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- Title
Advancing Digital Health Equity: A Policy Paper of the Infectious Diseases Society of America and the HIV Medicine Association.
- Authors
Wood, Brian R; Young, Jeremy D; Abdel-Massih, Rima C; McCurdy, Lewis; Vento, Todd J; Dhanireddy, Shireesha; Moyer, Kay J; Siddiqui, Javeed; Scott, John D
- Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has revolutionized the practice of ambulatory medicine, triggering rapid dissemination of digital healthcare modalities, including synchronous video visits. However, social determinants of health, such as age, race, income, and others, predict readiness for telemedicine and individuals who are not able to connect virtually may become lost to care. This is particularly relevant to the practice of infectious diseases (ID) and human immunodeficiency virus (HIV) medicine, as we care for high proportions of individuals whose health outcomes are affected by such factors. Furthermore, delivering high-quality clinical care in ID and HIV practice necessitates discussion of sensitive topics, which is challenging over video without proper preparation. We describe the "digital divide," emphasize the relevance to ID and HIV practice, underscore the need to study the issue and develop interventions to mitigate its impact, and provide suggestions for optimizing telemedicine in ID and HIV clinics.
- Subjects
COMMUNICABLE diseases; MEDICAL informatics; SOCIAL determinants of health; MEDICAL quality control; HEALTH policy; OUTPATIENT medical care; HIV infections; TELEMEDICINE; HEALTH equity; COVID-19 pandemic
- Publication
Clinical Infectious Diseases, 2021, Vol 72, Issue 6, p913
- ISSN
1058-4838
- Publication type
Article
- DOI
10.1093/cid/ciaa1525