The Promises and Perils of Digital Strategies in Achieving Health Equity Workshop Summary (2016) / Chapter Skim
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2 Technology and Health Disparities
2 Technology and Health Disparities
Pages 5-14
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From page 5... ...
Globally, more people own a mobile phone than own a toothbrush, noted Kimberlydawn Wisdom, senior vice president of community health and equity and chief wellness and diversity officer in the Henry Ford Health System, in her opening keynote address at the conference. Seventyseven percent of U.S.
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"As we talk about eliminating disparities, you need to somehow find the route that is going to be most culturally appropriate to get the change that you need," Wisdom explained. The Institute of Medicine report Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care (IOM, 2002)
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Telehealth systems can help patients with chronic disease manage their own care and help prevent visits to emergency rooms and hospitalizations. With the Partnership for a Healthier America led by First Lady Michelle Obama, the system has joined in the Healthy Hospital Food Commitment, which includes a third-party vendor that audits compliance.2 The commitment includes a smartphone app that builds menus, provides complete nutrition information, offers other healthy living tools, and supports the 5-2-1-0 message (targeted at children)
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As an example, Wisdom cited the recent effort to collect data about race, ethnicity, and primary language at a detailed level. To develop a common platform, the system borrowed a tool developed by the Robert Wood Johnson Foundation called We Ask Because We Care.
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Wisdom noted, "One of the things that worries me is that, as we try to close the digital divide, unintended consequences of widening the divide in terms of outcomes could be an issue." Additional challenges include • evaluating tools like MyChart to ensure that different racial/ethnic population subgroups are using it at the same rate, • the potential loss of personal interactions as technology becomes more prominent in health care, and • making the data accessible in communities. Real-time data are important to eliminate disparities, because much of the public health data related to disparities are dated, said Wisdom, adding, "We need to be able to understand, in real time, what the data show, as well as communicate that to the community, so they can become partners in helping us eliminate health and health care disparities." ENGAGING COMMUNITIES As was discussed throughout the workshop, community engagement has been a key component of the Henry Ford Health System's efforts.
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The Henry Ford Health System is collaborating with more than 40 leading nonprofit health care organizations to create a menu of proven community health practices that work "from the top of the mission statement to the bottom line," Wisdom observed. The objective is to show that there is an economic case around eliminating health and health care disparities.
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At the National Institutes of Health, mHealth refers to any wireless device carried by or on a person that accepts or transmits health data and information. Such devices include sensors, such as implantable miniature sensors and nanosensors, monitors such as wireless accelerometers and blood pressure and glucose monitors, and mobile phones and tablets.
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From page 12... ...
They also are pioneering new ways of using mobile technologies -- for example, by taking pictures of visible health problems and sending them to their health care providers. Older Americans still lag in their use of cell phones but increasing numbers are discovering the value of these technologies.
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Health care providers can intervene remotely with greater frequency than for traditional care, with real-time management and a reduction in acute care. People can use their technologies to have private or difficult questions answered, enabling a proactive, timely,
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Industry has much to teach health care about this issue, as do the users of technologies and communities as a whole. Technologies such as YouTube have been successful in capturing huge audiences.
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