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First published August 6, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1535
Journal of the American Medical Informatics Association 2004;11(6):448-457
© 2004 American Medical Informatics Association

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Submitted on January 12, 2004
Accepted on June 30, 2004

Bridging the Digital Divide: Reaching Vulnerable Populations

Betty L. Chang FNP, DNSc1, Suzanne Bakken RN, DNSc2*, S. Scott Brown MPH3, Thomas K. Houston MD, MPH4, Gary L. Kreps PhD5, Rita Kukafka DrPH, MA2, Charles Safran MD6, and P. Zoe Stavri PhD, MLS7

Affiliation of the authors: 1 University of Califoria-Los Angeles, Los Angeles, CA; 2 Columbia University, New York, NY; 3 Centers for Disease Control and Prevention, Atlanta, GA; 4 University of Alabama-Birmingham, Birmingham, AL; 5 National Cancer Institute, National Institutes of Health, Bethesda, MD; 6 Clinician Support Technology, Newton, MA; Harvard Medical School, Boston, MA; 7 Oregon Health & Science University, Portland, OR

* To whom correspondence should be addressed.

The AMIA 2003 Spring Congress entitled Bridging the Digital Divide: Informatics and Vulnerable Populations convened 178 experts including: medical informaticians, health care professionals, government leaders, policy-makers, researchers, health care industry leaders, consumer advocates, and others specializing in health care provision to underserved populations. The primary objective of this working congress was to develop a framework for a national agenda in information and communication technology to enhance the health and health care of underserved populations. Discussions during four tracks addressed issues and trends in information and communication technologies for underserved populations, strategies learned from successful programs, evaluation methodologies for measuring the impact of informatics, and dissemination of information for replication of successful programs. Each track addressed current status, ideal state, barriers, strategies, and recommendations. Recommendations of the breakout sessions were summarized under the overarching themes of Policy, Funding, Research, and Education and Training. The general recommendations emphasized four key themes: revision in payment and reimbursement policies, integration of healthcare standards, partnerships as the key to success, and broad dissemination of findings including specific feedback to target populations and other key stakeholders.




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