Internet skills performance tests: are people ready for eHealth?

Background:\ud Despite the amount of online health information, there are several barriers that limit the Internet’s adoption as a source of health information. One of these barriers is highlighted in conceptualizations of the digital divide which include the differential possession of Internet skills, or “eHealth literacy”. Most measures of Internet skills among populations at large use self-assessments. The research discussed here applies a multifaceted definition of Internet skills and uses actual performance tests.\ud \ud Objective:\ud The purpose of this study was to assess how ready a sample of the general population is for eHealth. More specifically, four types of Internet skills were measured in a performance test in which subjects had to complete health-related assignments on the Internet.\ud \ud Methods:\ud From November 1, 2009, through February 28, 2010, 88 subjects participated in the study. Subjects were randomly selected from a telephone directory. A selective quota sample was used divided over equal subsamples of gender, age, and education. Each subject had to accomplish assignments on the Internet. The Internet skills accounted for were categorized as operational (basic skills to use the Internet), formal (navigation and orientation), information (finding information), and strategic (using the information for personal benefits). The tests took approximately 1.5 hours and were conducted in a University office, making the setting equally new for all. Successful completion and time spent on the assignments—the two main outcomes—were directly measured by the test leader.\ud \ud Results:\ud The subjects successfully completed an average of 73% (5.8/8) of the operational Internet skill tasks and an average of 73% (2.9/4) of the formal Internet skill tasks. Of the information Internet skills tasks, an average of 50% (1.5/3) was completed successfully and, of the strategic Internet skills tasks, 35% (0.7/2). Only 28% (25/88) of the subjects were able to successfully complete all operational skills tasks, 39% (34/88) all formal skills tasks, 13% (11/88) all information skills tasks, and 20% (18/88) both the strategic skill tasks. The time spent on the assignments varied substantially. Age and education were the most important contributors to the operational and formal Internet skills. Regarding the formal Internet skills, years of Internet experience also had some influence. Educational level of attainment was the most important contributor to the information and strategic Internet skills.\ud \ud Conclusions:\ud Although the amount of online health-related information and services is consistently growing, it appears that the general population lacks the skills to keep up. Most problematic appear to be the lack of information and strategic Internet skills, which, in the context of health, are very important. The lack of these skills is also problematic for members of younger generations, who are often considered skilled Internet users. This primarily seems to account for the operational and formal Internet skills. The results of the study strongly call for policies to increase the level of Internet skills

Privacynormen bij de koppeling van computerbestanden

Overheidsdiensten zijn in de greep van een ware koppelingsrage. Fraudebestrijding, identificatie van illegalen en controle op de uitvoering van ingewikkelde regelgeving vormen motieven om steeds meer computerbestanden met persoonsgegevens met elkaar te verge lijken. De acceptatie in de publieke opinie lijkt toe te nemen. Een artikel met concrete voorstellen om niettemin paal en perk aan deze praktijk te stellen

Presenting the networked home: a content analysis of promotion material of Ambient Intelligence applications

Ambient Intelligence (AmI) for the home uses information and communication technologies to make users’ everyday life more comfortable. AmI is still in its developmental phase and is headed towards the first stages of diffusion. \ud Characteristics of AmI design can be observed, among others, in the promotion material of initial producers. A literature study revealed that AmI originally envisioned a central role for the user, convenience that AmI offers them and that attention should be paid to critical policy issues such as privacy and a potential loss of freedom. A content analysis of current promotion material of several high-tech companies revealed that these original ideas are not all reflected in the material. Attributes which were used most in the promotion material were ‘connectedness’, ‘control’, ‘easiness’ and ‘personalization’. An analysis of the pictures in the promotion material showed that almost half of the pictures contained no humans but appliances. These results only partly correspond to the original vision on AmI, since the emphasis is now on technology. The results represent a serious problem, since both users, as well as critical policy issues are underexposed in the current promotion material

Exploring the Internet Access of Indonesian SME Entrepreneurs

The Internet opens up many new business prospects for small and medium enterprises (SMEs). However, there are still many SME entrepreneurs who are reluctant to go online despite this opportunity. The main purpose of this research is to explore facts about the internet access among Indonesian SME entrepreneurs. Unfortunately, there is only a little empirical evidence concerning it. However, through focus group discussions, we were assisted to gain a better outlook on internet access motivation, internet physical access, internet access skills, and internet usage of the SME entrepreneurs in Indonesia. The results revealed that there are still many entrepreneurs who do not use the internet and even do not understand that internet support can improve the performance of their businesses. In other words, the SME entrepreneurs are still in lack of motivation and skills such as internet information skills, internet communication skills, internet content creation skills and internet marketing skills

Overheidsparticipatie in sociale media

Het gebruik van sociale media is in korte tijd sterk gegroeid onder brede lagen van de bevolking. In de afgelopen jaren heeft de overheid al de nodige ervaring opgedaan met sociale media. De vraag die nu voorligt heeft betrekking op een actieve rol van de overheid op sociale media: Wat zijn de mogelijkheden en beperkingen van overheidsparticipatie in sociale media? Om antwoord te geven op deze vraag is het van belang inzicht te krijgen in de technologie achter sociale media, de toepassingen, strategieën en tactieken. Deze inzichten zijn verkregen uit een literatuuronderzoek en een achttal cases waarin sociale media op de een of andere manier in relatie staan tot de overheid

The compoundness and sequentiality of digital inequality

Through a survey with a representative sample of Dutch Internet users, this paper examines compound digital exclusion, that is, whether a person who lacks a particular digital skill also lacks another kind of skill; whether a person who does not engage in a particular way online is also less likely to engage in other ways; and whether a person who does not achieve a certain outcome online is also less likely to achieve another type of outcome. We also tested sequential digital exclusion, whether a lower level of digital skills leads to lower levels of engagement with the Internet resulting in a lower likelihood of an individual achieving tangible outcomes. Both types of digital exclusion are a reality. A certain use can have a strong relation with an outcome in a different domain. Furthermore, those who achieve outcomes in one domain do not necessarily achieve outcomes in another domain. To get a comprehensive picture of the nature of digital exclusion, it is necessary to account for different domains in research

Molecular characteristics of carbapenemase-producing Enterobacterales in the Netherlands; results of the 2014–2018 national laboratory surveillance

Objectives: Carbapenem resistance mediated by mobile genetic elements has emerged worldwide and has become a major public health threat. To gain insight into the molecular epidemiology of carbapenem resistance in The Netherlands, Dutch medical microbiology laboratories are requested to submit suspected carbapenemase-producing Enterobacterales (CPE) to the National Institute for Public Health and the Environment as part of a national surveillance system. Methods: Meropenem MICs and species identification were confirmed by E-test and MALDI-TOF and carbapenemase production was assessed by the Carbapenem Inactivation Method. Of all submitted CPE, one species/carbapenemase gene combination per person per year was subjected to next-generation sequencing (NGS). Results: In total, 1838 unique isolates were received between 2014 and 2018, of which 892 were unique CPE isolates with NGS data available. The predominant CPE species were Klebsiella pneumoniae (n = 388, 43%), Escherichia coli (n = 264, 30%) and Enterobacter cloacae complex (n = 116, 13%). Various carbapenemase alleles of the same carbapenemase gene resulted in different susceptibilities to meropenem and this effect varied between species. Analyses of NGS data showed variation of prevalence of carbapenemase alleles over time with blaOXA-48 being predominant (38%, 336/892), followed by blaNDM-1 (16%, 145/892). For the first time in the Netherlands, blaOXA-181, blaOXA-232 and blaVIM-4 were detected. The genetic background of K. pneumoniae and E. coli isolates was highly diverse. Conclusions: The CPE population in the Netherlands is diverse, suggesting multiple introductions. The predominant carbapenemase alleles are blaOXA-48 and blaNDM-1. There was a clear association between species, carbapenemase allele and susceptibility to meropenem