{"id":6665,"date":"2022-01-29T23:30:00","date_gmt":"2022-01-29T23:30:00","guid":{"rendered":"http:\/\/nccdh.local\/resource\/digital-equity-in-health-services\/"},"modified":"2025-11-06T17:16:10","modified_gmt":"2025-11-06T17:16:10","slug":"digital-equity-in-health-services","status":"publish","type":"resource","link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/digital-equity-in-health-services\/","title":{"rendered":"\u00c9quit\u00e9 num\u00e9rique et services de sant\u00e9"},"content":{"rendered":"<p><em>This resource is also available in English.<\/em><\/p>\n<p>Pour que l&rsquo;approche en mati&egrave;re de services de sant&eacute; num&eacute;rique soit &eacute;quitable, il faut analyser les iniquit&eacute;s observ&eacute;es parmi les divers groupes de population et faire participer les membres de ces collectivit&eacute;s &agrave; l&rsquo;&eacute;laboration des services de cybersant&eacute;. Si les services sont con&ccedil;us de mani&egrave;re &agrave; ce que les groupes de population les moins favoris&eacute;s de la soci&eacute;t&eacute; soient en mesure d&rsquo;en b&eacute;n&eacute;ficier, alors l&rsquo;&eacute;tat de sant&eacute; de l&rsquo;ensemble de la population s&rsquo;am&eacute;liore.<\/p>\n<p>Dans le m&eacute;moire pr&eacute;sent&eacute; par le CCNDS et Sant&eacute; Nouvelle-&Eacute;cosse, les auteures explorent les concepts d&rsquo;&eacute;quit&eacute; num&eacute;rique et de fracture num&eacute;rique et la mani&egrave;re dont ces concepts s&rsquo;appliquent &agrave; l&rsquo;approche &agrave; prendre pour assurer des services de sant&eacute; num&eacute;rique &eacute;quitables.<\/p>\n<p>&nbsp;<\/p>\n<h3>Principales dimensions de l&rsquo;&eacute;quit&eacute; num&eacute;rique<\/h3>\n<p>Une <a href=\"https:\/\/mha.nshealth.ca\/sites\/default\/files\/2021-07\/Digital%20equity%20mental%20health%20sit%20ax_Final_May%2011%202021.pdf\" target=\"_blank\" rel=\"noopener\">analyse situationnelle effectu&eacute;e en 2021<\/a> par l&rsquo;&eacute;quipe du <a href=\"https:\/\/mha.nshealth.ca\/fr\/services\" target=\"_blank\" rel=\"noopener\">Programme de sant&eacute; mentale et de traitement des d&eacute;pendances de Sant&eacute; Nouvelle-&Eacute;cosse<\/a> a men&eacute; &agrave; la d&eacute;finition des cinq grandes dimensions de l&rsquo;&eacute;quit&eacute; num&eacute;rique suivantes&nbsp;:<\/p>\n<ul>\n<li>Acc&egrave;s<\/li>\n<li>Abordabilit&eacute;<\/li>\n<li>Comp&eacute;tences num&eacute;riques<\/li>\n<li>Pertinence<\/li>\n<li>S&ucirc;ret&eacute; et s&eacute;curit&eacute;<\/li>\n<\/ul>\n<p>Pour chacune des dimensions, les auteures pr&eacute;sentent les constatations qu&rsquo;elles ont tir&eacute;es de la revue de la litt&eacute;rature conventionnelle et non conventionnelle et quelques id&eacute;es novatrices qui permettraient d&rsquo;appliquer une approche d&rsquo;&eacute;quit&eacute; num&eacute;rique.<\/p>\n<p>&nbsp;<\/p>\n<h3>Adopter une approche d&rsquo;&eacute;quit&eacute; num&eacute;rique aux services de sant&eacute;<\/h3>\n<p>Un <strong>acc&egrave;s<\/strong> &eacute;quitable &agrave; des services de sant&eacute; num&eacute;rique suppose la satisfaction des besoins particuliers des personnes qui vivent des iniquit&eacute;s.<\/p>\n<p>L&rsquo;<strong>abordabilit&eacute; <\/strong>d&eacute;pend de la priorit&eacute; accord&eacute;e dans les plans de services de sant&eacute; num&eacute;rique &agrave; la r&eacute;duction des barri&egrave;res de co&ucirc;t auxquelles se heurtent les groupes de population ayant un statut socio&eacute;conomique faible.<\/p>\n<p>S&rsquo;assurer des <strong>comp&eacute;tences num&eacute;riques <\/strong>implique d&rsquo;am&eacute;liorer les habilet&eacute;s, les connaissances, la capacit&eacute; et la confiance des personnes les moins capables d&rsquo;utiliser efficacement les services de sant&eacute; num&eacute;rique.<\/p>\n<p>La <strong>pertinence <\/strong>se caract&eacute;rise par la s&eacute;curit&eacute; culturelle et la justesse du contenu, la participation concr&egrave;te des membres de la collectivit&eacute; &agrave; la conception des strat&eacute;gies num&eacute;riques et l&rsquo;adaptation des services de sant&eacute; num&eacute;rique en fonction du contexte.<\/p>\n<p>Am&eacute;liorer la <strong>s&ucirc;ret&eacute; et la s&eacute;curit&eacute;<\/strong> des services de sant&eacute; num&eacute;rique exige de faire ce qu&rsquo;il faut pour rem&eacute;dier au manque de confiance des groupes de population qui m&eacute;ritent l&rsquo;&eacute;quit&eacute;, mais qui ont v&eacute;cu de mauvaises exp&eacute;riences avec le syst&egrave;me de sant&eacute;.<\/p>\n<p>&nbsp;<\/p>\n<h3>Implications pour la sant&eacute; publique<\/h3>\n<p>Les auteurs proposent quelques points &agrave; prendre en consid&eacute;ration pour chacune des dimensions de l&rsquo;&eacute;quit&eacute; num&eacute;rique afin d&rsquo;utiliser une approche qui aura pour effet d&rsquo;att&eacute;nuer, non pas d&rsquo;&eacute;largir, la fracture num&eacute;rique. Les auteures du m&eacute;moire proposent en dernier lieu quelques ressources connexes pour faciliter l&rsquo;application d&rsquo;une approche &eacute;quitable en mati&egrave;re de services de sant&eacute; num&eacute;rique. Les nombreuses r&eacute;f&eacute;rences bibliographiques peuvent &eacute;galement servir &agrave; se renseigner au sujet des outils et des donn&eacute;es probantes.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>L&rsquo;infographie<\/strong> et <strong>l&rsquo;affiche<\/strong> accompagnant le pr&eacute;sent m&eacute;moire sont aussi disponibles.<\/p>\n<table border=\"0\" cellpadding=\"10\" cellspacing=\"10\">\n<tbody>\n<tr>\n<td style=\"background-color:rgb(228, 228, 228); text-align:center\"><strong>L&rsquo;infographie<\/strong><\/td>\n<td style=\"background-color:rgb(228, 228, 228); text-align:center\"><strong>L&rsquo;affiche<\/strong><\/td>\n<\/tr>\n<tr>\n<td><a href=\"https:\/\/nccdh-dev.media-doc.ca\/wp-content\/uploads\/2024\/10\/Digital_Equity_Infographic_FR.pdf\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" alt=\"\" src=\"https:\/\/nccdh-dev.media-doc.ca\/wp-content\/uploads\/2024\/10\/Digital_Equity_Infographic_FR_120-png.webp\" style=\"height:163px; width:120px\" \/><\/a><\/td>\n<td><a href=\"https:\/\/nccdh-dev.media-doc.ca\/wp-content\/uploads\/2024\/10\/Digital_Equity_IUHPE_Poster_FR.pdf\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" alt=\"\" src=\"https:\/\/nccdh-dev.media-doc.ca\/wp-content\/uploads\/2024\/10\/Digital_Equity_IUHPE_Poster_FR_final-png.webp\" style=\"height:163px; width:257px\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3>Servez-vous de cet outil pour&nbsp;:<\/h3>\n<ul>\n<li>faciliter les discussions avec les &eacute;quipes des organismes communautaires au sujet des besoins des personnes qui vivent des iniquit&eacute;s en mati&egrave;re de services de sant&eacute; et la mani&egrave;re de b&acirc;tir des liens solides entre les prestataires de services de sant&eacute; et les collectivit&eacute;s;<\/li>\n<li>entamer un processus de planification avec des partenaires de divers secteurs concernant l&rsquo;harmonisation des ressources et la mise en commun des relations afin de faire en sorte que les personnes qui vivent des iniquit&eacute;s puissent b&eacute;n&eacute;ficier des services de sant&eacute; num&eacute;rique de mani&egrave;re novatrice;<\/li>\n<li>concevoir un outil &agrave; partir des grandes dimensions de l&rsquo;&eacute;quit&eacute; num&eacute;rique afin de soutenir les d&eacute;marches pour r&eacute;pondre aux besoins des groupes de population m&eacute;ritant l&rsquo;&eacute;quit&eacute;, depuis l&rsquo;&eacute;tape de la planification jusqu&rsquo;&agrave; la mise sur pied des services de sant&eacute; num&eacute;rique.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Ressources connexes<\/h3>\n<p>&laquo;&nbsp;<a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/digital-health-equity-and-covid-19-the-innovation-curve-cannot-reinforce-the-social-gradient-of-health\" title=\"Digital health equity and COVID-19: The innovation curve cannot reinforce the social gradient of health\">Digital health equity and COVID-19: The innovation curve cannot reinforce the social gradient of health<\/a> &raquo; (en anglais) (2020)<\/p>\n<p><em><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/public-health-use-of-digital-technology-to-advance-health-equity\">Utilisation par la sant&eacute; publique de la technologie num&eacute;rique pour faire avancer l&rsquo;&eacute;quit&eacute; en sant&eacute;<\/a>&nbsp;<\/em>(2017)<\/p>\n<p><em><a href=\"https:\/\/nccdh-dev.media-doc.ca\/fr\/resources\/entry\/bccdc-covid-19-language-guide-guidelines-for-inclusive-language-for-written\" title=\"BCCDC COVID-19 language guide: Guidelines for inclusive language for written and digital content\">BCCDC COVID-19 language guide: Guidelines for inclusive language for written and digital content<\/a><\/em> (en anglais) (2020)<\/p>\n<hr \/>\n<h3>R&eacute;f&eacute;rence bibliographique<\/h3>\n<p>Centre de collaboration nationale des d&eacute;terminants de la sant&eacute; et R&eacute;gie de la sant&eacute; de la Nouvelle-&Eacute;cosse. (2022). <em>&Eacute;quit&eacute; num&eacute;rique et services de sant&eacute;&nbsp;: m&eacute;moire<\/em>. CCNDS, Universit&eacute; St Francis Xavier. SN&Eacute;, Programme de sant&eacute; mentale et de traitement des d&eacute;pendances.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ce m\u00e9moire produit par le CCNDS et Sant\u00e9 Nouvelle-\u00c9cosse porte sur les r\u00e9sultats d\u2019une analyse situationnelle et d\u2019une revue de la litt\u00e9rature, ainsi que sur les grandes dimensions de l\u2019\u00e9quit\u00e9 num\u00e9rique et l\u2019approche d\u2019\u00e9quit\u00e9 \u00e0 utiliser en mati\u00e8re de services de sant\u00e9 num\u00e9rique. 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Vossen","author_link":"https:\/\/nccdh-dev.media-doc.ca\/fr\/author\/"},"uagb_comment_info":0,"uagb_excerpt":"Ce m\u00e9moire produit par le CCNDS et Sant\u00e9 Nouvelle-\u00c9cosse porte sur les r\u00e9sultats d\u2019une analyse situationnelle et d\u2019une revue de la litt\u00e9rature, ainsi que sur les grandes dimensions de l\u2019\u00e9quit\u00e9 num\u00e9rique et l\u2019approche d\u2019\u00e9quit\u00e9 \u00e0 utiliser en mati\u00e8re de services de sant\u00e9 num\u00e9rique.","_links":{"self":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource\/6665","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource"}],"about":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/types\/resource"}],"version-history":[{"count":3,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource\/6665\/revisions"}],"predecessor-version":[{"id":8531,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource\/6665\/revisions\/8531"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/media\/10049"}],"wp:attachment":[{"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/media?parent=6665"}],"wp:term":[{"taxonomy":"keyword","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/keyword?post=6665"},{"taxonomy":"nccdh-series","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/nccdh-series?post=6665"},{"taxonomy":"producer","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/producer?post=6665"},{"taxonomy":"resource-type","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/resource-type?post=6665"},{"taxonomy":"role","embeddable":true,"href":"https:\/\/nccdh-dev.media-doc.ca\/fr\/wp-json\/wp\/v2\/role?post=6665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}