scholarly journals Can Public Libraries Be Leveraged to Expand Access to Telehealth? Exploration of a Strategy to Mitigate Rural Health Disparities

Author(s):  
Pamela B. DeGuzman ◽  
Neha Jain

In the U.S., those who lack broadband internet have limited ability to connect to care providers over a telemedicine video visit (VV). During the coronavirus disease pandemic, VVs have become increasingly common, but are not equitably accessible, which may exacerbate existing health disparities. Widening health disparities are of particular concern in the rural U.S. where broadband is lacking. We term this inequity in healthcare access due to limited internet access the "digital health divide." Because public libraries typically offer free use of broadband internet to patrons, they can help bridge the digital health divide and assist patrons with VVs. However, no guidelines currently exist for care providers and libraries to implement this needed, but potentially complex undertaking. Individual programs in which community members have used public libraries as a place from which to connect to a VV may offer insight into guidance needed. Thus, we conducted a scoping review to explore interventions reporting use of public libraries for community members to connect to a healthcare provider via telemedicine. One article was found describing the use of a public library for community members to connect to a telemedicine VV. The use of public libraries as spaces from which patrons can participate in VVs with providers is promising, but research is urgently needed to guide implementation.

2021 ◽  
Vol 16 (4) ◽  
pp. 138-140
Author(s):  
Kimberly MacKenzie

A Review of: Pun, R. (2021). Understanding the roles of public libraries and digital exclusion through critical race theory: An exploratory study of people of color in California affected by the digital divide and the pandemic. Urban Library Journal, 26(2). https://academicworks.cuny.edu/ulj/vol26/iss2/1/ Abstract Objective – This study explored the role of the public library in the support of patrons of color who experience digital exclusion. Design – In-person and telephone interviews, grounded theory, and critical race theory.  Setting – Public libraries in California. Subjects – Persons of color who were active public library technology resource users due to experiencing the digital divide. Methods – In-person, 60- to 90-minute interviews were conducted with participants referred to the author by public librarians at select libraries in California. Sixteen open-ended questions were asked, relating to demographics, access to technology at home, library technology access and use, technology skills, and thoughts on how libraries could change or improve technology services. A 20- to 30-minute follow-up interview was conducted during the phase of the Covid-19 pandemic when public libraries were closed. Interview transcripts were analyzed by the author, who created a codebook of common themes. Responses were analyzed through the lens of grounded theory and critical race theory. Main Results – Nine participants were recruited; six consented to the first interview and two of the six consented to the second interview. Four of the participants self-reported as Asian, one as Black/African American, and one as Hispanic/Latino American. None of the participants had internet access in their homes, though some reported having laptops or inconsistent cellular service. Common uses of library technology included job search activities (resume building, job searching, applications); schoolwork; research and skill development; and legal or housing form finding. Leisure activities including social media and YouTube were also mentioned. Access limitations included inconvenient library hours, particularly for those attending college or holding a job with daytime hours, and physical distance from the library. A common complaint was the time limit on computer access set by the library; “the concept of time” was mentioned “over 70 times collectively by all participants” (p. 14). Language was another barrier to access, mentioned by three of the participants. Most reported being more likely to ask for help from a library staff person who shared their language or had a similar background. Participants also reported wishing more technology workshops were offered, especially workshops in languages other than English. The two participants who took part in the second interview “expressed frustration and sadness” about the lack of library access during the Covid-19 pandemic (p. 16). One participant reported having to get internet access at her home for her children to attend school. The second participant expressed her difficulty in conducting research or printing information with only the small screen of her phone to provide access. Conclusion – Library patrons of color living within the digital divide make use of public library technology but experience multiple barriers. Libraries can alleviate these barriers by examining their hours, policies, and staffing models to be more accessible to patrons of color lacking internet access at home.


Author(s):  
Ross McLachlan ◽  
Kathleen Sullivan

This case study offers insight into how Phoenix Public Library attempts to meet customer’s needs for 24/7 access to Library information and services. Strategies to achieve quality results, successful and failed initiatives, and lessons learned are presented.


2017 ◽  
Vol 51 (2) ◽  
pp. 458-472 ◽  
Author(s):  
Patrick Lo ◽  
Kevin K.W. Ho ◽  
Bradley Allard ◽  
Shih-Chang Horng ◽  
Yan Liu

Public libraries across the world are well-known for the promotion of literacy and lifelong learning. However, at the same time, they are important social and community spaces in which community members can engage with each other. With this in mind, this study looks at the ways in which public libraries in China, Taiwan and Hong Kong fulfil these roles in their respective communities. The public libraries chosen for this study were namely: Shanghai Library, Taipei Public Library and Hong Kong Central Library. A total number of 788 responses were collected from all three libraries. Results from the surveys indicated that public libraries in these communities were seen as being important for providing cost-free materials, entertainment, and, especially, contributing to the overall culture of the community at large. Results indicated that the public libraries chosen for this study have social and cultural values alongside its function as an information centre. These findings will be important in understanding the sociocultural roles of public libraries in East Asia.


2015 ◽  
Vol 32 (6) ◽  
pp. 15-18 ◽  
Author(s):  
Greg Rolan ◽  
Tom Denison ◽  
Christine Mackenzie

Purpose – The paper aims to present the results of a research project designed to explore the impact of the establishment and operation of a broadband enabled digital training facility at the Mill Park public library, focusing on the role of public libraries in both engaging and educating local communities and exploring issues related to the provision of training through public libraries, benefits or problems in doing so and the relationship to new and existing services. Design/methodology/approach – The paper takes a case study approach, following the development of the training program and changes implemented throughout the first two years of operation. Findings – The Mill Park Library has successfully met, if not exceeded, the goals of promoting broadband services, up-skilling the community and promoting digital readiness within it local community. Both directly and through partnerships with other organisations and schools, it has not only addressed the needs of community members but also engaged them more fully with the library’s other services. Practical implications – The paper offers insight into the value of strong community-based networks in supporting the successful design and implementation of information and communication technology (ICT)-related training programs. Originality/value – The paper offers insight into the value of strong community-based networks in supporting the successful design and implementation of ICT-related training programs.


2020 ◽  
Author(s):  
Pamela B. DeGuzman ◽  
Zack Siegfried ◽  
Megan E. Leimkuhler

AbstractIntroductionIn the United States, access to home-based telemedicine is inequitably distributed due to the limited reach of fixed broadband in rural areas. Public libraries typically offer patrons free access to broadband. Libraries, particularly those in rural regions, need to be evaluated as a site for patients to connect to a health care provider over a video visit. The purpose of this research was to evaluate the technological readiness of public libraries to provide telemedicine support and to determine differences in readiness between rural and urban public libraries.MethodsWe distributed a survey to members of the Virginia Library Association to evaluate technological readiness of Virginia public libraries to support telemedicine use in their facilities. The survey evaluated each library’s availability and speed of fixed broadband internet access, physical equipment, and private space.ResultsRespondents from 39 libraries completed the survey, approximately one-third of which were in rural or small urban areas. All respondents reported fixed broadband, at least four computers, and available staff to assist who technology in their libraries. Eighty-five percent of surveyed libraries reported sufficient broadband speed and a private room available to patrons. There were no significant differences between rural and urban status for any of the library characteristics.DiscussionPublic libraries in Virginia are technologically ready to support patrons connecting to health care providers over telemedicine. Systematic guidelines for library-practice collaborations are needed to support implementation across geographic and socioeconomically diverse areas.


Author(s):  
Dinesh Rathi

Social media such as Twitter and Facebook are used by organizations including public libraries to disseminate a variety of information to community members. This research aims to identify key areas in which Twitter was used to share information with users during the initial pandemic phase by a large public library operating in the Western region of Canada. The findings resulting from the analysis of 150 tweets revealed that the library shared information primarily in the following areas: Programs and Services, Library Operations, Health and Hygiene, Resources, and Other.


2016 ◽  
Vol 14 (1) ◽  
pp. 87-104 ◽  
Author(s):  
Adrienne Muir ◽  
Rachel Spacey ◽  
Louise Cooke ◽  
Claire Creaser

Purpose – This paper aims to consider selected results from the Arts and Humanities Research Council (AHRC)-funded “Managing Access to the internet in Public Libraries” (MAIPLE) project, from 2012-2014. MAIPLE has explored the ways in which public library services manage use of the internet connections that they provide for the public. This included the how public library services balance their legal obligations and the needs of their communities in a public space and the ethical dilemmas that arise. Design/methodology/approach – The researchers used a mixed-method approach involving a review of the literature, legal analysis, a questionnaire survey and case studies in five public library authorities. Findings – UK public library services use a range of methods to regulate internet access. The research also confirms previous findings that filtering software is an ubiquitous tool for controlling access to and protecting library users from “inappropriate”, illegal and harmful internet content. There is a general, if sometimes reluctant, acceptance of filtering software as a practical tool by library staff, which seems to contrast with professional codes of ethics and attitudes in other countries. The research indicates that public library internet access will be a valued service for some time to come, but that some aspects of how public library services regulate internet access is currently managed can have socially undesirable consequences, including blocking legitimate sites and preventing users from accessing government services. Education could play a greater part in helping the general population to exercise judgement in selection of materials to view and use. This does not preclude implementing stricter controls to protect children, whilst allowing public libraries to continue providing a social good to those who are unable to otherwise participate in the digital age. Research limitations/implications – The response to the survey was 39 per cent meaning that findings may not apply across the whole of the UK. The findings of this study are compared with and supplemented by other quantitative sources, but a strength of this study is the depth of understanding afforded by the use of case studies. Originality/value – This paper provides both a quantitative and qualitative analysis of how internet access is managed in UK public libraries, including how library services fulfil their legal obligations and the ethical implications of how they balance their role in facilitating access to information with their perceived role as a safe and trusted environment for all members of their communities. The findings add to the international discussion on this issue and stimulate debate and policy making in the UK.


Author(s):  
John Carlo Bertot ◽  
Paul T. Jaeger ◽  
Lesley A. Langa ◽  
Charles R. McClure

This article presents findings from the 2006 Public Libraries and the Internet study and other research that demonstrate the impact of public Internet access in public libraries on the communities and individuals that the libraries serve. This article focuses on the importance of public library Internet access in times of emergencies and for a range of electronic government (e–government) services at the individual and community–wide levels. Public access computing and Internet access in public libraries function as a first choice, first refuge, and last resort in a range of emergency and e–government circumstances, allowing individuals to engage successfully in essential e–government services such as registering for Medicare or other benefits and filing tax information. With this key centrality as agents of government services, public libraries increasingly play significant roles in times of emergencies, like the aftermath of a hurricane, in which communities rely on the public library Internet access to request aid, try to find missing family and friends, file Federal Emergency Management Agency (FEMA) and insurance claims, and begin rebuilding their lives. This article also discusses the need to revise government policy related to the role of public libraries in their support of e–government as public libraries increasingly serve as agents of e–government.


2015 ◽  
Vol 10 (4) ◽  
pp. 233
Author(s):  
Sara Sharun

A Review of: Sung, H. Y., Hepworth, M., & Ragsdell, G. (2013). Investigating essential elements of community engagement in public libraries: An exploratory qualitative study. Journal of Librarianship and Information Science 45(3), 206-218. doi: 10.1177/0961000612448205 Objective – To examine characteristics of a community engagement (CE) initiative in a public library in order to identify and describe essential elements of CE and develop a model for CE in public libraries. Design – Case study. Setting – A public library in a mid-sized city in England, United Kingdom. Subjects – An unspecified number of community members, library staff, and external agency staff participating in a community news program. Methods – There were 12 semi-structured interviews conducted with library staff, community members, and participants from 12 community news agencies operating under the umbrella of a larger community news organization. The authors directly observed an unknown number of undescribed program meetings and events. They also performed document analysis on unspecified government policies, media reports, and program publications to corroborate the information gathered from their interviews and observations. Main Results – The data were analyzed in an inductive manner using ATLAS qualitative data analysis software. Results are described in a qualitative manner and do not correspond directly to the individual methods used. The coding of data from interviews and observations (which are not analyzed separately) resulted in the identification of seven themes related to community engagement in libraries: belonging, commitment, communication, flexibility, genuineness, relevance, and sustainability. Conclusion – The “essential elements” model that was developed from this case study can be applied by other public libraries in their processes and practices, and can contribute to the creation of a more genuinely community-driven approach to service.


Author(s):  
Charles R. McClure ◽  
Paul T. Jaeger ◽  
John Carlo Bertot

While virtually all public libraries provide free Internet access to patrons, libraries seem to be reaching a plateau in their ability to meet demands for Internet access. Based on the findings of Public Libraries and the Internet surveys, the average number of public access workstations and the average connection speeds of Internet access in public libraries have stayed the same or slightly decreased in recent years. Further, more than half of libraries do not have sufficient connection speeds to meet patron demand, while staff, space, cost, and technical/telecommunications infrastructure issues prevent a great number of libraries from increasing the number of workstations or the connection speed in the library. Moreover, the US federal telecommunications and broadband policies require revision and updating. These findings raise serious questions about the ability of public libraries to continue to meet patron needs for Internet access. As a result of early public library commitment to ensuring public Internet access, patrons rely heavily on public libraries to meet their Internet needs. However, as demands for library computers and connection speeds continue to grow, there may be a drop in the quality of Internet services that public libraries are able to provide their patrons. It would also challenge the fundamental role of the contemporary public library in the community, as libraries have become so inextricably linked to the provision of Internet access. In addition, the survey data identify a range of implications regarding the policy environment in which public libraries offer their public access Internet services.


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