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8/7/2019 eHealth Equity Proposed Framework for Discussion, Tim Kieschnick
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eHealth Equity
Proposed Frameworkfor Discussion
Tim Kieschnick
Sr. Manager
Internet Services
March 7, 2011
s
8/7/2019 eHealth Equity Proposed Framework for Discussion, Tim Kieschnick
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Thinking and Talking about eHealth Equity
Why
Goals
Challenge
Problem
Two Models
Access
Segmentation, Strategy, Next Steps
8/7/2019 eHealth Equity Proposed Framework for Discussion, Tim Kieschnick
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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
8/7/2019 eHealth Equity Proposed Framework for Discussion, Tim Kieschnick
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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
8/7/2019 eHealth Equity Proposed Framework for Discussion, Tim Kieschnick
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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