Internet Inequity in Chicago: Adoption, Affordability, and Availability

Mangla, Tarun; Paul, Udit; Gupta, Arpit; Marwell, Nicole P.; Feamster, Nick

doi:10.2139/ssrn.4182994

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…Digital divides in access to fast and reliable internet still exist today, to some extent even in wealthy countries (van Deursen and van Dijk 2019; Mangla et al 2022;Sanders and Scanlon 2021;Watts 2020), and our results suggest that efforts to connect the "last few" will help in lessening participatory inequality and strengthening community life and democratic politics. However, it is clear that effects of bridging the digital divide might differ across countries and historical time (Bimber et al 2015;Campante et al 2018).…”

Section: Discussionmentioning

confidence: 68%

Bridging the Digital Divide Narrows the Participation Gap: Evidence from a Quasi-Natural Experiment

Frey,

Baldassarri,

Billari

2024

SocScience

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Socio-economic inequality in access to the internet has decreased in affluent societies. We investigate how gaining access to the internet affected the civic and political participation of relatively disadvantaged late adopters by studying a quasi-natural experiment related to the American National Election Studies. In 2012, when about 80% of the U.S. population was already connected to the internet, the ANES face-to-face study was for the first time supplemented with a sample of online respondents. Our design exploits the fact that the firm (KnowledgePanel) that conducted the web survey and provided the prerecruited respondents had equipped offline sample households with free laptop computers and internet access. The findings show that gaining internet access promotes late adopters' civic participation and turnout, whereas there is no evidence for effects on the likelihood of political activism. These findings indicate that the closing of the digital divide alleviated participatory inequality.

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Section: Discussionmentioning

confidence: 68%

Bridging the Digital Divide Narrows the Participation Gap: Evidence from a Quasi-Natural Experiment

Frey,

Baldassarri,

Billari

2024

SocScience

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“…13,14 There are also inequities in broadband access, speed, and affordability based on where one lives-including both rural and urban neighborhoods. 15 Further, even though patients and caregivers may have a smartphone and access to internet, they must also be able to navigate the complexities of telehealth application platforms.…”

Section: Risk Of Widening Gaps In Access To Care Access To and Naviga...mentioning

confidence: 99%

“…Additionally, as of 2021, only 60%–65% of Americans >65 years old have a smartphone or home broadband access, impacting children who have older primary caregivers 13,14 . There are also inequities in broadband access, speed, and affordability based on where one lives—including both rural and urban neighborhoods 15 . Further, even though patients and caregivers may have a smartphone and access to internet, they must also be able to navigate the complexities of telehealth application platforms.…”

Section: Risk Of Widening Gaps In Access To Carementioning

confidence: 99%

Putting equity at the forefront as telehealth advances: A hospitalist perspective

Sump

Odum

Pfarr

2023

Journal of Hospital Medicine

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Telehealth is a healthcare delivery modality that remotely connects patients to providers, and implementation of telehealth programs skyrocketed during the recent COVID-19 pandemic. 1 Telehealth may aid in acute care during a hospitalization (e.g., teleconsultation, virtual rounding), discharge planning (telehealth discharge huddles, remote patient monitoring), or providing acute care at home (hospital at home). [1][2][3] These care models present a unique opportunity to improve access to care but also present a risk of widening healthcare gaps, particularly for patients with lower access to technology and lower digital literacy.From this perspective, we highlight new applications of telehealth relevant to the hospitalist. We focus largely on advancements in pediatric care but recognize this is relevant to adult hospitalists as well. Our aim is to identify critical threats to equity and corresponding mitigation strategies to prevent widening gaps in access to care (Table 1). We also discuss the importance of centering telehealth research initiatives on a health-equity framework, investing in telehealth provider education, and advocating for sustainable telehealth licensing and reimbursement policies.

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