Promoting racial equity in digital health: applying a cross-disciplinary equity framework

Article Psychology, Developmental

Widening Racial Disparities During COVID-19 Telemedicine Transition: A Study of Child Mental Health Services at Two Large Children?s Hospitals

J. Corey Williams et al.

Summary: This study examines the racial disparities in access to pediatric mental health care during the COVID-19 telemedicine transition at The Children's Hospital of Philadelphia (CHOP) and Boston Children's Hospital (BCH). The findings indicate that the transition to telemedicine exacerbates pre-existing racial disparities, leading to a decrease in access for racially minoritized patients and an increase in access for White-identifying patients.

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY (2023)

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Article Health Care Sciences & Services

Utilization Gaps During the COVID-19 Pandemic: Racial and Ethnic Disparities in Telemedicine Uptake in Federally Qualified Health Center Clinics

Omolola E. Adepoju et al.

Summary: This study examines the association between telemedicine use and race/ethnicity and finds that disparities in telemedicine usage persist among different racial/ethnic groups. African Americans and Hispanics are more likely to use telemedicine when they live farther away from the clinic.

JOURNAL OF GENERAL INTERNAL MEDICINE (2022)

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Article Nursing

Using Retrofit, Reform, and Reimagine to Advance Toward Health Equity

Monica R. McLemore

Summary: The purpose of this commentary is to provide an overview of the current landscape for childbearing families and pregnancy-capable people and to call for aligning health and human services that support improved health outcomes. The commentary introduces the framework of retrofit, reform, and reimagine to connect the dots for health equity.

JOURNAL OF PERINATAL & NEONATAL NURSING (2022)

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Article Health Care Sciences & Services

Wearable fitness tracker use in federally qualified health center patients: strategies to improve the health of all of us using digital health devices

Michelle Holko et al.

Summary: The study found that the majority of adult patients surveyed at six Federally Qualified Health Centers expressed interest in having fitness trackers, but barriers such as cost and lack of information need to be addressed for broader adoption of digital health devices.

NPJ DIGITAL MEDICINE (2022)

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Editorial Material Health Care Sciences & Services

Emerging approaches to redressing multi-level racism and reproductive health disparities

Bethany Golden et al.

Summary: Multi-level racism has an unfair impact on reproductive health in the United States. The use of the R4P approach and 3R model is recommended to address various forms of racism and achieve health equity.

NPJ DIGITAL MEDICINE (2022)

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Article Medical Informatics

Al recognition of patient race in medical imaging: a modelling study

Judy Wawira Gichoya et al.

Summary: In this study, we demonstrate that standard AI deep learning models can be trained to accurately predict a person's race from medical images across multiple imaging modalities. This detection is not attributed to proxies or imaging-related surrogate covariates for race, and the model's ability persists over all anatomical regions and frequency spectrums of the images. The findings highlight the risks associated with deploying AI models in medical imaging, as they can accurately predict race even from corrupted or manipulated images that clinical experts may struggle with.

LANCET DIGITAL HEALTH (2022)

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Article Public, Environmental & Occupational Health

Racial and Ethnic Disparities in Maternal Mortality in the United States Using Enhanced Vital Records, 2016-2017

Marian F. MacDorman et al.

Summary: The study revealed that the maternal mortality rate for non-Hispanic Black women was 3.55 times that for non-Hispanic White women, with leading causes including eclampsia, preeclampsia, and postpartum cardiomyopathy. The prominence of cardiovascular-related conditions among the leading causes underscores the need for increased vigilance and prevention during pregnancy and postpartum period.

AMERICAN JOURNAL OF PUBLIC HEALTH (2021)

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Editorial Material Clinical Neurology