Tr. Eng et al., ACCESS TO HEALTH INFORMATION AND SUPPORT - A PUBLIC HIGHWAY OR A PRIVATE ROAD, JAMA, the journal of the American Medical Association, 280(15), 1998, pp. 1371-1375
Information and communication technologies may help reduce health disp
arities through their potential for promoting health, preventing disea
se, and supporting clinical care for all. Unfortunately, those who hav
e preventable health problems and lack health insurance coverage are t
he least likely to have access to such technologies. Barriers to acces
s include cost, geographic location, illiteracy, disability, and facto
rs related to the capacity of people to use these technologies appropr
iately and effectively. A goal of universal access to health informati
on and support is proposed to augment existing initiatives to improve
the health of individuals and the public. Both public- and private-sec
tor stakeholders, particularly government agencies and private corpora
tions, will need to collaboratively reduce the gap between the health
information ''haves'' and ''have-nots, This will include supporting he
alth information technology access in homes and public places, develop
ing applications for the growing diversity of users, funding research
on access-related issues, ensuring the quality of health information a
nd support, enhancing literacy in health and technology, training heal
th information intermediaries, and integrating the concept of universa
l access to health information and support into health planning proces
ses.