Research

The 21st Century Cures Act and the rise of telemedicine led to a renewed focus on patient portals. However, portal use disparities persist and are in part driven by limited digital literacy. To address digital disparities in primary care, we implemented an integrated digital health navigator program supporting portal use among patients with type II diabetes. During our pilot, we were able to enroll 121 (30.9%) patients in the portal.

The purpose of this study was to analyze the role of remote working enabled by a robust broadband infrastructure. The objective was to find out the effects of remote working on quality of life and in reducing emissions before and during the pandemic. We found broadband-enabled remote working to significantly increase the quality time of workers, defined as the time spent with family members. When higher remote working frequency occurs (three working days and more), the net reduction in emissions seems to prevail.

This paper examines the association between Social Security Disability Insurance (DI) awards, disability, and technology access. The paper found that:  

From Azerbaijan to Zimbabwe, authorities are imposing internet shutdowns at staggering rates. In 2022 alone, governments and other actors disrupted the internet at least 187 times across 35 countries — breaking our #KeepItOn record for the number of countries to hit the kill switch in a single year. Not only are shutdowns resurging after a decrease at the height of the pandemic, they’re lasting longer, targeting specific populations, and are being wielded when people need a connection the most — including during humanitarian crises, mass protests, and active conflict and war.

With the rapid rise of wireless technology, the demand for access to the spectrum has increased in recent years. However, there are critical and interrelated gaps and failures in the process and policies used for efficiently allocating the spectrum in the US. Key takeaways from an analysis on this issue include the following:

The Affordable Connectivity Program (ACP) is the most ambitious federal initiative put into place to bridge the broadband connectivity gap for low-income Americans. The ACP launched in January 2022, serving almost 10 million households that were transitioned from the Emergency Broadband Benefit program (EBB). By the end of 2022, it had enrolled another 5.4 million households for a total of about 15.4 million subscribers in December 2022. Using data from the ACS 2021 1-year estimates, our estimation is that about 55.3 million households are eligible for ACP.

Ookla has data from Q3 and Q4 2022 for SpaceX’s Starlink and Sky Logic in Europe and Oceania, as well as new Starlink markets Ookla hadn't yet featured in its ongoing series on satellite internet. With the Federal Communication Commission greenlighting Amazon’s Project Kuiper and many other exciting satellite developments launching in 2023, all eyes will be on the sky in 2023 as new orbital connectivity options become available for consumers. Several developments from the analysis include:

Broadband adoption is a determinant of health that intersects with other sociological determinants such as education and employment. Due to the rising reliance on digital technology, lack of broadband adoption prevents individuals from accessing the essential resources needed to fully participate in 21st century educational and employment opportunities. Vulnerable populations experience greater impacts of divestment, and therefore experience greater sociological stressors and worse health outcomes.

Federal systems are vulnerable to cyberattacks. The GAO has made 236 recommendations in public reports since 2010 with respect to protecting cyber critical infrastructure. Until these are fully implemented, federal agencies will be more limited in their ability to protect private and sensitive data entrusted to them. In September 2022, GAO's review of 24 agencies found that most had generally established policies and procedures for key privacy program activities.

The Federal Communications Commission recently released a “pre-production” draft of its new National Broadband Map in an effort to provide more precise details about where internet service does and does not exist in individual locations across the US. While much attention has been paid to how the map represents broadband service for individual households, there is much less understanding among the general public with regards to how the map represents individual community anchor institutions, such as public schools, libraries, and hospitals.