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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.
In: BMC health services research, vol 22, iss 1 (2022)
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.
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
URL: https://escholarship.org/uc/item/3q59z6jf
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2
Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives.
Payán, Denise D; Frehn, Jennifer L; Garcia, Lorena. - : eScholarship, University of California, 2022
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Evaluation of real-life outcome data of patients with spinal muscular atrophy treated with nusinersen in Switzerland. ...
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4
Language Provision in the Scottish Public Sector: Recommendations to Promote Inclusive Practice
In: Social Inclusion ; 9 ; 1 ; 45-55 ; Social Inclusion and Multilingualism: The Impact of Linguistic Justice, Economy of Language and Language Policy (2022)
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Towards Inclusion in Spanish Higher Education: Understanding the Relationship between Identification and Discrimination
In: Social Inclusion ; 9 ; 3 ; 81-93 ; Inclusive Universities in a Globalized World (2022)
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6
Soziale Arbeit als Arbeit am Gemeinwesen: Ein theoretischer Begründungsrahmen
May, Michael. - : Verlag Barbara Budrich, 2022. : DEU, 2022. : Opladen, 2022
In: 14 ; Beiträge zur Sozialraumforschung ; 192 (2022)
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7
Language, Internet and Platform Competition
In: ISSN: 0022-1996 ; Journal of International Economics ; https://hal.archives-ouvertes.fr/hal-03081660 ; Journal of International Economics, Elsevier, 2021 (2021)
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8
Prediction of Loneliness in Older Adults Using Natural Language Processing: Exploring Sex Differences in Speech.
In: The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, vol 29, iss 8 (2021)
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9
Adolescent Protective and Risk Factors for Incarceration through Early Adulthood
In: JOURNAL OF CHILD AND FAMILY STUDIES, vol 30, iss 6 (2021)
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10
Examining Cannabis, Tobacco, and Vaping Discourse on Reddit: An Exploratory Approach Using Natural Language Processing.
Benson, Ryzen; Hu, Mengke; Chen, Annie T. - : eScholarship, University of California, 2021
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How to create social media contents based on Motivational Interviewing ...
Pócs, Dávid. - : figshare, 2021
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How to create social media contents based on Motivational Interviewing ...
Pócs, Dávid. - : figshare, 2021
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13
Discursive construction of neighborhood across Brooklyn: A corpus ethnographic approach ...
Berberich, Kristin. - : Heidelberg University Library, 2021
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Digital Scholarship Services - Neue Dienstleistungen von wissenschaftlichen Bibliotheken für die datenbasierte Forschung ...
Woitas, Kathi. - : Zenodo, 2021
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Digital Scholarship Services - Neue Dienstleistungen von wissenschaftlichen Bibliotheken für die datenbasierte Forschung ...
Woitas, Kathi. - : Zenodo, 2021
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16
Ostracism and nationalism in the workplace: Discursive exclusionary practices between cultural and geographic neighbors ...
Köllen, Thomas; Kopf, Susanne. - : Springer, 2021
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Reasons for Utilizing Telemedicine during and after the COVID-19 Pandemic: An Internet-Based International Study
In: Journal of Clinical Medicine ; Volume 10 ; Issue 23 (2021)
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18
Bilingualism in the Health System: the Catalan Case
Ibáñez Ferreté, Òscar-Adrià; Mestres i Farré, Neus. - : Institut canadien de recherche sur les minorités linguistiques / Canadian Institute for Research on Linguistic Minorities, 2021. : Érudit, 2021
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Rhetoric and Reality: A Critical Review of Language Policy and Legislation Governing Official Minority Language Use in Health and Social Care in Wales
Prys, Cynog; Hodges, Rhian; Roberts, Gwerfyl Wyn. - : Institut canadien de recherche sur les minorités linguistiques / Canadian Institute for Research on Linguistic Minorities, 2021. : Érudit, 2021
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Strategies to Improve French Language Health and Social Service Continuity for Seniors in Ontario and Manitoba
Savard, Jacinthe; Savard, Sébastien; de Moissac, Danielle. - : Institut canadien de recherche sur les minorités linguistiques / Canadian Institute for Research on Linguistic Minorities, 2021. : Érudit, 2021
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