Quintuple Aim

  • 文章类型: Journal Article
    随着数字医疗服务在丹麦背景下的使用和用途不断扩大,嵌入其中的功能也在不断扩展,构成公民获得医疗保健服务和个人健康数据的权利。在丹麦,数字医疗不平等的影响在很大程度上仍未被探索,随着行业数字化转型的推进,密切关注这一方面至关重要。根据《丹麦卫生法》(2019年),丹麦的医疗保健系统需要确保容易和平等地获得医疗保健,高质量的治疗,连贯的患者路径,自由选择,易于获取信息,透明度,每个公民的等待时间都很短。这些是受医疗保健数字化影响的重点法律要求。因此,基于来自高度数字化国家的见解,在这种情况下,丹麦,本文旨在引发关于数字医疗不平等的讨论,应对当前的挑战,并通过阐述概念来考虑未来的方向,伦理,证据知情,以及与数字医疗不平等相关的方法学问题。具体来说,本文讨论了为什么丹麦背景下数字医疗保健的不平等需要更多关注,健康公平如何嵌入丹麦立法,以及如何从道德角度来对待它。中心焦点围绕赋权的基本原则,解放,和公平,强调医疗保健的数字化应积极努力防止和避免医疗保健不平等的长期存在。本文最后讨论了确保更可持续发展的未来方向,健壮,公平的数字医疗系统。
    As digital healthcare services are expanding in use and purpose in a Danish context so are the functionalities embedded in these, constituting citizens\' access to healthcare services and personal health data. In Denmark, the impact of inequalities in digital healthcare remains largely unexplored, making it crucial to pay close attention to this aspect as the digital transformation of the sector progresses. According to the Danish Health Act (2019), the Danish healthcare system is required to ensure easy and equal access to healthcare, high-quality treatment, coherent patient pathways, freedom of choice, easy access to information, transparency, and short waiting times for every citizen. These are focal law-based requirements influenced by the digitalisation of healthcare. Hence, based on insights from a highly digitalised country, in this case, Denmark, this paper aims to initiate a discussion on inequities in digital healthcare, address current challenges, and consider future directions by elaborating on conceptual, ethical, evidence-informed, and methodological issues linked to inequities in digital healthcare. Specifically, this paper discusses why inequities in digital healthcare in a Danish context need increased attention, how health equity is embedded in Danish legislation and how it can be approached from an ethical perspective. The central focus revolves around the essential principles of empowerment, emancipation, and equity, which are being highlighted to emphasise that the digitalisation of healthcare should actively work towards preventing and avoiding the perpetuation of healthcare inequalities. The paper concludes by discussing future directions for ensuring a more sustainable, robust, and equitable digital healthcare system.
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