Making health technology accessible to everyone (Massive Science)

Who is most likely to feel the impact of soaring health care costs and cuts in government spending? It’s those that have historically been underrepresented in the US: older low-income adults, people with mental illness, and racial/ethnic minority patients.

Apple Watches are popular exercise and heart rate monitors

Since the potential for new technologies is significant, it is high time for an actual focus on inclusion in health care not only for today but for the future. But the industry seems barely aware of a glaring problem: technology is only available to a privileged class. Technological innovation is now causing differences in health among different populations, which has only worsened during the COVID-19 pandemic.

Studies show that “individuals of higher socioeconomic status (SES) are the first to adopt, and benefit most from, the introduction of innovative technologies in health, creating social inequalities in health where they were once very low or nonexistent.” For example, a 2016 study reported that over 50 percent of people in poverty in the United States no longer have a landline telephone, disrupting access to health care and social services. But poor people aren’t the only ones affected. Those suffering from drug addiction are also affected. Hence, using technology to advance education on the repercussions of drug abuse is essential. For more insight on this topic, visit www.woburnaddictiontreatment.com/.

Researchers must understand the challenges faced by disadvantaged groups and work with communities to build modern tools that can improve health. This means that community members must be active and equal partners when designing interventions. It also means going beyond a one-size-fits-all formula, which ignores cultural factors, because communities know about their public health needs and what may work or not. Researchers cannot parachute into a community and assume they will know better than those who already live there.

One way to bridge this gap is to advocate for and set up online structures to ensure more patients can access quality healthcare. For instance, an online psychiatry clinic is beneficial to people who cannot get the medical help they need due to stigma or other reasons.. Imagine a situation during the pandemic where the patient and doctor cannot physically interact. Properly regulated online medical structures will ensure that the patient can still be diagnosed and treated. There are hardly any negatives with such an approach, and it is an avenue that should be seriously considered to help improve people’s health.

An audiology clinic that provides online consultations represents a valuable way of reaching those who may otherwise face barriers to hearing care. Individuals in remote areas or who find travel difficult can benefit immensely from online audiology services, which offer assessment, diagnosis and ongoing support for hearing loss without ever leaving home. Digital platforms offer everything from initial hearing tests and hearing aid fitting to auditory training sessions and more. Tele-audiology is an innovative solution that expands access to essential healthcare services while meeting evolving expectations of convenience and accessibility in medical care. By adopting it, clinics can expand their reach and impact, contributing to a more inclusive healthcare landscape.

Another thing to factor in is the rise of marketing and how that can help your health business. Using technology to your advantage to successfully market your business is essential in this day and age. AI can also play a vital part in that. Reading books by author Paul Boccolucci can help to better explain the things that you can do to move your business forward in this digital age.

Given the optimism about artificial intelligence and health data, the relatively slow adoption of digital medicine is difficult to understand. Digital medicine uses technologies to measure or intervene to improve human health. Perhaps the disconnect between innovation and communities play a role. Both should have shared decision-making, trust, and transparency, as shown by two successful mobile health interventions: FAITH! and PeerTECH.

Researchers cannot parachute into a community and assume
they will know better than those who already live there.

FAITH! stands for Fostering African-American Improvement in Total Health. The purpose of this app is to help improve cardiovascular health in the Black community using a two-fold approach: first, to provide easily accessible and trusted health information; and second, to offer a platform that allows people to connect. Community members (referred to as FAITH! Partners or church-designated champions) were involved in every phase of the research process, providing the research team with valuable insights on the needs and preferences of the Black faith community. For example, FAITH! Partners strongly recommended incorporating biblical scriptures and spiritual messaging into the app. Based on successful results, the app recently secured federal funding to expand its reach and has strengthened diversity and inclusion efforts.

PeerTECH stands for Peer- and Technology-Supported Self-Management Training. It is a smartphone app-based intervention developed in equal partnership between patients, certified peer specialist (CPS) leaders, and scientists. The intervention seeks to improve psychiatric and chronic disease management among patients aged 60 years and older with a serious mental illness (for example, bipolar disorder, major depressive disorder, or schizophrenia) through self-monitoring of psychiatric distress, medication adherence (or taking medications correctly), and peer support. By including the insights of older patients living with mental illness, the app takes a smart approach to address a highly marginalized group. In the end, PeerTECH was found to be feasible and acceptable among patients and CPS leaders, with improvements in “psychiatric self-management, medical self-management, hope, quality of life, and empowerment.” The PeerTECH team has received foundation and federal funding to continue their work.

Now that we are all living with the coronavirus pandemic, health equity is critical. The shift to telemedicine that the COVID-19 pandemic caused has resulted in an even larger disparity in health outcomes for older people and those with chronic conditions; ethnic minorities; people with low income; those with disabilities; people without internet access; those without up-to-date technology; and people facing mental health issues. Despite barriers to technology access, telemedicine, virtual visits, and other digital tools can make health care more accessible to a diverse set of patients. In an interview with PatientEngagementHIT, MGH Center for Telehealth director Lee Schwamm said that 95 percent of the time spent by the patient is face-to-face with the provider, compared to less than 20 percent of a traditional visit. He added that most of the time in an in-person visit is spent traveling and waiting. A study from Massachusetts General Hospital also found that patients reported strong personal connections with providers when using telehealth visits.

The COVID-19 crisis continues to expose health inequalities and stigma in already vulnerable communities. Current data suggest an unequal burden of illness and death among racial and ethnic minority groups. With all the hype around how technology is going to transform our health care system, emerging technologies bring up real concerns — but it does not have to be that way.

At the workplace, ACA requirements for health accessibility are a big deal. They’re like the golden rule that ensures every employee can work with a smile, no matter their abilities. It’s about creating a space where everyone’s included and supported. When bosses stick to ACA rules, it’s not just about checking boxes – it’s about ensuring the team’s well-being shines. And guess what? Happier staff mean higher productivity. Plus, it shows that the workplace is all about fairness, diversity, and ensuring health tech is a win for everyone.

Thankfully several platforms such as Energy Innovation Capital, are invested in companies who focus on developing the next level of technology to improve various aspects of human well-being. For instance, clean, abundant, accessible energy helps mitigate the adverse impacts of traditional fossil fuel-based energy production, reducing air and water pollution. This, in turn, contributes to better respiratory health and overall environmental quality, positively affecting the well-being of communities. 

Encouraging collaboration across sectors is crucial to making health care more inclusive. This involves an all-hands-on-deck approach as well as sensitivity to cultural and social differences when developing data-driven solutions to improve health. Change is difficult, but when it comes to our health, refusing to change is worse. Now is the time for action.

This article was published on Massive Science.

Sophie is a member of the Massive Science Consortium of subject-matter experts, where she writes lab notes and peer commentary. She also pitches and writes articles for Massive that have appeared in media outlets like Salon and Inverse.

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One response to “Making health technology accessible to everyone (Massive Science)”

  1. […] insurance plans are also an option for providing health benefits for all people. Insurance companies offer different levels of coverage depending on the customer’s needs and […]

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