cites this paper as [121]
The Abstract (page not specified in our copy) says access to care depends on where a person lives and describes disparities in the use of health services. The section on Camden describes residents relying on inefficient emergency-department care rather than preventive care. These passages support the point for underserved, low-income communities, but do not specifically establish it for remote settings. (LLM, conf=0.82)
Experimental — accuracy not yet measuredThe reach of AI-based DHTs, coupled with the relative reduction in cost and increased capability of mobile communications, has led to its greater penetration into traditionally difficult-to-reach communities compared with robust conventional health care.
“The reach of AI-based DHTs, coupled with the relative reduction in cost and increased capability of mobile communications, has led to its greater penetration into traditionally difficult-to-reach communities compared with robust conventional health care.121”
From Artificial intelligence in diabetes management: Advancements, opportunities, and challenges (2023) · cites this paper as [121]
The “Digital Technology -Mobile Personal Engagement” section reports widespread smartphone ownership among low-income and underserved U.S. populations, and the Conclusion describes mobile technology’s potential to reach them. The paper does not establish that AI-based digital health tools have penetrated these communities more than conventional health care, or attribute such penetration to falling mobile-communication costs and increasing capabilities. (LLM, conf=0.86)
Experimental — accuracy not yet measured
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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
Crossing the Quality Chasm: A New Health System for the 21st Century
Committee on Quality of Health Care in America (2002) · Journal for Healthcare Quality · doi:10.1111/j.1945-1474.2002.tb00463.x · Cited by 8,508 · see citing works
Unequal treatment: confronting racial and ethnic disparities in health care
(2003) · Choice Reviews Online · doi:10.5860/choice.40-5843 · Cited by 7,043 · see citing works
Unequal treatment: confronting racial and ethnic disparities in health care.
Smedley, B. D., Stith, A. Y., & Nelson, A. (2003) · University Libraries (University of Maryland) · doi:10.13016/1bbm-d7bq · Cited by 6,567 · see citing works
Crossing the Quality Chasm: A New Health System for the 21st Century
Bloom, B. S. (2002) · JAMA · doi:10.1001/jama.287.5.646-a · Cited by 3,732 · see citing works
Income, Poverty, and Health Insurance Coverage In The United States: 2006: (668082007-001)
DeNavas-Walt, C., Proctor, B. D., & Smith, J. (2007) · PsycEXTRA Dataset · doi:10.1037/e668082007-001 · Cited by 1,636 · see citing works
CDC Health Disparities and Inequalities Report — United States, 2011
Truman, B. I. (2011) · Digital Scholarship - Texas Southern University (Texas Southern University) · Cited by 794 · see citing works
Lowres, N., Neubeck, L., Salkeld, G., Krass, I., McLachlan, A. J., Redfern, J., Bennett, A. A., Briffa, T., Bauman, A., Martinez, C., et al. (2014) · Thrombosis and Haemostasis · doi:10.1160/th14-03-0231 · Cited by 458 · see citing works
Lau, J. K., Lowres, N., Neubeck, L., Brieger, D. B., Sy, R. W., Galloway, C. D., Albert, D. E., & Freedman, S. B. (2013) · International Journal of Cardiology · doi:10.1016/j.ijcard.2013.01.220 · Cited by 326 · see citing works
Herman, W. H., Dungan, K. M., Wolffenbuttel, B. H. R., Buse, J. B., Fahrbach, J. L., Jiang, H. H., & Martin, S. (2009) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2008-1940 · Cited by 210 · see citing works
Duggan, M., & Fox, S. (2012) · Issue Lab (Candid) · Cited by 199 · see citing works
Smith, A. W., McGeeney, K., & Duggan, M. (2015) · Cited by 176 · see citing works
Income, Poverty, and Health Insurance Coverage in the United States: 2005
DeNavas-Walt, C., Proctor, B. D., & Lee, C. H. (2006) · University Libraries (University of Maryland) · doi:10.13016/9dqu-nqna · Cited by 151 · see citing works
Smith, A. W. (2013) · Cited by 76 · see citing works
Flagged first, then by citations
2 of the 16 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Diretrizes Brasileiras de Hipertensão Arterial – 2020
Barroso, W. K. S., Rodrigues, C. I. S., Bortolotto, L. A., Gomes, M. A. M., Brandão, A. A., Feitosa, A. D. M., Machado, C. A., Poli‐de‐Figueiredo, C. E., Amodeo, C., Mion, D., et al. (2021) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20201238 · Cited by 1,305 · see citing works
Artificial intelligence in diabetes management: Advancements, opportunities, and challenges
Guan, Z., Li, H., Liu, R., Cai, C., Liu, Y., Li, J., Wang, X., Huang, S., Wu, L., Liu, D., et al. (2023) · Cell Reports Medicine · doi:10.1016/j.xcrm.2023.101213 · Cited by 287 · see citing works
“121 These individuals often have the poorest understanding of the disease, low use of maintenance medications, and poor health outcomes.”
BackgroundMuscat, N. A., & Sørensen, K. (2019) · European Journal of Public Health · doi:10.1093/eurpub/ckz166 · Cited by 223 · see citing works
Digital technologies and adherence in respiratory diseases: the road ahead
Blakey, J. D., Bender, B. G., Dima, A. L., Weinman, J., Safioti, G., & Costello, R. W. (2018) · European Respiratory Journal · doi:10.1183/13993003.01147-2018 · Cited by 136 · see citing works
Katapally, T. R. (2019) · JMIR mhealth and uhealth · doi:10.2196/14056 · Cited by 112 · see citing works
The War on Diabetic Retinopathy: Where Are We Now?
Wong, T. Y., & Sabanayagam, C. (2019) · Asia-Pacific Journal of Ophthalmology · doi:10.1097/apo.0000000000000267 · Cited by 84 · see citing works
Digital Public Health – ein Überblick
Bremen, L.-W. D. P. H., Zeeb, H., Pigeot, I., & Schüz, B. (2020) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-019-03078-7 · Cited by 59 · see citing works
Whitehead, L., Robinson, S., Arabiat, D. H., Jenkins, M., & Mörelius, E. (2023) · JMIR Pediatrics and Parenting · doi:10.2196/44199 · Cited by 58 · see citing works
Flaherty, S. J., McCarthy, M. B., Collins, A., & McAuliffe, F. M. (2019) · Journal of Marketing Management · doi:10.1080/0267257x.2019.1576756 · Cited by 51 · see citing works
Schnall, R., Sanabria, G., Jia, H., Cho, H., Bushover, B. R., Reynolds, N. R., Gradilla, M., Mohr, D. C., Ganzhorn, S., & Olender, S. (2022) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocac233 · Cited by 39 · see citing works
Craig, K. J. T., Fusco, N., Gunnarsdottir, T., Chamberland, L., Snowdon, J. L., & Kassler, W. J. (2021) · Online Journal of Public Health Informatics · doi:10.5210/ojphi.v13i3.11081 · Cited by 39 · see citing works
Flaherty, S. J., McCarthy, M. B., Collins, A., McCafferty, C., & McAuliffe, F. M. (2021) · European Journal of Marketing · doi:10.1108/ejm-06-2019-0531 · Cited by 35 · see citing works
Social Media, Digital Health Literacy, and Digital Ethics in the Light of Health Equity
Rivera-Romero, O., Gabarrón, E., Miron‐Shatz, T., Petersen, C. C., & Denecke, K. (2022) · Yearbook of Medical Informatics · doi:10.1055/s-0042-1742503 · Cited by 35 · see citing works
Pandemic Pressure: Teledermatology and Health Care Disparities
Rustad, A. M., & Lio, P. (2021) · Journal of Patient Experience · doi:10.1177/2374373521996982 · Cited by 19 · see citing works
Emerging trends and sustainability challenges in the global agri-food sector
Bhat, R. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-91001-9.00041-4 · Cited by 18 · see citing works
MacKinnon, K. R., Mykhalovskiy, E., Worthington, C., Gómez-Ramírez, O., Gilbert, M., & Grace, D. (2020) · Social Science & Medicine · doi:10.1016/j.socscimed.2020.113571 · Cited by 16 · see citing works
Lostelius, P. V., Mattebo, M., Adolfsson, E. T., Söderlund, A., Andersén, M., Vadlin, S., & Revenäs, Å. (2023) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-023-02191-7 · Cited by 14 · see citing works
A Game Changer: ‘The Use of Digital Technologies in the Management of Upper Limb Rehabilitation’
Ballantyne, R., & Rea, P. (2019) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-31904-5_9 · Cited by 11 · see citing works
Health and information disparities among non-adopters of smartphones
Na, L., & Sheu, J. (2022) · Health Policy and Technology · doi:10.1016/j.hlpt.2022.100600 · Cited by 7 · see citing works
Alipour, P., El-Aghil, M., Foo, A., & Azizi, Z. (2025) · Current Atherosclerosis Reports · doi:10.1007/s11883-024-01272-w · Cited by 7 · see citing works
Digital Transformation in Measuring Social Determinants of Health
Liu, C., Wang, W. Y. C., & Khan, G. F. (2023) · Journal of Organizational and End User Computing · doi:10.4018/joeuc.328530 · Cited by 6 · see citing works
Fotopoulou, A., Barratt, H., & Marandet, E. (2021) · Health Promotion International · doi:10.1093/heapro/daab166 · Cited by 5 · see citing works
Miriam, D., Mandlik, R. M., Patwardhan, V. G., Ladkat, D., Khadilkar, V. V., Kajale, N., More, C., Gondhalekar, K. M., Bhawra, J., Katapally, T. R., et al. (2025) · BMJ Public Health · doi:10.1136/bmjph-2024-001741 · Cited by 3 · see citing works
Artificial intelligence in primary ovarian insufficiency management: opportunities and challenges
Zhou, R., Wei, Y., Xiong, Y., Su, B., Xie, J., Hu, L., & Lei, X. (2025) · Journal of Assisted Reproduction and Genetics · doi:10.1007/s10815-025-03660-w · Cited by 2 · see citing works
Applications of AI in the management of elderly diabetes patients
Xie, T., Wang, Z., He, J., & Zhang, J. (2025) · Ageing Research Reviews · doi:10.1016/j.arr.2025.102960 · Cited by 3 · see citing works
Brin, M., Michaels, C. L., Veihman, P. R., Wood, O. R., Abua, J., Kay, E. S., Batey, D. S., & Schnall, R. (2025) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2025.105959 · Cited by 2 · see citing works
Vadiveloo, M. K., Tovar, A., Elenio, E. G., Eickhoff, C., Soucie, J. S., Ewing, S. W. F., Gans, K. M., & Thorndike, A. N. (2025) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2025.07.010 · Cited by 2 · see citing works
Mansfield, D., Sagan, D., O’Donnell, A. J., Takgbajouah, M., Loiacono, B., Withington, M. H. C., Cory, M., & Buscemi, J. (2023) · Journal of School Health · doi:10.1111/josh.13407 · Cited by 2 · see citing works
Ghaderi, M., Chitzan-Zadeh, K., Mokarami, M., Mokarami, M., Shokoohi, M., & Vafa, R. G. (2025) · Next research. · doi:10.1016/j.nexres.2025.100472 · Cited by 1 · see citing works
Tap and Swipe Smartphone Gestures Indicating Hand Tremor and Finger Joint Range in Motion
Torres, W. O., & Stuart, H. S. (2023) · IEEE Eurasia Conference on Biomedical Engineering, Healthcare and Sustainability (ECBIOS) · doi:10.1109/ecbios57802.2023.10218438 · Cited by 1 · see citing works
Prävention und Gesundheitswesen: Digitale Epidemiologie – eine neue Zeit ist angebrochen!
Dratva, J., & Meier, C. (2018) · Swiss Medical Forum ‒ Schweizerisches Medizin-Forum · doi:10.4414/smf.2018.03128
Minority College Students and Digital Agency
Baker, C., & Blankenship, R. J. (2019) · Advances in early childhood and K-12 education · doi:10.4018/978-1-5225-7787-4.ch006
Android application for type 2 diabetes mellitus
Gayatri, R. W., Katmawanti, S., Wardani, H. E., & Low, W. Y. (2021) · Enfermería Clínica · doi:10.1016/j.enfcli.2020.09.019
Digital technologies and pulmonary medicine
UPSON, S. M., Kusupati, V., & Bime, C. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-824010-6.00071-x
Miriam, D., Mandlik, R. M., Patwardhan, V. G., Ladkat, D., Khadilkar, V. V., Kajale, N., More, C., Gondhalekar, K. M., Bhawra, J., Katapally, T., et al. (2023) · medRxiv · doi:10.1101/2023.08.30.23294810
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A., & Mattebo, M. (2024) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-024-02465-8
Marckmann, G. (2025) · Springer eBooks · doi:10.1007/978-3-662-71115-6_9
Torres, W. O., Abbott, M. E., & Stuart, H. S. (2025) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc58623.2025.11251730
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A.-B., & Mattebo, M. (2024) · Figshare · doi:10.6084/m9.figshare.25346992
Lostelius, P. V., Mattebo, M., Adolfsson, E. T., Söderlund, A., Andersén, M., Vadlin, S., & Revenäs, Å. (2023) · Figshare · doi:10.6084/m9.figshare.22800022
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A.-B., & Mattebo, M. (2024) · Figshare · doi:10.6084/m9.figshare.26689148
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A.-B., & Mattebo, M. (2024) · Figshare · doi:10.6084/m9.figshare.25347232
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A.-B., & Mattebo, M. (2024) · Figshare · doi:10.6084/m9.figshare.26689154
Lostelius, P. V., Mattebo, M., Adolfsson, E. T., Söderlund, A., Andersén, M., Vadlin, S., & Revenäs, Å. (2023) · Figshare · doi:10.6084/m9.figshare.22800019
Lostelius, P. V., Gustavsson, C., Adolfsson, E. T., Söderlund, A., Revenäs, Å., Zakrisson, A.-B., & Mattebo, M. (2024) · Figshare · doi:10.6084/m9.figshare.26689151
Lostelius, P. V., Mattebo, M., Adolfsson, E. T., Söderlund, A., Andersén, M., Vadlin, S., & Revenäs, Å. (2023) · Figshare · doi:10.6084/m9.figshare.22800025
- Authors
- Graham, G. N., Ostrowski, M., & Sabina, A. B.
- Affiliations
- Aetna (United States) (US)
- Corresponding author
- Graham, Garth N.
- Venue
- Journal of Public Health Policy
- Published
- 2016-11
- Volume
- 37
- Issue
- S2
- Pages
- 154-166
- ISSN
- 0197-5897 (ISSN-L)
- 1745-655X
- OpenAlex
- W2557541991
- Cited by
- 46
- References
- 16
- Citations by year
- 2025: 9 · 2024: 6 · 2023: 11 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 6 · 2018: 2
- FWCI
- 4.98
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Public Health Policy (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Health and Human Services
- Aetna Foundation
- University of Connecticut
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Public Health Policies and Education
- Keywords
- health disparities, digital health technologies, population health, health equity, racial and ethnic minorities, mobile health apps, smartphone access, low-income populations, grantmaking, health information access, nutrition education, healthy food, stroke rehabilitation, childhood education, lifestyle modification
- MeSH terms
- Health Equity, Diffusion of Innovation, Health Policy, Humans, Medical Informatics, United States, Biomedical Technology, Cell Phone, Health Status Disparities
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