4.7 Article

Moving Towards Equity With Digital Health Innovations for Stroke Care

Journal

STROKE
Volume 53, Issue 3, Pages 689-697

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/STROKEAHA.121.035307

Keywords

digital divide; health; health services; ischemic stroke; telerehabilitation

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Digital health can provide a path towards more accessible stroke prevention and treatment, particularly for historically disadvantaged patient populations. However, underrepresented individuals face digital health disparities that potentially diminish the benefits of these digital advances, requiring the consideration of their needs in the integration of digital health solutions.
Digital health has long been championed as a means to expanding access to health care. Now that the COVID-19 pandemic accelerated many health systems' integration of digital tools for care, digital health may provide a path towards more accessible stroke prevention and treatment, particularly for historically disadvantaged patient populations. Stroke management is composed of multiple time points where digital health innovations have the potential to augment health access and treatment: from primary prevention, to the time-sensitive detection of ischemic stroke, administration of thrombolytic agents and consideration for endovascular interventions, to appropriate post-acute care, rehabilitation, and lifelong secondary stroke prevention-stroke care relies on a multidisciplinary and standardized approach. However, as we discuss pointedly in this Focused Update, underrepresented individuals face multilevel digital health disparities that potentially diminish the benefits of these digital advances. As such, these multilevel needs must be discussed and accounted for as health systems seek to integrate innovative and equitable digital health solutions towards stroke care.

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