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1
Health Information-seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort.
In: Medical care, vol 57 Suppl 6 Suppl 2, iss 6 (2019)
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Health Information-seeking Behaviors and Preferences of a Diverse, Multilingual Urban Cohort.
In: Medical care, vol 57 Suppl 6 Suppl 2, iss 6 (2019)
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3
Su salud a la mano (your health at hand): patient perceptions about a bilingual patient portal in the Los Angeles safety net.
In: Journal of the American Medical Informatics Association : JAMIA, vol 26, iss 12 (2019)
Abstract: ObjectivesDriven by beneficial patient-centered outcomes associated with patient portal use and the Affordable Care Act, portal implementation has expanded into safety nets-health systems that offer access to care to a large share of uninsured, Medicaid, and other vulnerable populations. However, little attention has been paid to the factors that affect portal accessibility by the vulnerable patients served by these health systems-including those who are limited English proficient (LEP).Materials and methodsThe Los Angeles County Department of Health Services (LAC DHS), the second-largest safety net system in the nation, launched its first patient portal, and one of the few bilingual English-Spanish interfaces in existence, in March of 2015. To explore portal awareness and perceptions, we conducted focus groups with LAC DHS patients, in English and Spanish (LEP). The Technology Acceptance Model was used to guide thematic analysis of focus group data.ResultsOf the 46 participants, 37 were patients and 9 were caretakers; 23 were English-speaking and 23 Spanish-speaking LEP. All patients had diabetes or hypertension. Over half had an annual household income <$10 000, yet 78% of English-speaking and 65% of Spanish-speaking LEP participants reported at-home Internet access. Participants' discussion centered around 3 major thematic narratives: (1) participants' awareness or attitudes about the LAC DHS portal; (2) role of culture, language, or community with regard to portal accessibility and utility; and (3) perceived needs for successful portal implementation.ConclusionsSafety net participants identified concrete benefits to the portal and emphasized the need for portal engagement that offered accessible education, support, and resources in clinical and community settings. The portal offers an additional opportunity to engage the patient and family with trusted and validated health information, and should be further developed in this capacity. This study provides a better understanding of preferred improvements of patient portal engagement that guide broader health technology efforts to address electronic health disparities.
Keyword: digital divide; electronic health; Engineering; health disparities; Information and Computing Sciences; LEP; Medical and Health Sciences; Medical Informatics; patient portal; vulnerable patients
URL: https://escholarship.org/uc/item/7kf4171n
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4
Design for Participation and Inclusion will Follow : Disabled People and the Digital Society
Johansson, Stefan. - : KTH, Medieteknik och interaktionsdesign, MID, 2019. : Stockholm, 2019
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5
Promoting young Kenyans’ growth in literacy with educational technology : a tale of two years of implementation
Lysenko, Larysa; Abrami, Philip C.; Wade, C. Anne. - : Elsevier B.V., 2019
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6
Applying digital tools in the Latin classroom ...
Bouzigard, Gabrielle Teresa. - : The University of Texas at Austin, 2019
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7
Empowering English Language Learners through Digital Literacies: Research, Complexities, and Implications
In: Media and Communication ; 7 ; 2 ; 128-136 ; Critical Perspectives on Digital Literacies: Creating a Path Forward (2019)
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8
When It Comes to MOOCs, Where You Are From Makes a Difference
In: USF St. Petersburg campus Faculty Publications (2019)
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9
Applying digital tools in the Latin classroom
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10
Understanding the synergies between Malaysian multilingual students' languages and literacy practices in and out-of-school: a multi-sited linguistic ethnography
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