Cited by 336Health Literacy and Information AccessibilityICT in Developing CommunitiesDigital Accessibility for Disabilities

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Access to Health Information and Support: A Public Highway or a Private Road?

Eng, Thomas R., Maxfield, Andrew, Patrick, Kevin, Deering, Mary Jo, Ratzan, Scott C., Gustafson, David H.·1998·JAMA

DOI 10.1001/jama.280.15.1371

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Abstract

Information and communication technologies may help reduce health disparities through their potential for promoting health, preventing disease, and supporting clinical care for all. Unfortunately, those who have preventable health problems and lack health insurance coverage are the least likely to have access to such technologies. Barriers to access include cost, geographic location, illiteracy, disability, and factors related to the capacity of people to use these technologies appropriately and effectively. A goal of universal access to health information and support is proposed to augment existing initiatives to improve the health of individuals and the public. Both public- and private-sector stakeholders, particularly government agencies and private corporations, will need to collaboratively reduce the gap between the health information "haves" and "have-nots." This will include supporting health information technology access in homes and public places, developing applications for the growing diversity of users, funding research on access-related issues, ensuring the quality of health information and support, enhancing literacy in health and technology, training health information intermediaries, and integrating the concept of universal access to health information and support into health planning processes.

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Authors: Eng, T. R., Maxfield, A., Patrick, K., Deering, M. J., Ratzan, S. C., & Gustafson, D. H.
Affiliations: United States Department of Health and Human Services (US)
ORCID: Patrick, Kevin
Ratzan, Scott C.
Gustafson, David H.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 1998-10-21
Volume: 280
Issue: 15
Pages: 1371
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.280.15.1371
OpenAlex: W2038610585
Cited by: 335
References: 49
Citations by year: 2026: 2 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 3 · 2019: 9 · 2018: 11 · 2017: 9 · 2016: 18 · 2015: 7 · 2014: 18 · 2013: 18 · 2012: 6
FWCI: 33.79
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Physical Sciences › Computer Science › Information Systems › ICT in Developing Communities
Social Sciences › Human Factors and Ergonomics › Digital Accessibility for Disabilities
Keywords: health information technology, health information access, health disparities, digital divide, health literacy, health insurance coverage, technology access barriers, health planning, universal access, disease prevention
MeSH terms: Delivery of Health Care, Health Services Needs and Demand, Medical Informatics, Public Health, Private Sector, Public Sector, Internet

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Access to Health Information and Support: A Public Highway or a Private Road?

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