{"id":"https://openalex.org/W2803820580","doi":"https://doi.org/10.1093/jamia/ocy052","title":"Good intentions are not enough: how informatics interventions can worsen inequality","display_name":"Good intentions are not enough: how informatics interventions can worsen inequality","publication_year":2018,"publication_date":"2018-05-03","ids":{"openalex":"https://openalex.org/W2803820580","doi":"https://doi.org/10.1093/jamia/ocy052","mag":"2803820580","pmid":"https://pubmed.ncbi.nlm.nih.gov/29788380"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocy052","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocy052","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/8/1080/25430904/ocy052.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/25/8/1080/25430904/ocy052.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070124702","display_name":"Tiffany C. Veinot","orcid":"https://orcid.org/0000-0003-1200-9515"},"institutions":[{"id":"https://openalex.org/I27837315","display_name":"University of Michigan\u2013Ann Arbor","ror":"https://ror.org/00jmfr291","country_code":"US","type":"education","lineage":["https://openalex.org/I27837315"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Tiffany C Veinot","raw_affiliation_strings":["School of Information and Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA"],"affiliations":[{"raw_affiliation_string":"School of Information and Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA","institution_ids":["https://openalex.org/I27837315"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088404802","display_name":"Hannah G. Mitchell","orcid":null},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hannah Mitchell","raw_affiliation_strings":["Department of Healthcare Policy & Research, Division of Health Informatics, Weill Cornell Medical College, New York, New York, USA"],"affiliations":[{"raw_affiliation_string":"Department of Healthcare Policy & Research, Division of Health Informatics, Weill Cornell Medical College, New York, New York, USA","institution_ids":["https://openalex.org/I205783295"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5078025103","display_name":"Jessica S. Ancker","orcid":"https://orcid.org/0000-0002-3859-9130"},"institutions":[{"id":"https://openalex.org/I205783295","display_name":"Cornell University","ror":"https://ror.org/05bnh6r87","country_code":"US","type":"education","lineage":["https://openalex.org/I205783295"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jessica S Ancker","raw_affiliation_strings":["Department of Healthcare Policy & Research, Division of Health Informatics, Weill Cornell Medical College, New York, New York, USA"],"affiliations":[{"raw_affiliation_string":"Department of Healthcare Policy & Research, Division of Health Informatics, Weill Cornell Medical College, New York, New York, USA","institution_ids":["https://openalex.org/I205783295"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5070124702"],"corresponding_institution_ids":["https://openalex.org/I27837315"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":79.9164,"has_fulltext":false,"cited_by_count":642,"citation_normalized_percentile":{"value":0.9995857,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":100},"biblio":{"volume":"25","issue":"8","first_page":"1080","last_page":"1088"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9567000269889832,"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":0.9567000269889832,"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/T11977","display_name":"Technology Use by Older Adults","score":0.9322999715805054,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.9233999848365784,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.7357411980628967},{"id":"https://openalex.org/keywords/inequality","display_name":"Inequality","score":0.6737696528434753},{"id":"https://openalex.org/keywords/informatics","display_name":"Informatics","score":0.541608452796936},{"id":"https://openalex.org/keywords/health-informatics","display_name":"Health informatics","score":0.48661479353904724},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.43840736150741577},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.3310411870479584},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.26221999526023865},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.22916340827941895},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.2190384864807129},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.0883270800113678}],"concepts":[{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.7357411980628967},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.6737696528434753},{"id":"https://openalex.org/C191630685","wikidata":"https://www.wikidata.org/wiki/Q4027615","display_name":"Informatics","level":2,"score":0.541608452796936},{"id":"https://openalex.org/C145642194","wikidata":"https://www.wikidata.org/wiki/Q870895","display_name":"Health informatics","level":3,"score":0.48661479353904724},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.43840736150741577},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3310411870479584},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.26221999526023865},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.22916340827941895},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2190384864807129},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.0883270800113678},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000074522","descriptor_name":"Consumer Health Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000074522","descriptor_name":"Consumer Health Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000074522","descriptor_name":"Consumer Health Informatics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D064890","descriptor_name":"Social Determinants of Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064890","descriptor_name":"Social Determinants of Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D064890","descriptor_name":"Social Determinants of Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066310","descriptor_name":"Digital Divide","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066310","descriptor_name":"Digital Divide","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D066310","descriptor_name":"Digital Divide","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocy052","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocy052","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/8/1080/25430904/ocy052.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:29788380","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29788380","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":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7646885","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7646885","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","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":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocy052","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocy052","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/8/1080/25430904/ocy052.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/1","score":0.6000000238418579,"display_name":"No poverty"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2803820580.pdf","grobid_xml":"https://content.openalex.org/works/W2803820580.grobid-xml"},"referenced_works_count":150,"referenced_works":["https://openalex.org/W39366160","https://openalex.org/W75869798","https://openalex.org/W94740521","https://openalex.org/W145122734","https://openalex.org/W570770716","https://openalex.org/W604751574","https://openalex.org/W753208802","https://openalex.org/W807119769","https://openalex.org/W1465827242","https://openalex.org/W1503788195","https://openalex.org/W1530919092","https://openalex.org/W1544394799","https://openalex.org/W1563957130","https://openalex.org/W1570312076","https://openalex.org/W1581691043","https://openalex.org/W1604901096","https://openalex.org/W1770285669","https://openalex.org/W1842771164","https://openalex.org/W1897972345","https://openalex.org/W1923038081","https://openalex.org/W1945293409","https://openalex.org/W1964355133","https://openalex.org/W1964752659","https://openalex.org/W1965770954","https://openalex.org/W1970819099","https://openalex.org/W1976985160","https://openalex.org/W1979338757","https://openalex.org/W1985161134","https://openalex.org/W1990513740","https://openalex.org/W1991838121","https://openalex.org/W1992751687","https://openalex.org/W1996631581","https://openalex.org/W1998355900","https://openalex.org/W2018974442","https://openalex.org/W2025768304","https://openalex.org/W2030470432","https://openalex.org/W2033402769","https://openalex.org/W2034631116","https://openalex.org/W2040885719","https://openalex.org/W2042334740","https://openalex.org/W2042355566","https://openalex.org/W2050831568","https://openalex.org/W2051288586","https://openalex.org/W2052184645","https://openalex.org/W2052360779","https://openalex.org/W2055356321","https://openalex.org/W2058436463","https://openalex.org/W2068351378","https://openalex.org/W2068856632","https://openalex.org/W2076357307","https://openalex.org/W2076399040","https://openalex.org/W2078661272","https://openalex.org/W2083848520","https://openalex.org/W2087675119","https://openalex.org/W2096855299","https://openalex.org/W2098451799","https://openalex.org/W2100150812","https://openalex.org/W2101812029","https://openalex.org/W2101939845","https://openalex.org/W2102426322","https://openalex.org/W2103165477","https://openalex.org/W2103945120","https://openalex.org/W2106311978","https://openalex.org/W2107916612","https://openalex.org/W2115886823","https://openalex.org/W2119981994","https://openalex.org/W2120346031","https://openalex.org/W2120383085","https://openalex.org/W2120544437","https://openalex.org/W2121242598","https://openalex.org/W2122774972","https://openalex.org/W2122853676","https://openalex.org/W2123842416","https://openalex.org/W2124216937","https://openalex.org/W2126286303","https://openalex.org/W2133023565","https://openalex.org/W2133074847","https://openalex.org/W2133359842","https://openalex.org/W2134828373","https://openalex.org/W2137940558","https://openalex.org/W2139014488","https://openalex.org/W2139800211","https://openalex.org/W2140394167","https://openalex.org/W2141099158","https://openalex.org/W2141495171","https://openalex.org/W2144168775","https://openalex.org/W2148093776","https://openalex.org/W2148144053","https://openalex.org/W2148185811","https://openalex.org/W2149078706","https://openalex.org/W2152437650","https://openalex.org/W2153321941","https://openalex.org/W2153718754","https://openalex.org/W2154262094","https://openalex.org/W2155952806","https://openalex.org/W2157815126","https://openalex.org/W2159201362","https://openalex.org/W2162778944","https://openalex.org/W2172591691","https://openalex.org/W2185160610","https://openalex.org/W2186106293","https://openalex.org/W2270767439","https://openalex.org/W2273463655","https://openalex.org/W2282168042","https://openalex.org/W2289033807","https://openalex.org/W2293307891","https://openalex.org/W2301920863","https://openalex.org/W2314506274","https://openalex.org/W2319597542","https://openalex.org/W2325352315","https://openalex.org/W2330678178","https://openalex.org/W2340019350","https://openalex.org/W2398559739","https://openalex.org/W2418799169","https://openalex.org/W2536803960","https://openalex.org/W2551549223","https://openalex.org/W2579291389","https://openalex.org/W2586251741","https://openalex.org/W2587489772","https://openalex.org/W2601556514","https://openalex.org/W2601871625","https://openalex.org/W2605968929","https://openalex.org/W2620682356","https://openalex.org/W2621080170","https://openalex.org/W2769544876","https://openalex.org/W2778645952","https://openalex.org/W2791918351","https://openalex.org/W2791942272","https://openalex.org/W2794417765","https://openalex.org/W2805015122","https://openalex.org/W2912296668","https://openalex.org/W3126136919","https://openalex.org/W4205815507","https://openalex.org/W4213393536","https://openalex.org/W4214591326","https://openalex.org/W4214956227","https://openalex.org/W4232240513","https://openalex.org/W4232685510","https://openalex.org/W4238333957","https://openalex.org/W4239413439","https://openalex.org/W4243032046","https://openalex.org/W4245765984","https://openalex.org/W4297679336","https://openalex.org/W4297824974","https://openalex.org/W4300068207","https://openalex.org/W4301653704","https://openalex.org/W6631888757","https://openalex.org/W6694143832","https://openalex.org/W6738785556","https://openalex.org/W6749838883"],"related_works":["https://openalex.org/W2397677514","https://openalex.org/W2914293784","https://openalex.org/W2407382301","https://openalex.org/W1495820741","https://openalex.org/W4323056170","https://openalex.org/W2126732312","https://openalex.org/W2401910071","https://openalex.org/W2189429352","https://openalex.org/W4302329558","https://openalex.org/W1971571384"],"abstract_inverted_index":{"Health":[0],"informatics":[1,59,84],"interventions":[2,51,60,85],"are":[3,61,142],"designed":[4],"to":[5,18,53,64,74,121],"help":[6],"people":[7],"avoid,":[8],"recover":[9],"from,":[10],"or":[11,17,99,125],"cope":[12],"with":[13],"disease":[14],"and":[15,22,67,117,144],"disability,":[16],"improve":[19,75],"the":[20],"quality":[21],"safety":[23],"of":[24,31,49,112],"healthcare.":[25],"Unfortunately,":[26],"they":[27,89],"pose":[28],"a":[29,109],"risk":[30],"producing":[32],"intervention-generated":[33],"inequalities":[34],"(IGI)":[35],"by":[36,133],"disproportionately":[37],"benefiting":[38],"more":[39,91],"advantaged":[40,105],"people.":[41],"In":[42],"this":[43,65],"perspective":[44],"paper,":[45],"we":[46],"discuss":[47],"characteristics":[48],"health-related":[50],"known":[52],"produce":[54],"IGI,":[55],"explain":[56],"why":[57],"health":[58,76,83,129],"particularly":[62],"vulnerable":[63],"phenomenon,":[66],"describe":[68],"safeguards":[69],"that":[70,114,137,140],"can":[71,119],"be":[72],"implemented":[73],"equity.":[77],"We":[78,107,131],"provide":[79,108],"examples":[80],"in":[81],"which":[82],"produced":[86],"inequality":[87,127],"because":[88],"were":[90],"accessible":[92],"to,":[93,98],"heavily":[94],"used":[95],"by,":[96],"adhered":[97],"effective":[100],"for":[101],"those":[102],"from":[103],"socioeconomically":[104],"groups.":[106],"brief":[110],"outline":[111],"precautions":[113],"intervention":[115],"developers":[116],"implementers":[118],"take":[120],"guard":[122],"against":[123],"creating":[124],"worsening":[126],"through":[128],"informatics.":[130],"conclude":[132],"discussing":[134],"evaluation":[135],"approaches":[136],"will":[138],"ensure":[139],"IGIs":[141],"recognized":[143],"studied.":[145]},"counts_by_year":[{"year":2026,"cited_by_count":36},{"year":2025,"cited_by_count":112},{"year":2024,"cited_by_count":104},{"year":2023,"cited_by_count":98},{"year":2022,"cited_by_count":105},{"year":2021,"cited_by_count":84},{"year":2020,"cited_by_count":57},{"year":2019,"cited_by_count":44},{"year":2018,"cited_by_count":2}],"updated_date":"2026-04-03T22:45:19.894376","created_date":"2025-10-10T00:00:00"}