Differences in Access to and Use of Electronic Personal Health Information Between Rural and Urban Residents in the United States

Greenberg, Alexandra J.; Haney, Danielle; Blake, Kelly D.; Moser, Richard P.; Hesse, Bradford W.

doi:10.1111/jrh.12228

Cited by 134 publications

(125 citation statements)

References 28 publications

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“…Devices such as smart phones, tablets, and computers are costly, and access to Internet and cellular networks is not universal. In many rural areas around the world, high speed Internet is not available and cell phone access may not be reliable, leading to rural participants having less access to technologies for personal health (Greenberg, Haney, Blake, Moser & Hesse, ). Therefore, research that incorporates technology must be designed with consideration of the factors necessary to optimize access and usability, as well as to ensure adequate documentation and reporting.…”

Section: Challenges To Technology Usementioning

confidence: 99%

The Use of Technology to Support Precision Health in Nursing Science

Starkweather

Jacelon

Bakken

et al. 2019

J of Nursing Scholarship

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Purpose This article outlines how current nursing research can utilize technology to advance symptom and self‐management science for precision health and provides a roadmap for the development and use of technologies designed for this purpose. Approach At the 2018 annual conference of the National Institute of Nursing Research (NINR) Research Centers, nursing and interdisciplinary scientists discussed the use of technology to support precision health in nursing research projects and programs of study. Key themes derived from the presentations and discussion were summarized to create a proposed roadmap for advancement of technologies to support health and well‐being. Conclusions Technology to support precision health must be centered on the user and designed to be desirable, feasible, and viable. The proposed roadmap is composed of five iterative steps for the development, testing, and implementation of technology‐based/enhanced self‐management interventions. These steps are (a) contextual inquiry, focused on the relationships among humans, and the tools and equipment used in day‐to‐day life; (b) value specification, translating end‐user values into end‐user requirements; (c) design, verifying that the technology/device can be created and developing the prototype(s); (d) operationalization, testing the intervention in a real‐world setting; and (e) summative evaluation, collecting and analyzing viability metrics, including process data, to evaluate whether the technology and the intervention have the desired effect. Clinical Relevance Interventions using technology are increasingly popular in precision health. Use of a standard multistep process for the development and testing of technology is essential.

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Section: Challenges To Technology Usementioning

confidence: 99%

The Use of Technology to Support Precision Health in Nursing Science

Starkweather

Jacelon

Bakken

et al. 2019

J of Nursing Scholarship

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show abstract

“…Finally, research has shown that rural residents have limited access to and use of online health information compared to urban residents, particularly online access involving high speed Internet . They also have lower access to health care providers .…”

mentioning

confidence: 99%

“…Finally, research has shown that rural residents have limited access to and use of online health information compared to urban residents, 18 particularly online access involving high speed Internet. 19 They also have lower access to health care providers. 20 Given that people identify health care professionals and Internet as their primary sources of health information, 1,21,22 these infrastructure limitations may be significant obstacles to health information access and use in rural areas.…”

mentioning

confidence: 99%

Differences in Rural and Urban Health Information Access and Use

Chen

Orom

Hay

et al. 2018

The Journal of Rural Health

219

165

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Purpose Rural residents may have lower access to and use of certain health information sources relative to urban residents. We investigated differences in information source access and use between rural and urban US adults and whether having low health literacy might exacerbate rural disparities in access to and use of health information. Methods Six hundred participants (50% rural) completed an online survey about access and use of 25 health information sources. We used logistic regression models to test associations between rurality and access to and use of health information sources and whether rurality interacted with health literacy to predict the access and use. Findings Compared to urban residents, rural residents had lower access to health information from sources including primary care providers, specialist doctors, blogs, and magazines, and less use of search engines. After accounting for sociodemographics, rural residents only had lower access to specialist doctors than urban residents. Rural residents with limited health literacy had lower access to mass media and scientific literature but higher use of corporations/companies than rural residents with adequate health literacy and urban residents regardless of health literacy level. Conclusions Some differences in access to and use of health information sources may be accounted for by sociodemographic differences between rural and urban populations. There may be structural barriers such as shortage of specialist doctors and limited media exposure that make it harder for rural residents to access health information, especially those with limited health literacy.

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“…It is also generated by non experts thereby raising legitimate concerns about its accuracy, reliability and verifiability. However, even long established approaches like EHR (Electronic Health Reporting) suffer from similar problems in addition to the fact that even in highly developed countries like the United States there are many areas where they are not well deployed [3-5]. …”

Section: Introductionmentioning

confidence: 99%

Design Choices for Automated Disease Surveillance in the Social Web

Magumba

Nabende

Mwebaze

2018

OJPHI

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The social web has emerged as a dominant information architecture accelerating technology innovation on an unprecedented scale. The utility of these developments to public health use cases like disease surveillance, information dissemination, outbreak prediction and so forth has been widely investigated and variously demonstrated in work spanning several published experimental studies and deployed systems. In this paper we provide an overview of automated disease surveillance efforts based on the social web characterized by their different high level design choices regarding functional aspects like user participation and language parsing approaches. We briefly discuss the technical rationale and practical implications of these different choices in addition to the key limitations associated with these systems within the context of operable disease surveillance. We hope this can offer some technical guidance to multi-disciplinary teams on how best to implement, interpret and evaluate disease surveillance programs based on the social web.

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Differences in Access to and Use of Electronic Personal Health Information Between Rural and Urban Residents in the United States

Abstract: The digital divide between rural and urban residents extends to HIT. Additional investigation is needed to determine whether the decreased use of HIT may be due to lack of Internet connectivity or awareness of these tools.

Cited by 134 publications

References 28 publications

The Use of Technology to Support Precision Health in Nursing Science

The Use of Technology to Support Precision Health in Nursing Science

Differences in Rural and Urban Health Information Access and Use

Design Choices for Automated Disease Surveillance in the Social Web

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