Purpose of review: Disparities in health outcomes are a well documented and worrisome part of our health care system. These disparities persist in spite of, and are occasionally exacerbated by, new technologies that are intended to improve health care. This results in a "digital divide" in which populations that have poorer health outcomes continue to have poorer health outcomes despite technological improvements.
Recent findings: In many ways, the digitical divide is already shrinking via improved access to internet and technology/process improvements. For example, people with schizophrenia, PTSD, and bipolar disorder have had their care successfully augmented by new technology. However, problems persist- being impoverished, female, and black all correlate with decreased probability of completing a telehealth visit, and millions of americans have insufficient internet access to complete telehealth visits. We must continue to utilize new technology in health care to improve outcomes, but we must also be wary to ensure those outcomes are equitable across different populations.
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Background: The coronavirus disease 2019 (COVID-19) pandemic has dramatically stressed the health care system and has provoked changes in population use of digital technologies. Digital divide is any uneven distribution in Information and Communications Technologies between people.
Discussion: The most impacting factors on digital divide in our population are the social support networks and the experience with the technology: the presence of a digital native caregiver. The COVID-19 pandemic is unmasking an emerging form of technology-related social inequalities: political and community interventions are needed to support the most socially vulnerable population and prevent social health inequalities.
Greenlining interviewed California residents in Oakland and Fresno who had limited or no access to the internet to get a better picture of what life is like in the digital divide. In order to allow interviewees to speak freely and maintain privacy, we used pseudonyms if requested.
WHEREAS, I find that the unique and historical nature of the lands that make up the Camp Hale and Tenmile Range area of the continental divide and the collection of objects of historic and scientific interest therein make the landscape of the Camp Hale and Tenmile Range area itself an object of historic and scientific interest; and
WHEREAS, I find that a national monument reservation is necessary to protect the objects of historic and scientific interest in the Camp Hale and Tenmile Range area of the continental divide for current and future generations; and
NOW, THEREFORE, I, JOSEPH R. BIDEN JR., President of the United States of America, by the authority vested in me by section 320301 of title 54, United States Code, hereby proclaim the objects identified above that are situated upon lands and interests in lands owned or controlled by the Federal Government to be the Camp Hale-Continental Divide National Monument (monument) and, for the purpose of protecting those objects, reserve as part thereof all lands and interests in lands owned or controlled by the Federal Government within the boundaries described on the accompanying maps, which are attached hereto and form a part of this proclamation. These reserved Federal lands and interests in lands encompass approximately 53,804 acres. As a result of the distribution of the objects across the landscape of the Camp Hale and Tenmile Range area of the continental divide, and additionally and independently, because the landscape itself is an object in need of protection, the boundaries described on the accompanying maps are confined to the smallest area compatible with the proper care and management of the objects of historic or scientific interest identified above.
The drill site is at an ice divide (which is analogous to a watershed divide), where the ice is flowing out to the sea in opposing directions. The selected drill site is characterized by a combination of moderate ice accumulation rate, thick ice, and other characteristics that preserve detailed information on past environmental conditions during the last 68,000 years.
If your elements are in reverse order (using say flex-row-reverse or flex-col-reverse), use the divide-x-reverse or divide-y-reverse utilities to ensure the border is added to the correct side of each element.
You can also use variant modifiers to target media queries like responsive breakpoints, dark mode, prefers-reduced-motion, and more. For example, use md:divide-y-8 to apply the divide-y-8 utility at only medium screen sizes and above.
Division is one of the basic arithmetic operations, the others being multiplication (the inverse of division), addition, and subtraction. The arithmetic operations are ways that numbers can be combined in order to make new numbers. Division can be thought of as the number of times a given number goes into another number. For example, 2 goes into 8 4 times, so 8 divided by 4 equals 2.
Generally, a division problem has three main parts: the dividend, divisor, and quotient. The number being divided is the dividend, the number that divides the dividend is the divisor, and the quotient is the result:
One way to think of the dividend is that it is the total number of objects available. The divisor is the desired number of groups of objects, and the quotient is the number of objects within each group. Thus, assuming that there are 8 people and the intent is to divide them into 4 groups, division indicates that each group would consist of 2 people. In this case, the number of people can be divided evenly between each group, but this is not always the case. There are two ways to divide numbers when the result won't be even. One way is to divide with a remainder, meaning that the division problem is carried out such that the quotient is an integer, and the leftover number is a remainder. For example, 9 cannot be evenly divided by 4. Instead, knowing that 8 ÷ 4 = 2, this can be used to determine that 9 ÷ 4 = 2 R1. In other words, 9 divided by 4 equals 2, with a remainder of 1. Long division can be used either to find a quotient with a remainder, or to find an exact decimal value.
To perform long division, first identify the dividend and divisor. To divide 100 by 7, where 100 is the dividend and 7 is the divisor, set up the long division problem by writing the dividend under a radicand, with the divisor to the left (divisorvdividend), then use the steps described below:
To continue the long division problem to find an exact value, continue the same process above, adding a decimal point after the quotient, and adding 0s to form new dividends until an exact solution is found, or until the quotient to a desired number of decimal places is determined.
Connectivity is a bridge to possibility, improving the way we move through our daily lives, succeeding in work and school, and having a fair chance in the global economy. Not everyone has access to the opportunities that connectivity brings. This is the digital divide, and today it hinders millions1 of Americans from having the information they need to thrive in this modern world.
Public Utilities Code Section 280.5, enacted in 2003 by AB 855 (Firebaugh, Chapter 820, Statutes of 2003), established the Digital Divide Grant Program. It requires the Commission to award grants to fund digital divide programs. The Digital Divide Grant Program is funded by a percentage of fees collected from the lease of certain state-owned property to wireless telecommunications service providers for wireless telecommunications facilities, pursuant to Govt. Code Section 14666.8. As of September 2022, the Digital Divide Account maintains a balance of about $1.2 million dollars that can be used to fund projects.
This was not unique to our community, and in fact it was repeated throughout the country when other hospital systems transitioned to telehealth as a sensible and efficient way to deliver health care while implementing social distancing to combat the spread of COVID-19. Simultaneously, the diminished accessibility to technology based on various societal and social factors, sometimes referred to as the digital gap or digital divide, was being exposed at a critical time in a public health crisis. Frighteningly, there were no measures at the ready to address it.
Use of telehealth platforms has been on the rise over the past several years. Telehealth has been lauded as a means to close the healthcare gap to rural populations1; however, recent authors have raised the concern that technology may actually be widening the gap between groups both nationally and even globally due to persistent social, economic, and political factors.2,3 Taken within the context of several social determinants of health, we can see how the digital divide occurs and can perpetuate inequity based on various social factors (Table 1). In fact, the American Medical Informatics Association (AMIA) called for it to be included as a social determinant of health in 2017.4
However, the digital gap does not occur solely due to accessibility to the Internet, and the reasons for slow adoptability of telehealth by various populations are several and sometimes intertwined, as Table 1 shows. For instance, the CARES clinic treats an immigrant population that has been shown to have hurdles to adopting telemedicine6 that are not always directly linked to Internet accessibility. The United States entered the COVID-19 crisis with many factors already contributing to a healthcare divide, and these factors continue to widen this gap during the pandemic.
Wednesday, February 2, President Clinton unveiled a comprehensive proposal to help bridge the digital divide and create new opportunity for all Americans. President Clinton believes that we must make access to computers and the Internet as universal as the telephone is today -- in our schools, libraries, communities, and homes. Please read the documents below to learn more about the Clinton-Gore Administration’s: From the Digital Divide to Digital Opportunity proposal. be457b7860
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