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. @OhioMedicaid and @OhioMHAS have expanded the use of telemedicine, especially in behavioral health.
But what does that mean and what are some of the key considerations for providers and policymakers?
READ: "Flatten the Curve, Raise the Bar" https://www.communitysolutions.com/flatten-curve-raise-bar/
But what does that mean and what are some of the key considerations for providers and policymakers?
READ: "Flatten the Curve, Raise the Bar" https://www.communitysolutions.com/flatten-curve-raise-bar/
Something I found out:
1 in 11 Ohioans have no access to reliable, affordable broadband, including 1 in 3 rural residents.
Nationally, all but 10% of white households have access to broadband, but 18% of Black households do not.
1 in 11 Ohioans have no access to reliable, affordable broadband, including 1 in 3 rural residents.
Nationally, all but 10% of white households have access to broadband, but 18% of Black households do not.
When I looked at broadband access and compared that to redlining maps and @KateWarrenCLE's maps regarding common health outcomes, the pattern is quite clear.
I've heard @BisharaAddison talk about this recently.
I've heard @BisharaAddison talk about this recently.
Some ISPs are providing low cost or no cost service. That's good.
And mobile/tablet use is high among Medicaid patients. That's good too.
And mobile/tablet use is high among Medicaid patients. That's good too.
But - think about your work at home and using video conferencing. Have you ever run into issues?
Now apply that to a medical appointment.
Now apply that to a behavioral health appointment.
Now apply that to a medical appointment.
Now apply that to a behavioral health appointment.
If we want to avoid the issues that redlining created in preventing economic mobility via exclusionary zoning, we need to capture this moment to increase broadband access, generally.
See this @HannahLebovits @ClevelandScene piece from earlier this year https://www.clevescene.com/scene-and-heard/archives/2020/01/13/exclusionary-zoning-in-cuyahoga-county-continues-to-cause-segregation-hamper-mobility-of-poor-and-minorities?utm_source=widget&utm_medium=articleblog&utm_campaign=rightrail&utm_content=RecentByTag
See this @HannahLebovits @ClevelandScene piece from earlier this year https://www.clevescene.com/scene-and-heard/archives/2020/01/13/exclusionary-zoning-in-cuyahoga-county-continues-to-cause-segregation-hamper-mobility-of-poor-and-minorities?utm_source=widget&utm_medium=articleblog&utm_campaign=rightrail&utm_content=RecentByTag
Not only does this have implications for health, directly, but has longitudinal implications in educational outcomes for kids and workforce mobility for adults. https://www.bloomberg.com/news/articles/2020-03-26/covid-19-school-closures-reveal-disparity-in-access-to-internet
The state should figure out ways to support access to broadband as a public utility (which it is) and support it as an epidemiological response to this public health crisis (which it can be).
And then I see reference to this @vicenews article in the April update from @3rdSpaceCLE further highlighting how WFH isn't an option for many workers: https://www.vice.com/en_ca/article/xgqpyq/most-brown-and-black-americans-are-exposing-themselves-to-coronavirus-for-a-paycheck
Who can WFH?
16.2% of Hispanic workers
19.7% of Black Americans
30% of whites
37% of Asian-Americans
Who can WFH?
16.2% of Hispanic workers
19.7% of Black Americans
30% of whites
37% of Asian-Americans
This is what "social determinants" actually look like when they are unpacked.
Policies developed (or not) at times that matter that affect different populations, differently.
This is one of those times. This should be addressed.
Policies developed (or not) at times that matter that affect different populations, differently.
This is one of those times. This should be addressed.
