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Digital determinants of health: opportunities and risks amidst health inequities

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From Nature Reviews Nephrology

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Digital transformation offers unprecedented opportunities for advancing healthcare, but also raises complex ethical and legal challenges. Emerging drivers of health disparity termed ‘digital determinants of health’ call for purposeful, equity-focused strategies to ensure that technological innovation benefits all without exacerbating disparities.

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References

  1. Kickbusch, I. et al. The Lancet and Financial Times Commission on governing health futures 2030: growing up in a digital world. Lancet 398, 1727–1776 (2021).

    Article  PubMed  Google Scholar 

  2. Braveman, P. & Gottlieb, L. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep. 129 (Suppl. 2), 19–31 (2014).

    Article  PubMed  PubMed Central  Google Scholar 

  3. Gallifant, J., Nakayama, L. F., Gichoya, J. W., Pierce, R. & Celi, L. A. Equity should be fundamental to the emergence of innovation. PLOS Digit. Health 2, e0000224 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  4. Celi, L. A. et al. Sources of bias in artificial intelligence that perpetuate healthcare disparities — a global review. PLOS Digit. Health 1, e0000022 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Feinstein, J. S. The relationship between socioeconomic status and health: a review of the literature. Milbank Q. 71, 279–322 (1993).

    Article  CAS  PubMed  Google Scholar 

  6. Yarnell, C. J. et al. Do thresholds for invasive ventilation in hypoxemic respiratory failure exist? A cohort study. Am. J. Respir. Crit. Care Med. 207, 271–282 (2023).

    Article  PubMed  Google Scholar 

  7. Charpignon, M.-L. et al. Critical bias in critical care devices. Crit. Care Clin. https://doi.org/10.1016/j.ccc.2023.02.005 (2023).

  8. Pierce, R., Sterckx, S. & Van Biesen, W. A riddle, wrapped in a mystery, inside an enigma: how semantic black boxes and opaque artificial intelligence confuse medical decision‐making. Bioethics 36, 113–120 (2022).

    Article  PubMed  Google Scholar 

  9. Pierce, R. In Bioethics and Racism (eds Botrugno, C. et al.) 57–82 (De Gruyter, 2023).

  10. Pierce, R. L. Interrupting pathways to health inequities in citizen science health research. Health Promot. Int. 37 (Suppl. 2), ii21–ii34 (2022).

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Critical Care, Guy’s & St Thomas’ NHS Trust, London, UK

    Jack Gallifant

  2. Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

    Leo Anthony Celi

  3. Massachusetts Institute of Technology, Laboratory for Computational Physiology, Cambridge, MA, USA

    Leo Anthony Celi

  4. Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA

    Leo Anthony Celi

  5. The Law School, Faculty of Humanities, Arts, and Social Sciences, University of Exeter, Exeter, UK

    Robin L. Pierce

Authors
  1. Jack Gallifant
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  2. Leo Anthony Celi
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  3. Robin L. Pierce
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Corresponding authors

Correspondence to Jack Gallifant or Leo Anthony Celi.

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The authors declare no competing interests.

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Gallifant, J., Celi, L.A. & Pierce, R.L. Digital determinants of health: opportunities and risks amidst health inequities. Nat Rev Nephrol 19, 749–750 (2023). https://doi.org/10.1038/s41581-023-00763-4

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  • DOI: https://doi.org/10.1038/s41581-023-00763-4

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