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      The Digital Divide in the Era of COVID-19: An Investigation into an Important Obstacle to the Access to the mHealth by the Citizen

      research-article
      1 , * , 2
      Healthcare
      MDPI
      COVID-19, medical devices, mHealth, electronic surveys, digital health, digital divide

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          Abstract

          In general, during the COVID-19 pandemic there has been a growth in the use of digital technological solutions in many sectors, from that of consumption, to Digital Health and in particular to mobile health ( mHealth) where an important role has been played by mobile technology ( mTech). However, this has not always happened in a uniform way. In fact, in many cases, citizens found themselves unable to take advantage of these opportunities due to the phenomenon of the Digital Divide (DD). It depends on multifaceted aspects ranging from the lack of access to instrumental and network resources, to cultural and social barriers and also to possible forms of communication disability. In the study we set ourselves the articulated goal of developing a probing methodology that addresses the problems connected to DD in a broad sense, capable of minimizing the bias of a purely electronic submission and evaluating its effectiveness and outcome. At the moment, we have submitted the survey both electronically (with an embedded solution to spread it inside the families/acquaintances) and using the wire phone. The results highlighted three polarities (a) the coherence of the two methods; (b) the outcome of the entire submission in relation to key issues (e.g., familiarity on contact tracing Apps, medical Apps, social Apps, messaging Apps, Digital-health, non-medical Apps); (c) a Digital Divide strongly dependent on age and in particular for the elderly is mainly evident in the use of mTech in general and in particular in mHealth applications. Future developments of the study foresee, after adequate data-mining, an in-depth study of all the aspects proposed in the survey, from those relating to access to resources, training, disability and other cultural factors.

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          Most cited references32

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          The Role of Telehealth in Reducing the Mental Health Burden from COVID-19

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            Telemedicine and the COVID-19 Pandemic, Lessons for the Future

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              Virtual Ophthalmology: Telemedicine in a Covid-19 Era

              Purpose To discuss the effects of the SARS-Cov-2 betacoronavirus on ambulatory ophthalmology practices, the value proposition of telemedicine, tele-ophthalmology implementation methodologies, and the accelerated future of telemedicine. Design Review of the current telehealth landscape including usage, policies, and techniques for ambulatory practice integration. Methods We provide author-initiated review of recent trends in telehealth, governmental recommendations for healthcare delivery during the COVID-19 pandemic, and a PubMed Central query for telemedicine in ophthalmology or tele-ophthalmology. In addition, authors’ comprehensive experience in telemedicine design and implementation is provided. Results A summary describing the present state of telehealth, tele-ophthalmology modeling, care delivery, and the proposed impact of telehealth surges on the future of ophthalmology practice. Conclusion Recent patient and provider interest in telemedicine, the relaxation of regulatory restrictions, increased remote care reimbursement, and ongoing social distancing practices compels many ophthalmologists to consider virtualizing services.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Healthcare (Basel)
                Healthcare (Basel)
                healthcare
                Healthcare
                MDPI
                2227-9032
                26 March 2021
                April 2021
                : 9
                : 4
                : 371
                Affiliations
                [1 ]Centre Tisp, Istituto Superiore di Sanità, 00161 Rome, Italy
                [2 ]Engineering Faculty, Tor Vergata University, 00133 Rome, Italy; giuliaveltro.94@ 123456gmail.com
                Author notes
                [* ]Correspondence: daniele.giansanti@ 123456iss.it ; Tel.: +39-06-4990-2701
                Article
                healthcare-09-00371
                10.3390/healthcare9040371
                8065806
                33810572
                c222e67f-4e12-4d4a-af08-7533a66cdb2f
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 25 February 2021
                : 22 March 2021
                Categories
                Article

                covid-19,medical devices,mhealth,electronic surveys,digital health,digital divide

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