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Innovative technologies and social inequalities in health: A scoping review of the literature

机译:健康领域的创新技术和社会不平等:文献的范围回顾

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摘要

The aim of this study was to systematically review the range, nature, and extent of current research activity exploring the influence of innovative health-related technologies on social inequalities in health, with specific focus on a deeper understanding of the variables used to measure this connection and the pathways leading to the (re)production of inequalities. A review process was conducted, based on scoping review techniques, searching literature published from January 1, 1996 to November 25, 2016 using MEDLINE, Scopus, and ISI web of science. Search, sorting, and data extraction processes were conducted by a team of researchers and experts using a dynamic, reflexive examination process. Of 4139 studies collected from the search process, a total of 33 were included in the final analysis. Results of this study include the classification of technologies based on how these technologies are accessed and used by end users. In addition to the factors and mechanisms that influence unequal access to technologies, the results of this study highlight the importance of variations in use that importantly shape social inequalities in health. Additionally, focus on health care services technologies must be accompanied by investigating emerging technologies influencing healthy lifestyle, genomics, and personalized devices in health. Findings also suggest that choosing one measure of social position over another has important implications for the interpretation of research results. Furthermore, understanding the pathways through which various innovative health technologies reduce or (re)produce social inequalities in health is context dependent. In order to better understand social inequalities in health, these contextual variations draw attention to the need for critical distinctions between technologies based on how these various technologies are accessed and used. The results of this study provide a comprehensive starting point for future research to further investigate how innovative technologies may influence the unequal distribution of health as a human right.
机译:这项研究的目的是系统地审查当前研究活动的范围,性质和程度,以探索与健康相关的创新技术对健康中社会不平等的影响,尤其着重于对用于测量这种联系的变量的更深入理解。以及导致(重新)产生不平等的途径。基于范围界定审查技术,使用MEDLINE,Scopus和ISI科学网对1996年1月1日至2016年11月25日出版的文献进行了审查。由一组研究人员和专家使用动态的反思性检查过程来进行搜索,排序和数据提取过程。从搜索过程中收集的4139项研究中,最终分析中总共包括33项。这项研究的结果包括根据最终用户如何访问和使用这些技术对技术进行分类。除了影响不平等获取技术的因素和机制外,这项研究的结果还强调了使用变化的重要性,这种变化对健康中的社会不平等产生了重要影响。此外,在关注医疗保健服务技术的同时,还必须研究影响健康生活方式,基因组学和个性化医疗设备的新兴技术。研究结果还表明,选择一种社会地位衡量指标而不是另一种衡量指标对解释研究结果具有重要意义。此外,了解各种创新保健技术减少或(再)产生保健方面的社会不平等的途径取决于环境。为了更好地理解健康方面的社会不平等,这些上下文差异引起人们对基于访问和使用这些各种技术的技术之间严格区分的需求的关注。这项研究的结果为将来的研究提供了一个全面的起点,以进一步研究创新技术如何影响健康作为人权的不平等分配。

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