Background:

Lack of digital readiness is a public health crisis that exacerbates healthcare inequities in underserved communities. 40% of Bronx residents lack reliable internet access, limiting their ability to engage with essential health services. The Pesquisa project evaluated barriers to digital readiness and applied Levesque’s healthcare access framework to assess how digital readiness affects healthcare access.

Methods:

Using principles of community-based participatory research, mixed-method, pre- and post-intervention surveys were conducted to assess digital readiness. Outreach events were held at the study site, a commercial residential building in the Bronx. Focus groups in Spanish and English were held to evaluate digital readiness, identify barriers to healthcare access, and collaboratively develop a solutions-oriented intervention.

Results:

Preliminary data from 2022, representing 42% (n=26) of households at the study site, showed that 19% did not have a smart device. 23% lacked internet access. In addition, 19% were uncomfortable using a smart device to access the internet, with 40% relying on a cohabitant for assistance with device use. 23% shared a device for school or work with 1-9 people during the COVID-19 lockdown. Of those who were uncomfortable using a smart device, 31% reported reliance on technology hindering their access to necessary health-related services, food assistance, and doctor appointments. Focus group findings informed the development of a digital literacy intervention, with training sessions planned for implementation.

Conclusion:

Limited digital readiness significantly impacts healthcare access. Next steps include further data analysis and the collaborative development and implementation of digital literacy training sessions.