Navigating the Digital Divide: Barriers to Telehealth in Rural Areas

Cortelyou-Ward, Kendall; Atkins, Danielle; Noblin, Alice; Rotarius, Timothy; White, P.; Carey, Cyriah

doi:10.1353/hpu.2020.0116

Cited by 96 publications

(75 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Future research could focus on the impact of the digital divide 41,42 on rural health equity during and after the COVID-19 pandemic. Survey participants were rural citizens in general but future research might target "at-risk" populations such as those with chronic diseases, mobility issues, mental health challenges, and substance use, known to be more prevalent in rural communities.…”

Section: Limitations and Future Research Directionsmentioning

confidence: 99%

Rural use of health service and telemedicine during COVID-19: The role of access and eHealth literacy

Rush¹,

Seaton²,

et al. 2021

Health Informatics J

View full text Add to dashboard Cite

The COVID-19 pandemic has driven a greater reliance on telemedicine, yet rural access, use, and satisfaction with telemedicine and the role of eHealth literacy are unknown. Using a cross-sectional design, 279 (70.6% female) western rural Canadians completed an online survey. The majority of participants reported access to telemedicine, but nearly 1/5 lacked access to online or virtual mental health services. The majority of participants had used health care services following the declared COVID-19 pandemic in North America, and just under half had used telemedicine. Telemedicine satisfaction scores were higher among participants who had used video ( M = 4.18) compared to those who used phone alone ( M = 3.79) ( p = 0.031). Telemedicine satisfaction and eHealth literacy were correlated ( r = 0.26, p = 0.005). Participants did not want telemedicine to replace in-person consultations. Telemedicine practice requires that rural residents have the resources, ability and willingness to engage with remote care.

show abstract

Section: Limitations and Future Research Directionsmentioning

confidence: 99%

Rural use of health service and telemedicine during COVID-19: The role of access and eHealth literacy

Rush¹,

Seaton²,

et al. 2021

Health Informatics J

View full text Add to dashboard Cite

show abstract

“…Rodicio-Carcia et al analyzed the digital divide in distance learning between students from different regions during COVID-19 [25]. Cortelyou-Ward et al analyzed the great digital gap in the process of rural resident access to telemedicine [26]. Murthy et al noted that the global digital economy was dominated by developed economies; in particular, in the area of e-commerce, the digital divide between countries was obvious [27].…”

Section: The Sustainable and Economic Impact Of The Digital Economymentioning

confidence: 99%

Digital Economic Development and Its Impact on Econimic Growth in China: Research Based on the Prespective of Sustainability

Jiao

Sun

2021

Sustainability

View full text Add to dashboard Cite

At present, there is a consensus that the digital economy provides a new impetus for sustainable economic development. Based on domestic and foreign literature reviews, this paper focuses on representative industry sectors; we present China’s 2011–2018 digital economy development index, for 173 cities, from a three-level perspective—internet development, digital literacy, and industrial efficiency improvement. Various models, such as the instrumental variable method, the double difference method, the intermediary effect model, and the spatial econometric model were used to quantitatively analyze the impact of digital economic development on urban economic growth in China. The study finds that: (1) digital economic development in China has a positive effect on urban economic growth, and a heterogeneity of effects exists between different cities. (2) Urban employment is the “effect mechanism” of digital economic growth on urban economic growth. (3) The direct effect of digital economic development on urban economic growth in China is positive, the spillover effect is positive, the direct effect is greater than the spillover effect, and the total effect is positive. The research results enrich the measurement methods used in urban digital economic development in China, providing new perspectives for studying the influence mechanisms of digital economic development on urban economic growth.

show abstract

“…13 In addition, insufficient infrastructure and funding to support telehealth continue to hinder the growth of telebehavioral health service delivery, particularly in rural communities with unstable Internet connectivity. 14 The need for telebehavioral health to bridge communities and mental health care is greater than ever and proper support mechanisms for providers are critical for its diffusion, particularly in underserved communities. 5 Consequently, sufficient infrastructure and policies supporting the behavioral health workforce are needed to optimize the use of telebehavioral health services.…”

Section: Introductionmentioning

confidence: 99%

Telebehavioral Health During the COVID-19 Pandemic: A Qualitative Analysis of Provider Experiences and Perspectives

Schoebel

Wayment

Gaiser

et al. 2021

Telemedicine and e-Health

View full text Add to dashboard Cite

Introduction: Due to the COVID-19 pandemic and prompted by recent federal and state policy shifts impacting behavioral health care delivery, the use of telebehavioral health has rapidly increased. This qualitative study describes behavioral health provider perspectives on the use of telebehavioral health before and during the pandemic and how policy changes impacted access to and utilization of behavioral health services in Michigan. Materials and Methods: A convenience sample of 31 licensed and nonlicensed behavioral health providers operating in Michigan participated in semi-structured interviews between July and August 2020. Interviews were audio-recorded, transcribed, and analyzed by using inductive methods. Results: The thematic analysis resulted in four overarching themes: (1) increased access to care; (2) maintenance of quality of care; (3) minimal privacy concerns; and (4) client and provider satisfaction. Discussion: During and post-pandemic, providers need flexibility to determine whether in-person or telebehavioral health services, including audio-only, best meet client needs. Providers identified several populations for which telebehavioral health was less accessible: clients with serious mental illness and substance use disorder, those with no broadband Internet access, children, and older adults. Additional training in telebehavioral health service provision can positively impact quality of care. Conclusion: Policies that support reimbursement parity and expand provider use of telebehavioral health services should be maintained after the COVID-19 pandemic ends to avoid imposing barriers to accessing behavioral health care barriers post-pandemic.

show abstract

Navigating the Digital Divide: Barriers to Telehealth in Rural Areas

Cited by 96 publications

References 0 publications

Rural use of health service and telemedicine during COVID-19: The role of access and eHealth literacy

Rural use of health service and telemedicine during COVID-19: The role of access and eHealth literacy

Digital Economic Development and Its Impact on Econimic Growth in China: Research Based on the Prespective of Sustainability

Telebehavioral Health During the COVID-19 Pandemic: A Qualitative Analysis of Provider Experiences and Perspectives

Contact Info

Product

Resources

About