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Digitalization in Healthcare Risks Exacerbating Inequality

A new study reveals that healthcare digitalization, while intended to streamline processes, may disproportionately affect vulnerable patients with low digital proficiency, leading to unequal access to care. Researchers are urging for a balanced approach that combines digital solutions with traditional methods to ensure everyone can access the services they need.

The study, conducted by experts at Nordsjællands Hospital and published in the “Emergency Medicine Journal,” found that 43 percent of acutely admitted patients struggle with basic digital tasks like sending texts or accessing digital mail. This digital divide isn’t solely based on age but is closely linked to frailty and complex illnesses, impacting those who require the most assistance.

This phenomenon is described as the “digital inverse care law,” where those with the greatest need find it hardest to navigate digital healthcare systems. Requiring digital IDs and online communication creates a barrier for a “digital underclass,” undermining the principle of equal access to healthcare.

The research highlights that patients with low digital competence experience significantly more hospitalizations, averaging 1.6 times more than their digitally proficient counterparts. This suggests that digitalization may inadvertently disadvantage those already heavily reliant on the healthcare system.

Examples include patients struggling to find information online or missing appointments due to overlooked digital messages. These seemingly small issues can have major consequences for vulnerable individuals.

Experts emphasize that digitalization should not replace human interaction and presence, which are crucial for building trust and providing adequate care. While technology can compensate for staff shortages, it cannot replicate the empathy and understanding provided by healthcare professionals.

They advocate for a health policy that balances technological advancements with accessible, non-digital options, ensuring that no one is disadvantaged due to a lack of digital skills. The focus should shift from system-driven innovation to patient-centered solutions that prioritize individual needs and opportunities.