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1.
Cities ; 106: 102904, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32921864

RESUMO

Broadband access in the home is a necessity, especially since the COVID-19 pandemic. Increasingly, connectivity is of vital importance for school, work, family, and friends. Existing international research on the implementation of broadband has studied its adoption patterns with a focus on the rural/urban digital divide. This paper explores the digital divide in a case study of the seventh largest city, by population, in the United States; San Antonio is a majority-minority city where over half of the people are Hispanic. This paper focuses on the five key affordability factors that drive broadband adoption. Researchers test social exclusion theory, the structural facets of poverty and social marginality to ascertain its potential impact on broadband access. The authors conducted a survey in both English and Spanish to learn more about the affordability factors that influence the broadband digital divide. Through our analysis, we found evidence that four of the factors (geographical disparities, profit-based discrimination, technology deployment cost, and socio-economic factors) played a role in the digital divide in this case study. The results of this study demonstrate that the digital divide is not exclusively a rural/urban digital divide, but can also occur in an intra-city context. This is especially evident in low-income areas within the city because they have substantially lower broadband adoption rates. The results of this study demonstrate the importance of looking closely at issues of social exclusion of marginalized groups and the affordability of broadband access intra-city.

2.
Int J Health Plann Manage ; 20(2): 99-111, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15991457

RESUMO

This study examines factors that influence choice of Southern municipal government health care plans in the United States. Using survey data, this article specifically examines the managed care offerings of Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO) and Point of Service (POS) plans. Some of the more interesting empirical results indicate that HMO plans are associated more with employee satisfaction; PPO plans are associated with cost containment; and POS plans are more likely to provide health care benefits to part-time employees. Empirical evidence also indicates that employee satisfaction is increased when there is a greater choice of managed care plans available to municipal governments.


Assuntos
Tomada de Decisões Gerenciais , Planos de Assistência de Saúde para Empregados/organização & administração , Governo Local , Programas de Assistência Gerenciada/estatística & dados numéricos , Pessoal Administrativo/psicologia , Comportamento do Consumidor , Custo Compartilhado de Seguro , Órgãos Governamentais/organização & administração , Compras em Grupo , Planos de Assistência de Saúde para Empregados/classificação , Coalizão em Cuidados de Saúde , Pesquisas sobre Atenção à Saúde , Sistemas Pré-Pagos de Saúde/estatística & dados numéricos , Humanos , Satisfação no Emprego , Programas de Assistência Gerenciada/classificação , Organizações de Prestadores Preferenciais/estatística & dados numéricos , Sudeste dos Estados Unidos
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