Telehealth Availability and Use of Related Technologies among Older Cancer Survivors: An early snapshot from the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Yuki Lama ◽  
Amy Davidoff ◽  
Robin C. Vanderpool ◽  
Roxanne E. Jensen
Keyword(s):  
Cancer Survivors ◽  
Technology Use ◽  
Technical Assistance ◽  
Care Delivery ◽  
Internet Access ◽  
Population Based ◽  
The Internet ◽  
Broadband Internet ◽  
Sociodemographic Correlates ◽  
Race Ethnicity

BACKGROUND There has been rapid integration of telehealth into care delivery during the COVID-19 pandemic. However, little is known about technology ownership, internet access and use for communication, and telehealth availability among cancer survivors who are disproportionately older. OBJECTIVE To identify sociodemographic associations with technology ownership, internet access and use for communication, and telehealth availability in a population-based sample of older cancer survivors. METHODS Data are from the Medicare Current Beneficiary Survey COVID-19 Summer 2020 Supplement administered between June 10, 2020–July 15, 2020. Analyses were restricted to beneficiaries who reported a prior (non-skin) cancer diagnosis and a usual source of care (N=2,044). Dichotomous outcomes included: (1) technology ownership, (2) internet access, (3) internet use for communication, and (4) telehealth availability from providers. Sociodemographic correlates included sex, age, race/ethnicity, Medicare/Medicaid dual enrollment, rurality, Census region, and self-reported comorbidities. RESULTS Over half (53%) of cancer survivors reported using the Internet for communication purposes and 62% reported that their usual provider had telehealth services available. Using the internet for communication purposes was reported less frequently for rural compared to urban survivors (adjusted probability of 28% vs. 46%, p<.001), and for Hispanic and Black survivors compared to non-Hispanic Whites (29%, 31%, and 44% respectively, p<.01). Rural survivors reported lower telehealth availability (53% vs. 63% p<.001); no differences in telehealth availability were identified by race/ethnicity (p>.05). CONCLUSIONS During the COVID-19 pandemic, our findings highlight a complex digital divide among Medicare beneficiaries with a history of cancer related to device ownership necessary for telehealth, internet access and use for communication, and reports of providers having telehealth available. Multilevel approaches are needed to increase equitable telehealth availability and use for older cancer survivors. Suggested strategies include increasing broadband internet access to providers and patients in at-risk communities; supporting telehealth implementation among providers that serve populations with known health disparities; raising awareness of providers’ available telehealth services among patients; and screening for technology use and provision of telehealth-related technical assistance among older, Black and Hispanic, dual Medicare/Medicaid enrolled, and rural cancer survivors.

The Internet's Impact on the Law and Economics Of the US's Motion Picture Industry

2011 ◽  
pp. 563-579
Author(s):  
Stanford L. Levin ◽  
John B. Meisel ◽  
Timothy S. Sullivan
Keyword(s):  
Business Model ◽  
Motion Picture ◽  
Law And Economics ◽  
Music Industry ◽  
Internet Access ◽  
Motion Picture Industry ◽  
The Internet ◽  
Broadband Internet ◽  
New Business

This chapter describes the far-reaching effects of broadband Internet access on the motion picture industry. It first provides a summary of the effects on the industry’s business model: the Internet (particularly when combined with broadband connections) provides a new window for the movie studios to utilize in releasing their product. It next examines the ways that legal, political, and cultural environments are already influencing the industry’s search for a new business model to replace the old. Finally, we draw on lessons from the music industry to predict how the industry will ultimately incorporate broadband technology into a new business model. The authors believe that the motion picture industry provides an excellent case study of broadband’s effects on a mature industry.

scholarly journals SOCIAL MEDIA ADOPTION BY RURAL RESIDENTS

2020 ◽  
Vol XXII (1) ◽  
pp. 95-103
Author(s):  
Barbara Gołębiewska ◽  
Joanna Stefańczyk ◽  
Ewa Jaska
Keyword(s):  
Social Media ◽  
Rural Areas ◽  
Social Group ◽  
Electronic Devices ◽  
Internet Access ◽  
The Internet ◽  
Rural Residents ◽  
Broadband Internet ◽  
Insurance Agent ◽  
Use Of Social Media

The study assesses the use of social media by rural residents. The study was conducted in Lublin county in 2016. Residents of rural areas (especially farmers) are a social group perceived to be the least technologically developed, the latest in adopting innovations and least advanced in using electronic devices. However, in recent years, differences between city dwellers and rural area inhabitants have been decreasing. Until today, in Poland, not all residents of rural areas have telephones or internet access. The explanation could be that their work does not involve using a computer as in the case of, for example, an insurance agent, architect or journalist. It was found that differences in the category of household equipment involving the possession of a computer and access to the Internet are diminishing – the largest increase has been recorded in recent years in the scope of access to broadband Internet. In the study, a visible relationship between the use of social media and the education of respondents was observed.

scholarly journals Prevalence and Age-Related Patterns in Health Information Seeking Behaviors and Technology Use Among Skin Cancer Survivors: Survey Study (Preprint)

2022 ◽  
Author(s):  
Michael Armando Marchetti ◽  
Liliane Sar-Graycar ◽  
Stephen W Dusza ◽  
Japbani K Nanda ◽  
Nicholas Kurtansky ◽  
...  
Keyword(s):  
Skin Cancer ◽  
Cancer Survivors ◽  
Health Information ◽  
Technology Use ◽  
Information Seeking ◽  
Unmet Need ◽  
Population Based ◽  
Health Information Seeking ◽  
Age Related ◽  
Information Seeking Behaviors

BACKGROUND Information is an unmet need among cancer survivors. There is a paucity of population-based data examining the health information seeking behaviors and attitudes of skin cancer survivors (SCSs). OBJECTIVE To identify prevalence and patterns of health information seeking behaviors and attitudes among SCSs across age groups. METHODS Analysis of National Cancer Institute population-based 2019 Health Information National Trends Survey 5, Cycle 3. RESULTS The 5438 respondents included 346 (6.4%) SCSs. Skin cancer respondents had a mean age of 65.8; the majority were white (96%, and 171 were men (48%). Most reported having ever looked for health (86%) or cancer (77%) information; 28% stated their last search took a lot of effort and 22% were frustrated. The internet was most often cited as being the first source that was recently used for health or medical information (46%). Compared to SCSs <65 years old, those ≥65 years of age were more likely to see a doctor first for important health information (68% vs. 36%, p<0.001) and less likely to have health/wellness apps (26% vs. 65%, p=0.1), to have watched a health-related YouTube video (13% vs. 27%, p=0.02), and to have used electronic means to look for information (61% vs. 82%, p<0.001) CONCLUSIONS Health information searches are common among SCSs, but behaviors and attitudes are associated with age, highlighting the importance of access to doctors and personalized information sources.

scholarly journals Mums Go Online: Is the Internet Changing the Demand for Healthcare?

2021 ◽  
pp. 1-45
Author(s):  
Sofia Amaral-Garcia ◽  
Mattia Nardotto ◽  
Carol Propper ◽  
Tommaso Valletti
Keyword(s):  
Health Care ◽  
Internet Access ◽  
The Internet ◽  
Broadband Internet ◽  
Health Care Outcomes ◽  
Related Information ◽  
Medical Benefits ◽  
Show Evidence ◽  
Health Related ◽  
Care Outcomes

Abstract We study the effect of internet diffusion on childbirth procedures performed in England between 2000 and 2011. We show that broadband internet access increased Cesareansections: mothers living in areas with better internet access are 2.5 percent more likely to obtain a C-section. The effect is driven by first-time mothers who are 6 percent more likely to obtain a C-section. The increased C-section rate is not accompanied by changes in health care outcomes, thus health care costs increased with no corresponding medical benefits. We show evidence documenting the growing importance of the internet as a source of health related information.

Racial and ethnic variation in employment and financial experiences of breast cancer survivors.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 9601-9601
Author(s):  
Reshma Jagsi ◽  
John A.E. Pottow ◽  
Kent A. Griffith ◽  
Ann S. Hamilton ◽  
John Graff ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Los Angeles ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Population Based ◽  
Work Hours ◽  
Medical Expenses ◽  
Medical Debt ◽  
Job Lock ◽  
Race Ethnicity

9601 Background: Concerns exist regarding the employment and financial experiences of cancer survivors and whether they differ by race/ethnicity. Methods: In a longitudinal survey of women reported to the Los Angeles and Detroit SEER registries for nonmetastatic breast cancer, we compared experiences of 4-year survivors by race/ethnicity. Results: Overall, 31% of 1,536 respondents (68% response rate) felt their financial status was worse since diagnosis (63% attributed this to breast cancer). This varied by race/ethnicity: 41% of Spanish-speaking Latinas (SSL), 33% English-speaking Latinas (ESL), 23% blacks (B), and 29% whites (W), p<0.001. The median respondent had spent ≤$2000 on breast cancer medical expenses; 16% had spent >$5000. 12% had medical debt 4 yrs post-diagnosis: 17% of ESL, 14% B, 10% SSL, and 9% W (p=0.01). Minority respondents were more likely to report foregoing medical care due to cost and other privations due to their medical expenses (Table). Overall, 14% felt their employment status was worse since diagnosis, and 61% of these attributed this to breast cancer. 755 worked for pay some time after diagnosis, of whom 56% said it was at least somewhat important to work to keep health insurance (55% of SSL, 65% ESL, 65% B, 50% W, p=0.03); 24% would look for a new job if assured of comparable benefits (45% of SSL, 29% ESL, 22% B, 17% W, p<0.001); 7% had increased work hours to cover cancer-related expenses; 27% had decreased work hours due to cancer-related health issues; and 7% believed they had been denied job opportunities because of cancer. Conclusions: In this population-based sample of breast cancer survivors, job lock was common, and many women perceived being worse off with respect to finances and employment as a result of their breast cancer. Medical debt and privation varied significantly by race/ethnicity. [Table: see text]

scholarly journals S49. THE RELATION BETWEEN PROCESSING SPEED AND USAGE OF MOBILE APPLICATIONS IN PATIENTS WITH SCHIZOPHRENIA

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S51-S51
Author(s):  
Emine Ilgın Hoşgelen ◽  
Özge Akgül ◽  
Berna Binnur Akdede ◽  
Koksal Alptekin
Keyword(s):  
Social Media ◽  
Mobile Phone ◽  
Schizoaffective Disorder ◽  
Processing Speed ◽  
Psychosocial Functioning ◽  
Technology Use ◽  
Mobile Application ◽  
Internet Access ◽  
The Internet ◽  
Internet Connection

Abstract Background Processing speed is one of the main areas of cognitive process which takes attention to do research on cognition in schizophrenia. Processing speed is also essential in learning, problem-solving and related to social cognitive functions. Technology use has become widespread in health and has gained functionality in many areas. By technology-based interventions, it might be possible to provide improvements in the psychosocial functioning of the patients with schizophrenia. The aim of this study is to look at the relationship between processing speed and technology use in schizophrenia patients. Methods Data were collected from the patients who applied to Dokuz Eylül University Medicine Faculty Schizophrenia Outpatient Clinic. Forty-one schizophrenia patients and 10 schizoaffective disorder patients who had been diagnosed as Schizophrenia or Schizoaffective Disorder according to DSM-5 diagnostic criteria were included in the study. A questionnaire to evaluate the use of technology of the patients was developed. The level of the psychosocial functioning was assessed using the Personal and Social Performance Scale (PSP), and the positive and negative symptom severity was evaluated using the Positive and Negative Syndrome Scale (PANSS). Stroop Colour and Word Test (SCWT) and Digit Symbol Coding Test (DSC) to rate processing speed have been applied. Results More than half of patients had mobile phone (n=47, 92,2%), computer (n=33, 64,7%), internet connection at home (n=34, 66,7%), internet connection on mobile phone (n=34, 66,7%), mobile application (n=33, 64,7%), social media application (n=26, 51,0%). facebook (n=27, 52,9%), whatsapp (n=28, 54,9%), messaging application (n=31, 60,8%). There is a statistically significant difference as duration of shorter reaction in DSC scores between patients who use (u) internet access on mobile phone (u= 34,35, nu= 24,88, p=0,013), whatsapp (u=35,00, nu=26,57, p=0,025), and messaging application (u=34,52, nu=26,05, p=0,022) compared to patients who are nonusers (nu). Having internet connection on mobile phone (p=0,028) and using whatsapp (p=0,010) showed a statistically significant relationship with neutral stimulus reaction time on SCWT among users compared to nonusers. Also, congruent task is statistically related with using mobile application (p=0,038), whatsapp (p=0,042) and messaging application (p=0,050). The other significant finding is patients who use internet access on mobile phone (u= 94,67 seconds, nu= 120,94 s, p=0,017), messaging applications (u=92,33 s, nu= 120,50 s, p=0,015) and whatsapp (u= 88,85 s, nu=120,91 s, p=0,005) showed statistically significant shorter duration in incongruent task of SCWT compared to patients who are not users. Discussion Patients who use the internet and messaging applications also had better scores in processing speed. “Being online” or having an opportunity to “be online” may improve processing speed skills or patients having good processing speed ability may easily use mobile phone applications. We found a significant reciprocal relationship between processing speed and using the internet, messaging application and social media applications.

scholarly journals 3G Internet and Confidence in Government*

2020 ◽  
Author(s):  
Sergei Guriev ◽  
Nikita Melnikov ◽  
Ekaterina Zhuravskaya
Keyword(s):  
Mobile Networks ◽  
Internet Access ◽  
The Internet ◽  
Traditional Media ◽  
Broadband Internet ◽  
Global Expansion ◽  
Mobile Broadband ◽  
3G Networks ◽  
Gallup World Poll ◽  
Opposition Parties

Abstract How does mobile broadband internet affect approval of government? Using Gallup World Poll surveys of 840,537 individuals from 2,232 subnational regions in 116 countries from 2008 to 2017 and the global expansion of 3G mobile networks, we show that, on average, an increase in mobile broadband internet access reduces government approval. This effect is present only when the internet is not censored, and it is stronger when the traditional media are censored. 3G helps expose actual corruption in government: revelations of the Panama Papers and other corruption incidents translate into higher perceptions of corruption in regions covered by 3G networks. Voter disillusionment had electoral implications: In Europe, 3G expansion led to lower vote shares for incumbent parties and higher vote shares for the antiestablishment populist opposition. Vote shares for nonpopulist opposition parties were unaffected by 3G expansion.

Toward Understanding U.S. Rural-Urban Differences in Broadband Internet Adoption and Use

2011 ◽  
pp. 156-170
Author(s):  
Peter Stenberg ◽  
Mitchell Morehart
Keyword(s):  
Rural Areas ◽  
Activity Patterns ◽  
Internet Access ◽  
The United States ◽  
The Internet ◽  
Broadband Internet ◽  
Urban Households ◽  
On Line ◽  
Use Of The Internet ◽  
The U.S

The Internet has become entrenched in the U.S. economy over the last 15 years;access and use of the Internet has increased for all regions of the United States, most types of households and work places, and all income groups. In this chapter we explore how access technologies may affect household on-line activity patterns and address some of the aspects that differentiate urban and rural household Internet use. Rural households are less likely than urban households in having broadband Internet access but this varies regionally across the country. Study suggests that broadband Internet access is no longer perceived a luxury, but as a necessity and that there is pent-up demand for broadband Internet access in rural areas.

scholarly journals Over The Top: Impacts on the networks of small internet access providers

2019 ◽  
pp. 05-23
Author(s):  
Antônio Eugênio Silva
Keyword(s):  
Internet Access ◽  
Real Data ◽  
The Internet ◽  
Internet Service ◽  
Broadband Internet ◽  
Internet Backbone ◽  
Legacy Applications ◽  
Over The Top

The Internet represents a transformative force of paradigms, making everyday situations such as how to watch movies and interact with society have a rapid transformation in recent years, driven by the distribution platforms of online video over the Internet, which consist of cross-platform distributed systems forming the so-called over the top – OTT. Sending video content on the Internet requires a variety of infrastructure devices associated with the Internet Service Provider – ISP, which must provide sufficient bandwidth Internet access to ensure quality of service. The growth in broadband Internet use raises concerns for ISPs due to the high bandwidth demands generated by OTT applications. The characterization of users’ behavior for OTT services can contribute to a better understanding of the interaction of users of these services with ISP, which will help small ISPs manage the capacity of their resources by providing a better quality of the service provided and possibilities for offering new services. This work aims to evaluate, using a case study, the impacts of OTT services, specifically Netflix, Facebook and Google, on a small broadband Internet access provider. In the research, real data were monitored and collected from all clients of an ISP using the PRTG, Winbox, Wireshark, and legacy applications tools on edge routers. With the result of the case study one can have a reference for the dimensioning of internet backbone access links with the use of CDN in the ISP environment, because users’ traffic in access to OTT services in small ISP affects on average 52% of the tráfeg the total ISP. Keywords: OTT, CDN, internet, internet provider.

The Digital Divide and K-12 Student Computer Use

10.28945/2926 ◽  
2005 ◽  
Author(s):  
James N. Morgan ◽  
Craig A. VanLengen
Keyword(s):  
Digital Divide ◽  
Computer Use ◽  
Census Data ◽  
Internet Access ◽  
Demographic Characteristics ◽  
The Internet ◽  
Substantial Impact ◽  
Limited Basis ◽  
K 12 ◽  
The Impact

The divide between those who have computer and Internet access and those who do not appears to be narrowing, however overall statistics may be misleading. Measures of computer availability in schools often include cases where computers are only available for administration or are available only on a very limited basis (Gootman, 2004). Access to a computer and the Internet outside of school helps to reinforce student learning and emphasize the importance of using technology. Recent U.S. statistics indicate that ethnic background and other demographic characteristics still have substantial impact on the availability and use of computers by students outside of the classroom. This paper examines recent census data to determine the impact of the household on student computer use outside of the classroom. Encouragingly, the findings of this study suggest that use of a computer at school substantially increases the chance that a student will use a computer outside of class. Additionally, this study suggests that computer use outside of the classroom is positively and significantly impacted by being in a household with adults who either use a computer at work or work in an industry where computers are extensively used.

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