Social Determinants and Health Equity Activities: Are They Connected with the Adaptation of AI and Telehealth Services in the U.S. Hospitals?

Pearl A. Pinera, Pearl C. Kim, Fye A. Pinera and Jay J. Shen ()
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Pearl A. Pinera: Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
Pearl C. Kim: Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
Fye A. Pinera: Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA
Jay J. Shen: Department of Healthcare Administration and Policy, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA

IJERPH, 2025, vol. 22, issue 2, 1-13

Abstract: In recent decades, technological shifts within the healthcare sector have significantly transformed healthcare management and utilization, introducing unprecedented possibilities that elevate quality of life. Organizational factors are recognized as key drivers in technology adoption, but involvement of hospitals in community-oriented activities and promotion of health equity are underexplored. This study investigated the impact of community social determinant activities and health equity activities on the adoption of AI and telehealth services within U.S. hospitals. The data were collected from the 2021 American Hospital Association (AHA) annual survey and were analyzed using multiple logistic and linear regression models to examine activities related to addressing population health, particularly social determinants and health equity, and their impacts on the adoption of AI and telehealth among U.S. hospitals. The results indicate a significant positive association between the community social determinant indicator and health equity indicator in adopting AI and telehealth services. Organizational factors were also major drivers of AI and telehealth adoption. The active incorporation of hospital strategies that address social determinants and promote health equity leads to the integration of advanced technologies and improves hospital conditions, enabling more adaptability to the changing healthcare landscape, which enhances healthcare services and accessibility.

Keywords: artificial intelligence; telehealth; social determinants; health equity; hospital (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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