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Health care has become increasingly digitized. Given that under-invested health systems and patient populations frequently have worse access to the newest innovations, there is concern that this digitalization may exacerbate preexisting health inequities. This article discusses the multiple ways that digital health may increase health inequities. Using case studies presented by digital health leaders in different roles and settings, it provides examples of how health systems can adopt and implement innovative tools to deliver care while centering health equity. The case studies highlight five guidelines that health-care systems should consider as they weigh the equity implications of adopting any digital tool: auditing benefits, institutional incentives, elevating frontline and patient perspectives, long-term community engagement, and protecting data.
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