The Lancet and Financial Times Commission on governing health futures 2030: growing up in a digital world

Digital transformations, which we define as the multifaceted processes of integration of digital technologies and platforms into all areas of life, including health, are central to understanding—and shaping—many of these disruptive dynamics. Because large gaps remain in the current evidence base on...

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Bibliographic Details
Published in:The Lancet (British edition) 2021-11, Vol.398 (10312), p.1727-1776
Main Authors: Kickbusch, Ilona, Piselli, Dario, Agrawal, Anurag, Balicer, Ran, Banner, Olivia, Adelhardt, Michael, Capobianco, Emanuele, Fabian, Christopher, Singh Gill, Amandeep, Lupton, Deborah, Medhora, Rohinton P, Ndili, Njide, Ryś, Andrzej, Sambuli, Nanjira, Settle, Dykki, Swaminathan, Soumya, Morales, Jeanette Vega, Wolpert, Miranda, Wyckoff, Andrew W, Xue, Lan, Bytyqi, Aferdita, Franz, Christian, Gray, Whitney, Holly, Louise, Neumann, Micaela, Panda, Lipsa, Smith, Robert D, Georges Stevens, Enow Awah, Wong, Brian Li Han
Format: Article
Language:English
Subjects:
Biomedical Technology
Children & youth
Climate Change
Coronaviruses
COVID-19
Decision making
Digital Technology
Disruptive Technology
Forecasting
Futures
Global Health
Health Policy
Health services
Human rights
Humans
Literacy
Pandemics
Public health
Technology adoption
Values
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Summary:Digital transformations, which we define as the multifaceted processes of integration of digital technologies and platforms into all areas of life, including health, are central to understanding—and shaping—many of these disruptive dynamics. Because large gaps remain in the current evidence base on the interface of digital technologies and health, taking a precautionary, mission-oriented, and value-based approach to its governance is crucial. On the contrary, it will be important for decision makers to adopt a mission-oriented approach to digital health innovation, which aims to diffuse the benefits of digital health technologies equitably, make their deployment economically feasible, and decentralise and democratise their control. [...]reimagining public health and UHC in the light of digital transformations will also mean rethinking the breadth of health services that are offered in health systems and included in the publicly financed UHC package, to better reflect those new dimensions of health and wellbeing that are directly dependent on digital technologies and their role as new determinants of health. [...]we call for a new approach to the collection and use of health data based on the concept of data solidarity, with the aim of simultaneously protecting individual rights, promoting the public good potential of such data, and building a culture of data justice and equity. [...]we urge decision makers to invest in the enablers of digitally transformed health systems, a task that will require strong country ownership of digital health strategies and clear investment roadmaps that help prioritise those technologies that are most needed at different levels of digital health maturity.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(21)01824-9