When Innovation Leaves People Behind: Reframing Accountability in Commercial Digital Health - Takeaways - MDSpire
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Addressing the Gaps: Rethinking Responsibility in the Commercial Digital Health Landscape

  • By

  • Hajira Dambha-Miller

  • Lucy Smith

  • Lysanne Veerle Michels

  • September 17, 2026

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  • 1

    Digital technologies are increasingly integrated into health care, addressing workforce shortages and fiscal constraints.

  • 2

    Digital health technologies show inconsistent performance across patient populations, impacting clinical outcomes.

  • 3

    Algorithmic bias in digital health is influenced by commercial developers, regulators, and procurement decisions.

  • 4

    Four mechanisms generate inequities in digital health: measurement bias, dataset bias, algorithmic bias, and distribution shift.

  • 5

    Equitable performance evidence should be required before the procurement and implementation of commercial digital health technologies.

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