Determinants of health—Are we arguing for the right things for better rural health and well‐being?

Walker, Joanne

doi:10.1111/ajr.12559

Cited by 2 publications

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“…Following the law of inverse care, growing reliance on telehealth while failing to consider the implications of digital divides, risks widening rural-urban health disparities (Walker, 2019). The WHO ( 2019) has warned of this potential where digital health interventions 'create further inequities in some settings as consequences of poor network coverage, limited control of mobile devices, or a lack of other resources' (p. 87).…”

Section: Blind Spot #3: the Implications Of Social Determinants Of He...mentioning

confidence: 99%

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

2021

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Despite high unmet demand for health services across rural Australia, uptake of telehealth has been slow, piecemeal and ad hoc. We argue that widespread failure to understand telehealth as a socio-technical practice is key to understanding this slow progress. To develop this argument, we explore how technocentric approaches to telehealth have contributed to critical blind spots. First, the ‘hype’ associated with the technological possibilities of telehealth discourages thoughtful consideration of the unanticipated consequences when technologies are rolled out into complex social fields. Second, it contributes to critical gaps in the telehealth evidence base, and particularly a paucity of analyses focussing on the experiences of service users and patients. A third blind spot concerns the limited attention paid to the social determinants of health and digital divides in rural areas. The final blind spot we consider is an apparent reluctance to engage community stakeholders in co-designing and coproducing telehealth services. We used an iterative approach to identify studies and commentary from a range of academic fields to explain the significance of the telehealth blind spots and how they might be addressed. Insights suggest how expanding understanding of the social dimensions of telehealth could enhance its accessibility, effectiveness and responsiveness to community needs and contexts.

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Section: Blind Spot #3: the Implications Of Social Determinants Of He...mentioning

confidence: 99%

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

2021

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“…In the last issue of the Journal, I posed the question “Are we arguing for the right things?” My focus was the structural and material determinants of health and well‐being that go beyond access to the health workforce to create inequalities between rural people and their city counterparts. These inequalities include (but are not limited to) education attainment, employment and income.…”

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confidence: 99%

Adding to the list of rural inequalities—Digital technology exclusion

Walker

2019

Australian J Rural Health

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Determinants of health—Are we arguing for the right things for better rural health and well‐being?

Cited by 2 publications

References 3 publications

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

Adding to the list of rural inequalities—Digital technology exclusion

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