A scoping review and expert consensus on digital determinants of health

van Kessel, Robin ORCID: 0000-0001-6309-6343, Seghers, Laure-Elise, Anderson, Michael ORCID: 0000-0002-8454-4640, M. Schutte, Nienke, Monti, Giovanni, Haig, Madeleine, Schmidt, Jelena, Wharton, George ORCID: 0000-0001-6544-3636, Roman-Urrestarazu, Andres, Larrain, Blanca, Sapanel, Yoann, Stüwe, Louisa, Bourbonneux, Agathe, Yoon, Junghee, Lee, Mangyeong, Paccoud, Ivana, Borga, Liyousew, Ndili, Njide, Sutherland, Eric, Görgens, Marelize, Weicken, Eva, Coder, Megan, de Fatima Marin, Heimar, Val, Elena, Profili, Maria Cristina, Kosinska, Monika, Browne, Christine Elisabeth, Marcelo, Alvin, Agarwal, Smisha, Mrazek, Monique. F, Eskander, Hani, Chestrov, Roman, Smelyanskaya, Marina, Källander, Karin, Buttigieg, Stefan, Ramesh, Kirthi, Holly, Louise, Rys, Andrzej, Azzopardi-Muscat, Natasha, de Barros, Jerome, Quintana, Yuri, Spina, Antonio, Hyder, Adnan A., Labrique, Alain, Kamel Boulos, Maged N, Chen, Wen, Agrawal, Anurag, Cho, Juhee, Klucken, Jochen, Prainsack, Barbara, Balicer, Ran, Kickbusch, Ilona, Novillo-Ortiz, David and Mossialos, Elias ORCID: 0000-0001-8664-9297 (2025) A scoping review and expert consensus on digital determinants of health. Bulletin of the World Health Organization, 103 (2). 110 - 125H. ISSN 0042-9686

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Abstract

To map how social, commercial, political and digital determinants of health have changed or emerged during the recent digital transformation of society and to identify priority areas for policy action. We systematically searched MEDLINE, Embase and Web of Science on 24 September 2023, to identify eligible reviews published in 2018 and later. To ensure we included the most recent literature, we supplemented our review with non-systematic searches in PubMed® and Google Scholar, along with records identified by subject matter experts. Using thematic analysis, we clustered the extracted data into five societal domains affected by digitalization. The clustering also informed a novel framework, which the authors and contributors reviewed for comprehensiveness and accuracy. Using a two-round consensus process, we rated the identified determinants into high, moderate and low urgency for policy actions. We identified 13 804 records, of which 204 met the inclusion criteria. A total of 127 health determinants were found to have emerged or changed during the digital transformation of society (37 digital, 33 social, 33 commercial and economic and 24 political determinants). Of these, 30 determinants (23.6%) were considered particularly urgent for policy action. This review offers a comprehensive overview of health determinants across digital, social, commercial and economic, and political domains, highlighting how policy decisions, individual behaviours and broader factors influence health by digitalization. The findings deepen our understanding of how health outcomes manifest within a digital ecosystem and inform strategies for addressing the complex and evolving networks of health determinants. [Abstract copyright: (c) 2025 The authors; licensee World Health Organization.]

Item Type:	Article
Additional Information:	© 2024
Divisions:	LSE Health Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences J Political Science
Date Deposited:	04 Oct 2024 14:48
Last Modified:	19 Feb 2025 17:03
URI:	http://eprints.lse.ac.uk/id/eprint/125616

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