{"id":"https://openalex.org/W4388223426","doi":"https://doi.org/10.1038/s41746-023-00954-0","title":"Strengthening digital health equity by balancing techno-optimism and techno-skepticism through implementation science","display_name":"Strengthening digital health equity by balancing techno-optimism and techno-skepticism through implementation science","publication_year":2023,"publication_date":"2023-11-02","ids":{"openalex":"https://openalex.org/W4388223426","doi":"https://doi.org/10.1038/s41746-023-00954-0","pmid":"https://pubmed.ncbi.nlm.nih.gov/37919418"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-023-00954-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00954-0","pdf_url":"https://www.nature.com/articles/s41746-023-00954-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.nature.com/articles/s41746-023-00954-0.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028949161","display_name":"Jorge A. Rodriguez","orcid":"https://orcid.org/0000-0002-1833-6819"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jorge A. Rodriguez","raw_affiliation_strings":["Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA. jarodriguez1@partners.org","Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":"https://orcid.org/0000-0002-1833-6819","affiliations":[{"raw_affiliation_string":"Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA. jarodriguez1@partners.org","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074116667","display_name":"Courtney R. Lyles","orcid":"https://orcid.org/0000-0002-1111-8595"},"institutions":[{"id":"https://openalex.org/I4210099825","display_name":"Center For Policy Research","ror":"https://ror.org/011hfx640","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210099825"]},{"id":"https://openalex.org/I84218800","display_name":"University of California, Davis","ror":"https://ror.org/05rrcem69","country_code":"US","type":"education","lineage":["https://openalex.org/I84218800"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Courtney R. Lyles","raw_affiliation_strings":["Center for Healthcare Policy and Research, University of California Davis, Sacramento, CA, USA","Department of Public Health Sciences, University of California Davis School of Medicine, Sacramento, CA, USA"],"raw_orcid":"https://orcid.org/0000-0002-1111-8595","affiliations":[{"raw_affiliation_string":"Center for Healthcare Policy and Research, University of California Davis, Sacramento, CA, USA","institution_ids":["https://openalex.org/I4210099825","https://openalex.org/I84218800"]},{"raw_affiliation_string":"Department of Public Health Sciences, University of California Davis School of Medicine, Sacramento, CA, USA","institution_ids":["https://openalex.org/I84218800"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5028949161"],"corresponding_institution_ids":["https://openalex.org/I1283280774"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":6.7852,"has_fulltext":true,"cited_by_count":16,"citation_normalized_percentile":{"value":0.9704347,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"6","issue":"1","first_page":"203","last_page":"203"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.967199981212616,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.967199981212616,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11519","display_name":"Digital Mental Health Interventions","score":0.9126999974250793,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14393","display_name":"Health, Environment, Cognitive Aging","score":0.9075999855995178,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/optimism","display_name":"Optimism","score":0.8301131725311279},{"id":"https://openalex.org/keywords/skepticism","display_name":"Skepticism","score":0.8023351430892944},{"id":"https://openalex.org/keywords/equity","display_name":"Equity (law)","score":0.5286840796470642},{"id":"https://openalex.org/keywords/digital-health","display_name":"Digital health","score":0.42397430539131165},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.39047789573669434},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.36651116609573364},{"id":"https://openalex.org/keywords/public-economics","display_name":"Public economics","score":0.35615575313568115},{"id":"https://openalex.org/keywords/economics","display_name":"Economics","score":0.35316041111946106},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.3449908494949341},{"id":"https://openalex.org/keywords/environmental-economics","display_name":"Environmental economics","score":0.33796870708465576},{"id":"https://openalex.org/keywords/social-psychology","display_name":"Social psychology","score":0.2006540298461914},{"id":"https://openalex.org/keywords/economic-growth","display_name":"Economic growth","score":0.1784440577030182},{"id":"https://openalex.org/keywords/epistemology","display_name":"Epistemology","score":0.14665871858596802},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.11517396569252014},{"id":"https://openalex.org/keywords/philosophy","display_name":"Philosophy","score":0.10305076837539673}],"concepts":[{"id":"https://openalex.org/C204017024","wikidata":"https://www.wikidata.org/wiki/Q485446","display_name":"Optimism","level":2,"score":0.8301131725311279},{"id":"https://openalex.org/C18296254","wikidata":"https://www.wikidata.org/wiki/Q1395219","display_name":"Skepticism","level":2,"score":0.8023351430892944},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.5286840796470642},{"id":"https://openalex.org/C2780433410","wikidata":"https://www.wikidata.org/wiki/Q5276090","display_name":"Digital health","level":3,"score":0.42397430539131165},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.39047789573669434},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.36651116609573364},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.35615575313568115},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.35316041111946106},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3449908494949341},{"id":"https://openalex.org/C134560507","wikidata":"https://www.wikidata.org/wiki/Q753291","display_name":"Environmental economics","level":1,"score":0.33796870708465576},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.2006540298461914},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1784440577030182},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.14665871858596802},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.11517396569252014},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.10305076837539673},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-023-00954-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00954-0","pdf_url":"https://www.nature.com/articles/s41746-023-00954-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:37919418","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37919418","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:10622516","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10622516","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10622516/pdf/41746_2023_Article_954.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:181fbd99ce704f2dad59cb97d4619c06","is_oa":true,"landing_page_url":"https://doaj.org/article/181fbd99ce704f2dad59cb97d4619c06","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 6, Iss 1, Pp 1-3 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-023-00954-0","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-023-00954-0","pdf_url":"https://www.nature.com/articles/s41746-023-00954-0.pdf","source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[{"id":"https://openalex.org/G7856840602","display_name":null,"funder_award_id":"K23MD016439","funder_id":"https://openalex.org/F4320337534","funder_display_name":"National Institute on Minority Health and Health Disparities"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337534","display_name":"National Institute on Minority Health and Health Disparities","ror":"https://ror.org/0493hgw16"}],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4388223426.pdf"},"referenced_works_count":7,"referenced_works":["https://openalex.org/W2078154342","https://openalex.org/W2136608905","https://openalex.org/W3021467368","https://openalex.org/W3034197653","https://openalex.org/W3035060381","https://openalex.org/W3114602681","https://openalex.org/W3121835404"],"related_works":["https://openalex.org/W2082080254","https://openalex.org/W4230455549","https://openalex.org/W4324317499","https://openalex.org/W4240386019","https://openalex.org/W653411598","https://openalex.org/W2122713011","https://openalex.org/W2071729956","https://openalex.org/W4389299324","https://openalex.org/W2157970304","https://openalex.org/W2535535418"],"abstract_inverted_index":{"As":[0],"result":[1],"of":[2,33,79],"the":[3,9,29],"pandemic-related":[4],"increase":[5],"in":[6,20,28,61,82],"telehealth":[7],"and":[8,55,92],"21st":[10],"Century":[11],"Cures":[12],"Act,":[13],"technology":[14,91],"is":[15,59],"playing":[16],"an":[17],"increasing":[18],"role":[19],"healthcare.":[21,34],"This":[22],"has":[23],"led":[24],"to":[25,47,53,68],"organizational":[26,66],"investments":[27],"\u201cdigital":[30],"front":[31],"door\u201d":[32],"The":[35],"promise":[36],"that":[37,85],"these":[38],"technologies":[39],"can":[40,86],"revolutionize":[41],"care":[42],"by":[43],"better":[44],"connecting":[45],"us":[46],"our":[48],"patients,":[49],"overcoming":[50],"analog":[51],"barriers":[52],"care,":[54],"addressing":[56],"health":[57,72,90,93],"disparities":[58],"grounded":[60,81],"\u201ctechno-optimism.\u201d":[62],"We":[63],"advocate":[64],"for":[65],"leaders":[67],"inform":[69],"their":[70],"digital":[71],"equity":[73],"strategies":[74],"with":[75],"a":[76],"balanced":[77],"measure":[78],"\u201ctechno-skepticism\u201d,":[80],"implementation":[83],"science,":[84],"ensure":[87],"alignment":[88],"between":[89],"equity.":[94]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":5}],"updated_date":"2026-01-13T01:12:25.745995","created_date":"2025-10-10T00:00:00"}