Applying the principle of justice in digital health

Abstract

In an increasingly digital healthcare landscape, it is essential to assess the ethical impact of technology on care practices. We present a conceptual framework on equity in digital health, addressing justice-related concepts and challenges to reducing the digital divide. An ethical approach ensures that digital health respects fundamental rights. We propose goals-such as incorporating digital determinants into public health policy-to promote justice and reduce health inequalities in digital health implementation.

Fig. 1. From inequality to justice in digital health.

Illustrative model adapted from public health equity frameworks, applied to digital access and inclusion. The figure contrasts different levels of resource distribution and structural response: inequality (no access), equality (same access regardless of need), equity (access adapted to individual needs), and justice (removal of structural barriers and active facilitation of inclusion).