Schmeida Mary, McNeal Ramona S
Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
J Health Care Poor Underserved. 2007 Aug;18(3):637-47. doi: 10.1353/hpu.2007.0068.
This article explores e government inequalities to searching Medicare and Medicaid information online. Telehealth, a branch of e government, can bring public health service and insurance information to the citizen. The Centers for Medicare and Medicaid Services website, among others, has critical information for potential beneficiaries and recipients of services. Using Pew survey data and multivariate regression analysis we find people in most need of Medicare and Medicaid information online (the elderly and poor) are accessing it, and people with years of online experience are strong proponents of online searches. Despite being less likely to have broadband services, individuals in rural areas were not found to be less likely to search for information online. In conclusion, some disparities are narrowing as the elderly and poor in need of access to public health insurance are searching for it online. However, people without Internet access and experience (perhaps the oldest and poorest) remain disadvantaged with respect to accessing critical information that can link them to needed health care services.
本文探讨了电子政务在在线搜索医疗保险和医疗补助信息方面的不平等现象。远程医疗作为电子政务的一个分支,可以为公民提供公共卫生服务和保险信息。医疗保险和医疗补助服务中心网站等,拥有对潜在受益人和服务接受者至关重要的信息。利用皮尤调查数据和多元回归分析,我们发现最需要在线医疗保险和医疗补助信息的人群(老年人和贫困人口)正在获取这些信息,并且有多年上网经验的人强烈支持在线搜索。尽管农村地区的个人获得宽带服务的可能性较小,但并未发现他们在线搜索信息的可能性较低。总之,随着需要获得公共医疗保险的老年人和贫困人口在线搜索信息,一些差距正在缩小。然而,没有互联网接入和经验的人群(可能是最年长和最贫困的人群)在获取能将他们与所需医疗服务联系起来的关键信息方面仍然处于劣势。