The Telehealth Divide

2011 ◽  
pp. 51-56
Author(s):  
Mary Schmeida ◽  
Ramona McNeal
Keyword(s):  
United States ◽  
Service Delivery ◽  
Quality Of Healthcare ◽  
The United States ◽  
Policy Option ◽  
Cultural Barriers ◽  
The Internet ◽  
Life Project ◽  
The Public ◽  
Number Of Factors

In the United States, the public is accessing the Internet to provide information and deliver services, and to interact with citizens, business, and other government agencies (Bimber, 1999; Pardo, 2000; West, 2003, 2004). As with any change between citizen-government interactions, e-government is accompanied by speculation on its impact to both citizen and government. E-government capability of continual service delivery can make government efficient and transparent to the public (Norris, 1999; West, 2003), and more responsive to public needs through fast and convenient communication options (Thomas & Streib, 2003). It permits quicker material update than traditional distribution methods (Pardo, 2000). However, other literature suggests e-government will not live up to these prospects. A separation exists among citizens that use and do not use the Internet. This separation is based on a number of factors, including inequalities in Internet access “digital divide” and technological skills, along with psychological and cultural barriers. Literature extensively shows the differences in United States Internet use to fall along important socioeconomic and demographic factors, such as age, race, education, and income (Mossberger, Tolbert, & Stansbury, 2003; Neu, Anderson, & Bikson, 1999; Pew Internet & American Life Project, 2003c; U.S. Department of Commerce, 2002; Wilheim, 2000). E-government may create inequalities in the delivery of government information and services. Telehealth is a specific form of e-government aimed at improving the accessibility and quality of healthcare, and reducing service costs (Schmeida, 2004a). It relies on electronic information and telecommunication technology innovation (H.R. 2157, 2001). As nations contend with expensive healthcare, the promise of better healthcare service delivery at a reduced cost has made teleheath an increasingly attractive policy option in the United States and internationally.

The Telehealth Divide

2011 ◽  
pp. 1524-1528
Author(s):  
M. Schmeida ◽  
R. McNeal
Keyword(s):  
United States ◽  
Service Delivery ◽  
Interactive Video ◽  
Regulatory Policy ◽  
The United States ◽  
Administrative Reform ◽  
The Internet ◽  
Reform Policy ◽  
Life Project ◽  
The Public

In the United States, the public is accessing the Internet to provide information and deliver services, and to interact with citizens, business, and other government agencies (Bimber, 1999; Pardo, 2000; West, 2003, 2004). As with any change between citizen-government interactions, e-government is accompanied by speculation on its impact to both citizen and government. E-government capability of continual service delivery can make government efficient and transparent to the public (Norris, 1999; West, 2003), and more responsive to public needs through fast and convenient communication options (Thomas & Streib, 2003). It permits quicker material update than traditional distribution methods (Pardo, 2000). However, other literature suggests e-government will not live up to these prospects. A separation exists among citizens that use and do not use the Internet. This separation is based on a number of factors, including inequalities in Internet access “digital divide” and technological skills, along with psychological and cultural barriers. Literature extensively shows the differences in United States Internet use to fall along important socioeconomic and demographic factors, such as age, race, education, and income (Mossberger, Tolbert, & Stansbury, 2003; Neu, Anderson, & Bikson, 1999; Pew Internet & American Life Project, 2003c; U.S. Department of Commerce, 2002; Wilheim, 2000). E-government may create inequalities in the delivery of government information and services. Telehealth is a specific form of e-government aimed at improving the accessibility and quality of healthcare, and reducing service costs (Schmeida, 2004a). It relies on electronic information and telecommunication technology innovation (H.R. 2157, 2001). As nations contend with expensive healthcare, the promise of better healthcare service delivery at a reduced cost has made teleheath an increasingly attractive policy option in the United States and internationally. Telehealth advancement greatly reflects the dramatic changes in the telecommunication industry. In the 1990s, we witnessed considerable advancement, such as the use of digital technology—interactive video and Internet. Interactive video, for example, can link doctors and medical students afar improving medical education. Rural citizens can interact with specialist(s) through interactive video rather than traveling great distances for a medical consultation. The Internet can bring health related information into the home for better healthcare decision-making. Telehealth can be conceptualized as both an administrative reform policy and regulatory policy. As a hybrid policy type, it mostly exhibits the characteristics of administrative reform, such as e-government (McNeal, Tolbert, Mossberger, & Dotterweich, 2003; Schmeida, McNeal, & Mossberger, 2004) driven by the goals of cost reduction and increasing efficiency, paramount to telehealth adoption and implementation. Administrative reform policy does not involve the direct and coercive use of government power over citizens and are therefore associated with low levels of conflict (Ripley & Franklin, 1980). Regulatory policy, on the other hand tends to be politically salient among citizens as well as controversial among the actors within the policy community. Traditionally, those interests who are regulated have been important players in the policy process. Important telehealth players are physicians, nurses, pharmacists, and health insurers. Since telehealth straddles both administrative and reform policy areas, it is difficult to predict the actors that will play the greatest role in assisting or impeding its implementation. Execution of regulatory policy is highly volatile and controversial with shifting of alliances and players. However, administrative policy innovations are low salience, and as some regulatory policies it involves technical issues, often driven by professional networks and elected officials.

scholarly journals Asia`s Role in Internet Governance

2009 ◽  
Vol 24 (2) ◽  
pp. 137-142
Author(s):  
Park Y. J.
Keyword(s):  
United States ◽  
Public Policy ◽  
Civil Society ◽  
Public Sector ◽  
The United States ◽  
The Internet ◽  
Internet Governance ◽  
The Public ◽  
Policy Negotiation ◽  
Global Public Policy

Most stakeholders from Asia have not actively participated in the global Internet governance debate. This debate has been shaped by the Internet Corporation for Assigned Names and Numbers(ICANN) since 198 and the UN Internet Governance Forum (IGF) since 2006. Neither ICANN nor IGF are well received as global public policy negotiation platforms by stakeholders in Asia, but more and more stakeholders in Europe and the United States take both platforms seriously. Stakeholders in Internet governance come from the private sector and civil society as well as the public sector.

Information Technology and Administrative Reform

2008 ◽  
pp. 1-20 ◽  
Author(s):  
Kenneth Kraemer ◽  
John Leslie King
Keyword(s):  
United States ◽  
Information Technology ◽  
Service Delivery ◽  
Information Technologies ◽  
The United States ◽  
Administrative Reform ◽  
The Internet ◽  
Early Evidence ◽  
Mainframe Computer

This article examines the theoretical ideal of information technology as an instrument of administrative reform and examines the extent to which that ideal has been achieved in the United States. It takes a look at the findings from research about the use and impacts of information technology from the time of the mainframe computer through the PC revolution to the current era of the Internet and e-government. It then concludes that information technology has never been an instrument of administrative reform; rather, it has been used to reinforce existing administrative and political arrangements. It assesses why this is the case and draws conclusions about what should be expected with future applications of information technologies—in the time after e-government. It concludes with a discussion of the early evidence about newer applications for automated service delivery, 24/7 e-government, and e-democracy.

Epilogue

2017 ◽  
Author(s):  
Anna D. Jaroszyńska-Kirchmann
Keyword(s):  
United States ◽  
Public Sphere ◽  
The United States ◽  
The Internet ◽  
Formal Schooling ◽  
The Public ◽  
Polish Language ◽  
The Media ◽  
The Public Sphere ◽  
The Impact

This epilogue comments on the changes within the Polish American community and the Polish-language press during the most recent decades, including the impact of the Internet and social media on the practice of letter-writing. It also poses questions about the legacy and memory of Paryski in Toledo, Ohio, and in Polonia scholarship. Paryski's life and career were based on his intelligence, determination, and energy. He believed that Poles in the United States, as in Poland, must benefit from education, and that education was not necessarily the same as formal schooling. Anybody could embark on the path to self-improvement if they read and wrote. Long before the Internet changed the way we communicate, Paryski and other ethnic editors effectively adopted and practiced the concept of debate within the public sphere in the media. Ameryka-Echo's “Corner for Everybody” was an embodiment of this concept and allowed all to express themselves in their own language and to write what was on their minds.

Developing Issues Under the Massachusetts ‘Physician Profile’ Act

1997 ◽  
Vol 23 (1) ◽  
pp. 115-158
Author(s):  
Jeffrey P. Donohue
Keyword(s):  
United States ◽  
Medical Care ◽  
The United States ◽  
The Internet ◽  
Telephone Number ◽  
Cd Rom ◽  
The Public ◽  
High Profile ◽  
Disciplinary Records ◽  
Law Making

Massachusetts recently became the first state in the United States to publish physician malpractice histories and hospital disciplinary records. On August 9, 1996, Governor William F. Weld signed the Physician Profile Act (Profile Act or Act) into law, making “profiles” of the Commonwealth’s approximately twentyseven thousand doctors available to the public. Under the Act, the Massachusetts Board of Registration in Medicine (Board) provides information on physicians’ insurance plans, specialties, training, honors, and malpractice histories over a toll-free telephone number, through the Internet and on CD-ROM.The Act developed partially as a legislative response to a series of Boston Globe articles appearing in late 1994 which savaged the Board. Spotlighting a number of high-profile iatrogenic incidents, this highly charged series of articles, accompanied by a blistering editorial, alleged that some patients suffered substandard medical care at the hands of physicians who had been sued repeatedly for malpractice but never disciplined by the Board.

Sex Differences in Mass Media Preferences Across Four Asian Countries

2011 ◽  
Vol 23 (4) ◽  
pp. 186-191 ◽  
Author(s):  
Malini Ratnasingam ◽  
Lee Ellis
Keyword(s):  
United States ◽  
Sex Differences ◽  
Mass Media ◽  
The United States ◽  
Female Students ◽  
The Internet ◽  
Evolutionary Explanation ◽  
Asian Countries ◽  
The World ◽  
Media Preferences

Background. Nearly all of the research on sex differences in mass media utilization has been based on samples from the United States and a few other Western countries. Aim. The present study examines sex differences in mass media utilization in four Asian countries (Japan, Malaysia, South Korea, and Singapore). Methods. College students self-reported the frequency with which they accessed the following five mass media outlets: television dramas, televised news and documentaries, music, newspapers and magazines, and the Internet. Results. Two significant sex differences were found when participants from the four countries were considered as a whole: Women watched television dramas more than did men; and in Japan, female students listened to music more than did their male counterparts. Limitations. A wider array of mass media outlets could have been explored. Conclusions. Findings were largely consistent with results from studies conducted elsewhere in the world, particularly regarding sex differences in television drama viewing. A neurohormonal evolutionary explanation is offered for the basic findings.

Verán ustedes las chozas más humildes. El discurso de pobreza en la diplomacia pública cardenista dirigida a Estados Unidos

2019 ◽  
Vol 35 (2) ◽  
pp. 255-281
Author(s):  
Sylvia Dümmer Scheel
Keyword(s):  
United States ◽  
New Deal ◽  
Public Diplomacy ◽  
The United States ◽  
The Public ◽  
The Poor ◽  
The Face ◽  
The Government ◽  
Lazaro Cardenas ◽  
The New Deal

El artículo analiza la diplomacia pública del gobierno de Lázaro Cárdenas centrándose en su opción por publicitar la pobreza nacional en el extranjero, especialmente en Estados Unidos. Se plantea que se trató de una estrategia inédita, que accedió a poner en riesgo el “prestigio nacional” con el fin de justificar ante la opinión pública estadounidense la necesidad de implementar las reformas contenidas en el Plan Sexenal. Aprovechando la inusual empatía hacia los pobres en tiempos del New Deal, se construyó una imagen específica de pobreza que fuera higiénica y redimible. Ésta, sin embargo, no generó consenso entre los mexicanos. This article analyzes the public diplomacy of the government of Lázaro Cárdenas, focusing on the administration’s decision to publicize the nation’s poverty internationally, especially in the United States. This study suggests that this was an unprecedented strategy, putting “national prestige” at risk in order to explain the importance of implementing the reforms contained in the Six Year Plan, in the face of public opinion in the United States. Taking advantage of the increased empathy felt towards the poor during the New Deal, a specific image of hygienic and redeemable poverty was constructed. However, this strategy did not generate agreement among Mexicans.

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