Current digital health approaches have not engaged diverse end users or reduced health or health care inequities, despite their promise to deliver more tailored and personalized support to individuals at the right time and the right place. To achieve digital health equity, we must refocus our attention on the current state of digital health uptake and use across the policy, system, community, individual, and intervention levels. We focus here on ( a) outlining a multilevel framework underlying digital health equity; ( b) summarizingfive types of interventions/programs (with example studies) that hold promise for advancing digital health equity; and ( c) recommending future steps for improving policy, practice, and research in this space.

中文翻译：

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数字健康公平的多层次决定因素：推进该领域的文献综述

当前的数字医疗方法并没有吸引不同的最终用户，也没有减少健康或医疗保健的不平等，尽管它们承诺在正确的时间和正确的地点为个人提供更有针对性和个性化的支持。为了实现数字健康公平，我们必须重新关注政策、系统、社区、个人和干预层面的数字健康吸收和使用的现状。我们在此重点关注 (a) 概述数字健康公平背后的多层次框架； (b) 总结有望促进数字健康公平的五类干预措施/计划（并附有实例研究）； (c) 就改进这一领域的政策、实践和研究的未来步骤提出建议。