This is an interesting discussion, though it may be an easier one to have as a 
set of narrower questions on a web discussion.

I agree that the use of data, both qualitative and quantitative, would be 
ultimately vital to determining impact and perhaps not enough as been done. 
Just as important is defining the scope of questions. I see a number of arenas 
for this. "Human health" is also broad. I leave that to health experts, but 
perhaps this encompasses individual physical and mental health, and then public 
health. 

I also see some distinction between getting health info, getting info about 
where to get health assistance, participatory health support activities, and 
use of digital media to support creating health marketing materials, and use of 
telecenters and digital media as a health prevention (and fitness and public 
safety) activity. 

Here are some of the areas of research I'd see on this topic from my experience 
in community technology. 
1) Does learning about health information online improve health?
2) Does participating in a health or disease-related support group improve 
physical and/or mental health?
3) Does retrieving health info likely lead to its use and to a subsequent 
impact?  How is this different or complementary to information provided by 
another source (friend, care provider, brochure)?
4) How many community technology/ telecentres are connecting residents with 
health and fitness information? (e.g. I know of a group of seniors that use the 
computer lab to retrieve walking maps for their exercise.) 
5) If someone's knowledge of using a computer and the Internet increases, does 
it increase their sense of self-sufficiency and control, and thereby extend 
their life and quality of life? (There's an interesting potential correlation 
to some research done in England finding that if seniors have a greater sense 
of their choices and control, it results in extending their lives.)
6) Does a social network, with an e-component (email, text, web), enhance a 
consumer's access to health care provider and health information (that is 
accurate)?
7) Does the production of content (e.g. writing about nutrition, your health, 
mapping neighborhood air quality) lead to increased health awareness and health?
8) What is the public safety impact of youth media programs?

This is all consumer sided vs provider sided (health professionals getting 
access to exchanging data and best practices) and doesn't include potential 
impact from health monitoring (remote testing/transmission on diabetes, blood 
pressure, etc).

And of course all this takes money for research. I'd definitely like to see 
more and how it gets indexed in the health and Internet/dig divide/ social 
health journals.   

- David

 *******************************************
David Keyes
Director of Community Technology Programs
City of Seattle Department of Information Technology
PO Box 94709
Seattle, WA 98124-4709   USA

(206) 386-9759
[EMAIL PROTECTED]
Fax (206) 684-0911
http://seattle.gov/tech/
Street address: 700 Fifth Ave. Suite 2700
>>> "Judith Green" <[EMAIL PROTECTED]> 08/10/08 7:04 AM >>>
Greetings,

The question of health care and the digital divide issues that are being
raised about "knowing" and "data" are central to discussions that are
happening in medical education and diagnosis communities.  A recent book

<http://www.amazon.com/Interprofessional-Family-Discourses-Knowledge-Processes/dp/1572734027/ref=sr_1_3?ie=UTF8&s=books&qid=1218309980&sr=1-3>
Interprofessional and Family Discourses: Voices, Knowledge and
Practice
(Language and Social Processes)
<http://www.amazon.com/Interprofessional-Family-Discourses-Knowledge-Processes/dp/1572734027/ref=sr_1_3?ie=UTF8&s=books&qid=1218309980&sr=1-3>by
Marleen Iannucci McClelland and Roberta G. Sands, Hampton Press.

raises questions about how different disciplines within healthcare diagnose
patients and how voices are missing.  This volume raises questions about
dialogues in a face2face and digital world that are central to understanding
areas of the digital divide that are often not visible.  They also raise
questions about how parents are engaged in the dialogues and thus how
patients are able to access or enter information.  This volume also proposes
a biosocial model that might be of interest to those involved in discussion
about health care and the digital divide.

This volume also address questions about what counts as knowing, research
and health care and how these are constructed through different lenses used
by different actors.

I see the questions that were raised, therefore, as interdependent with the
broader concern of this community.

Judith
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