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Satisfaction can co-exist with hesitation: qualitative analysis of acceptability of telemedicine among multi-lingual patients in a safety-net healthcare system during the COVID-19 pandemic.
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In: BMC health services research, vol 22, iss 1 (2022)
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Abstract:
BackgroundThe COVID-19 pandemic triggered unprecedented expansion of outpatient telemedicine in the United States in all types of health systems, including safety-net health systems. These systems generally serve low-income, racially/ethnically/linguistically diverse patients, many of whom face barriers to digital health access. These patients' perspectives are vital to inform ongoing, equitable implementation efforts.MethodsTwenty-five semi-structured interviews exploring a theoretical framework of technology acceptability were conducted from March through July 2020. Participants had preferred languages of English, Spanish, or Cantonese and were recruited from three clinics (general medicine, obstetrics, and pulmonary) within the San Francisco Health Network. Both deductive and inductive coding were performed. In a secondary analysis, qualitative data were merged with survey data to relate perspectives to demographic factors and technology access/use.ResultsParticipants were diverse with respect to language (52% non-English-speaking), age (range 23-71), race/ethnicity (24% Asian, 20% Black, 44% Hispanic/Latinx, 12% White), & smartphone use (80% daily, 20% weekly or less). All but 2 had a recent telemedicine visit (83% telephone). Qualitative results revealed that most participants felt telemedicine visits fulfilled their medical needs, were convenient, and were satisfied with their telemedicine care. However, most still preferred in-person visits, expressing concern that tele-visits relied on patients' abilities to access telemedicine, as well as monitor and manage their own health without in-person physical evaluation.ConclusionsHigh satisfaction with telemedicine can co-exist with patient-expressed hesitations surrounding the perceived effectiveness, self-efficacy, and digital access barriers associated with a new model of care. More research is needed to guide how healthcare systems and clinicians make decisions and communicate about visit modalities to support high-quality care that responds to patients' needs and circumstances.
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Keyword:
7.1 Individual care needs; Acceptability; Behavioral and Social Science; Clinical Research; COVID-19; Female; Health Policy & Services; Health Services; Humans; Library and Information Studies; Multilingual; Networking and Information Technology R&D; Nursing; Pandemics; Patient Safety; Patient Satisfaction; Personal Satisfaction; Pregnancy; Public Health and Health Services; Rural Health; Safety-net; SARS-CoV-2; Telehealth; Telemedicine; United States
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URL: https://escholarship.org/uc/item/3q59z6jf
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English is Not Dead! Long Live English: Teaching the Evolution of English and Inclusive Communication Via Online, Face to Face or Hybrid Instruction
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In: Georgia International Conference on Information Literacy (2022)
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Trusting the Process: Using Oral Histories to Encourage the Development of Teachers’ Socio-political Consciousness
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In: Georgia International Conference on Information Literacy (2022)
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ISSUES AND CHALLENGES IN INDIAN MULTI-LINGUAL AND MULTI SCRIPTS BIBLIOGRAPHIC RETRIEVAL SYSTEMS
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In: Library Philosophy and Practice (e-journal) (2022)
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Creating Community of Young Readers during Covid-19 Lockdown: A Comprehensive Study of a Digital Reading Platform: Storyweaver
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In: Library Philosophy and Practice (e-journal) (2022)
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Atténuer les erreurs de numérisation dans la reconnaissance d'entités nommées pour les documents historiques
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In: Conférence en Recherche d'Informations et Applications (CORIA 2021) ; https://hal.archives-ouvertes.fr/hal-03320332 ; Conférence en Recherche d'Informations et Applications (CORIA 2021), ARIA : Association Francophone de Recherche d’Information (RI) et Applications, Apr 2021, Grenoble (virtuel), France. pp.1 - 7 ; http://coria.asso-aria.org/2021/articles/mini_24/main.pdf (2021)
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A Multilingual and Contrastive Approach to Phraseological Translation: The Parallel Corpus GRAFE ; Un enfoque multilingüe y contrastivo de la traducción fraseológica: el corpus paralelo GRAFE
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In: ISSN: 2444-1961 ; CLINA: An Interdisciplinary Journal of Translation, Interpreting and Intercultural Communication ; https://hal.archives-ouvertes.fr/hal-03241488 ; CLINA: An Interdisciplinary Journal of Translation, Interpreting and Intercultural Communication, Universidad de Salamanca, 2021 (2021)
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A Multilingual Dataset for Named Entity Recognition, Entity Linking and Stance Detection in Historical Newspapers
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In: SIGIR '21: The 44th International ACM SIGIR Conference on Research and Development in Information Retrieval ; https://hal.archives-ouvertes.fr/hal-03418387 ; SIGIR '21: The 44th International ACM SIGIR Conference on Research and Development in Information Retrieval, Jul 2021, Virtual Event, Canada. pp.2328-2334, ⟨10.1145/3404835.3463255⟩ (2021)
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Lost in translation: Qualitative data collecting and translating challenges in multilingual settings in information systems research
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| 11 |
APiCS-Ligt: Towards Semantic Enrichment of Interlinear Glossed Text ...
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Ionov, Maxim. - : Schloss Dagstuhl - Leibniz-Zentrum für Informatik, 2021
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Towards Learning Terminological Concept Systems from Multilingual Natural Language Text ...
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A Smell is Worth a Thousand Words: Olfactory Information Extraction and Semantic Processing in a Multilingual Perspective (Invited Talk) ...
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Tonelli, Sara. - : Schloss Dagstuhl - Leibniz-Zentrum für Informatik, 2021
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| 15 |
Improving Multilingual Models for the Swedish Language : Exploring CrossLingual Transferability and Stereotypical Biases
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Extending a Text Classifier to Multiple Languages ; Utöka en textklassificeringsmodell till flera språk
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Byström, Albin. - : KTH, Skolan för elektroteknik och datavetenskap (EECS), 2021
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Analyzing Non-Textual Content Elements to Detect Academic Plagiarism
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A Multilingual and Contrastive Approach to Phraseological Translation: The Parallel Corpus GRAFE ; Un enfoque multilingüe y contrastivo de la traducción fraseológica: el corpus paralelo GRAFE
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In: CLINA Revista Interdisciplinaria de Traducción Interpretación y Comunicación Intercultural; Vol. 6 Núm. 2 (2020); 51-69 ; CLINA Revista Interdisciplinaria de Traducción Interpretación y Comunicación Intercultural; Vol. 6 No. 2 (2020); 51-69 ; 2444-1961 ; 10.14201/clina202062 (2021)
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Dissemination of Corporate Web Information in Spanish: The Case of the US Healthcare Sector
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Internet Presence and Multilingual Dissemination in Corporate Websites: A Portrait of Spanish Healthcare SMEs
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