eHealth Equity Proposed Frameworkfor Discussion, Tim Kieschnick

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    eHealth Equity

    Proposed Frameworkfor Discussion

    Tim Kieschnick

    Sr. Manager

    Internet Services

    March 7, 2011

    s

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    2

    Thinking and Talking about eHealth Equity

    Why

    Goals

    Challenge

    Problem

    Two Models

    Access

    Segmentation, Strategy, Next Steps

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    Goals

    Get real

    Advance the conversation

    Understand the landscape

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    Our Challenge

    Dont

    make it

    worse

    Make it

    better

    RISK OPPORTUNITY

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    The immediate problem

    Target Audiences Interventions Research

    race / ethnicity

    health literacy

    low income

    rural

    age

    gender

    sexual orientation

    education gay-friendly MD search

    Spanish content

    public kioskstraining

    PHRs

    text reminders

    lower reading level content

    race/ethnicity variations

    broadband adoption

    health literacy

    portal usagelanguage

    disabled

    home BP monitor

    subsidized access

    program evaluation

    text4baby

    web site accessibility

    seniors attitudes

    SMS adoption

    content availability

    chronicconditions

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    Thinking and Talking about eHealth Equity

    Simple Simplistic

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    Meaningful Access

    Perceived Value

    Awareness

    Accessible & UsableUseful Content

    Skills

    Tech SupportNetwork Access

    Device Access

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    Critiquing the Model

    Does it help us:

    Understand the landscape

    Advance the conversation

    Get real

    Is it:

    Simple

    but not Simplistic

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    Model #2

    SegmentsStrategiesNext Steps

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    If we could fill in this grid

    User Segment

    Characteristics

    of this segment

    Strategies for

    Addressing

    Their Needs Research Policies Programs

    ?

    ?

    ?

    ?

    ?

    Who HowW

    hat

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    Thinking and Talking about eHealth Equity

    Simple Simplistic

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    Incentives Useful Content

    Accessible & Usable

    A

    wareness Perceived Value

    HOW

    Strategies for

    Addressing Their Needs

    WHO

    User Segment

    by Technology Access

    Have

    Want

    DontWant

    Technology Access Skills

    Tech Support

    Network

    Device

    Alternatives Low-tech channels

    Proxy access

    Dont Have

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    Technology

    Access

    Strategic

    Focus

    Potential Target

    Segments

    Programs Policies Research

    HAVE Incentives

    WANT

    Technology

    Access

    Alternatives

    DONT

    WANT

    Alternatives

    Incentives

    Dont let

    technologywiden the

    gap

    Use

    technology

    to narrow

    the gap

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    Critiquing the Model

    Does it help us: Understand the landscape

    Advance the conversation

    Get realIs it:

    Simple

    but not Simplistic

    What to do with this model: Improve

    Trash

    Implement