While 2 in 3 American adults with no chronic health conditions go online to access health information, only 1 in 2 chronically ill people seek health information online.

This irony here is that those who most need access to online information, support and tools don’t use them as much as people who are healthy. “The Internet access gap creates an online health information gap,” say Susannah Fox and Kristen Purcell of the Pew Internet & American Life Project in their landmark report, Chronic Disease and the Internet.

It’s not that sicker people aren’t interested in accessing health information; it’s that these people don’t have as much access to the Internet, according to Pew’s survey data from December 2008. 50% of the well in America have wireless access; only 24% of the chronically ill have wireless.

The most striking chasm between the health-have’s and the sicker have-not’s is that 61% of Americans with no chronic illness have broadband at home — but only 37% of Americans with 2 or more chronic conditions have broadband at home.

Note in the table that there are variations in Internet access by chronic condition. The two conditions with among the lowest levels of Internet access are people with heart conditions and people with diabetes. While 81% of Americans with no chronic conditions go online, 47% of people with heart disease and 50% of Americans with diabetes have Internet access.

Once online, though, chronically ill Americans say the information they access had an impact on their condition. In particular, people with 2 or more conditions are more likely than healthy people to seek information on specific medical problems, prescription and OTC drugs, health insurance, and experimental medicines.

Health Populi’s Hot Points: Pew’s analysis identifies one of the key barriers to participatory health: access to state-of-the-art Internet connections, both broadband and wireless. As chronically ill people are disproportionately offline, their sphere of medical influence tends to be very local: their physician, their friends and family. books and references from the local library.

Yet the more chronic conditions someone has, the more complex their individual health challenges become…and the more expertise available, the greater likelihood the person will have at finding solutions to medical challenges.

The fact that patients with diagnoses of two of the largest public health epidemics in the U.S. — heart disease and diabetes — have less access to the Internet — underscores the challenge outlined in this report.

Access to Internet connectivity, such as the plans recommended by the recent FCC Broadband Plan’s health chapter, along with evangelizing and supporting digital literacy among the digitally ‘naive,’ will help build a participatory health citizenry in the U.S. This investment will go a long way in helping to bend the health care cost curve in the U.S., along with improving American health citizens’ quality of life.

5 Comments on Diagnosis: sicker people have less Internet access

The new medical home is….at home | Health Populi said : Guest Report 12 years ago

[...] (although important gaps exist in rural and other segments of the nation-a topic for another blog, here at Health [...]

[email protected]: | Health Populi said : Guest Report 12 years ago

[...] citizens know one of the cures for what ails them: now, will public policy heed their call? The FCC National Broadband Plan made a strong case for broadening broadband access to Americans without it. Hopefully, [...]

Ryan said : Guest Report 13 years ago

This doesn't take into account age. Typically, people over 65 are less computer literate and less interested in the internet. People over 65 also tend to have more chronic health issues. It would be a much more telling, more interesting collection of data if it included age, or only surveyed those with interests in having the internet access.

Jane said : Guest Report 13 years ago

The Pew data and other sources reveal the complex response to your question: access can be monetary, in that many people cannot afford the monthly out-of-pocket charge for Internet connectivity, whether broadband or wireless. Access can also be a cultural issue, where some health citizens may feel disenfranchised from the mainstream health system, lacking a literal connection with health providers or institutions. Others may choose to totally opt out of online connections, but do engage in health relationships off-line with friends, family, and local caregivers face-to-face. You are also right to raise the rural/urban chasm, which the latest FCC Broadband Report points out in a substantial chapter on the health implications of broadband access. Getting broadband to as wide a population as possible, coupled with educating people on digital literacy, will go a long way to bridge this schism.

Sarah Nelson said : Guest Report 13 years ago

My question is "why do sick people have less access to online health information?" Is is a monetary issue? Is is rural vs urban populations? Are these patients less engaged online because they are too sick? Understanding the why will help us drive efforts to bring positive change and help spread online health literacy to those who really need it. - Sarah Nelson @SarahNelson_

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