The digital divide is an important issue for patient-facing technologies. I have participated in a number of project addressing informatics for vulnerable populations.
A major advance in both concept and reality is the idea (not new) of surrogate use of health information technology. So, if my 80 year-old grandfather cannot or will not access the Internet at home, his 40 year-old neice that lives in town might. Using a delegation function, grandpa would only have to access the system once, allow access to his trusted neice, and then he has surrogate access.
I think we need more health information technology interventions targeted at families, not individual patients. Acknowledge that using information technology for health is a team sport.
The Pew Internet and American Life project has some excellent data on this issue, I believe.
Labels: Pew internet family system interventions