Ethics and Equity-Centred Perspectives in Engineering Systems Design

Glover, Wiljeana Jackson; Hendricks‐Sturrup, Rachele

doi:10.1007/978-3-030-46054-9_34-3

Cited by 2 publications

(2 citation statements)

References 58 publications

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“…Counteracting our aforementioned disincentives for inclusive design, the US Food and Drug Administration is developing plans to enroll more participants from underrepresented racial and ethnic populations into clinical trials [ 88 ]. Design approaches like value-sensitive design are gaining attention from health researchers, such that tensions between stakeholder values can be identified and addressed earlier in design processes [ 89 ]. Remaining aware of current critiques and attuned to the need for broader institutional change, this immediate practical work remains focused on collaboration with digital health developers, governments, health systems, and commercial entities to support equity-focused design and culture changes.…”

Section: Discussionmentioning

confidence: 99%

The Political Economy of Digital Health Equity: Structural Analysis

Shaw,

Glover

2024

J Med Internet Res

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Digital technologies have produced many innovations in care delivery and enabled continuity of care for many people when in-person care was impossible. However, a growing body of research suggests that digital health can also exacerbate health inequities for those excluded from its benefits for reasons of cost, digital literacy, and structural discrimination related to characteristics such as age, race, ethnicity, and socioeconomic status. In this paper, we draw on a political economy perspective to examine structural barriers to progress in advancing digital health equity at the policy level. Considering the incentive structures and investments of powerful actors in the field, we outline how characteristics of neoliberal capitalism in Western contexts produce and sustain digital health inequities by describing 6 structural challenges to the effort to promote health equity through digital health, as follows: (1) the revenue-first incentives of technology corporations, (2) the influence of venture capital, (3) inequitable access to the internet and digital devices, (4) underinvestment in digital health literacy, (5) uncertainty about future reimbursement of digital health, and (6) justified mistrust of digital health. Building on these important challenges, we propose future immediate and long-term directions for work to support meaningful change for digital health equity.

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Section: Discussionmentioning

confidence: 99%

The Political Economy of Digital Health Equity: Structural Analysis

Shaw,

Glover

2024

J Med Internet Res

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“…In power generation and transmission, power transformers step up the voltage for long-distance transmission and step down the voltage for distribution. Transfomers are heart of a distribution substation [21].…”

Section: Transformermentioning

confidence: 99%

Power System Fault Detection and Analysis of Distribution Line from Utility Perspective

Debnath

Kabir

Shufian

2023

Preprint

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Almost a hundred percent of Bangladesh's population has access to electricity, and the country's generation capacities have expanded rapidly over the past few years. However, due to the poor distribution system, the reliability and quality of the delivered power remain significant concerns, and people still face interruptions in the power supply. Bangladesh's vision is to improve power quality and maintain uninterrupted electricity service by 2030. As distribution system faults are responsible for the majority of interruptions, this study focuses on detecting and analyzing the fault types and the timing of their occurrence. Two substations operating under the largest distribution company of Bangladesh REB from separate locations are selected for analysis purposes. And the result shows that half of the faults are L-G faults and around 35% of faults are L-L-G faults. If these faults can be minimized, the amount of interruption will be an acceptable rate. A set of recommendations is also brought out that can be used to minimize these faults. This paper aims to represent Bangladesh's current distribution network scenario.

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Ethics and Equity-Centred Perspectives in Engineering Systems Design

Cited by 2 publications

References 58 publications

The Political Economy of Digital Health Equity: Structural Analysis

The Political Economy of Digital Health Equity: Structural Analysis

Power System Fault Detection and Analysis of Distribution Line from Utility Perspective

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