Towards digital health equity - a qualitative study of the challenges experienced by vulnerable groups in using digital health services in the COVID-19 era

• DOI: 10.1186/s12913-022-07584-4
• Publication Date: 2022-02-12T12:02:21Z
• Authors: Anu-Marja Kaihlanen; Lotta Virtanen; Ulla Buchert; Nuriiar Safarov; Paula Valkonen; Laura Hietapakka; Iiris Hörhammer; Sari Kujala; Anne Kouvonen; Tarja Heponiemi
• Keywords: Digital Health; Equity; Telehealth

Abstract Background The COVID-19 pandemic has given an unprecedented boost to already increased digital health services, which can place many vulnerable groups at risk of exclusion. To improve the likelihood achieving equity, it is necessary identify and address elements that may prevent from benefiting services. This study examined challenges experienced by in using services during pandemic. Methods Qualitative descriptive design was utilized. Semi-structured interviews were conducted between October 2020 May 2021. participants ( N = 74) older adults, migrants, mental service users, high users unemployed. content analysis with both inductive deductive approach used analyze data. Challenges related use interpreted through determinants Digital Health Equity Framework. Results For most access hampered insufficient digital, / or local language skills. lack support training, poor health, as well strong e-identification suitable devices also prevented access. not perceived be applicable for all situations capable replacing face-to-face due communication environment. Fears trust regarding platforms expressed concerns security Contact a care professional considered less personal more prone misunderstandings environment than Finally, alternatives always available desired participants, unaware existing their value. Conclusion Several development needs implementation identified could equal benefits gained future. While are increasing, traditional will still need offered alongside ones ensure