David, You have really summed up a lot of the questions and discussion
that has been taking place on this topic. Thanks!
siobhan


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of David
Keyes
Sent: Sunday, August 10, 2008 5:18 PM
To: [email protected]; [EMAIL PROTECTED]
Subject: Re: [DDN] The Digital Divide and Human Health

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-Pro
cesses/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-Pro
cesses/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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