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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
Co-creating a Theory of Change to advance COVID-19 testing and vaccine uptake in underserved communities.
Stadnick, Nicole A; Cain, Kelli L; Oswald, William. - : eScholarship, University of California, 2022
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3
Threat assessment, sense making, and critical decision-making in police, military, ambulance, and fire services
In: Research outputs 2022 to 2026 (2022)
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A rapid review of anti-racism strategies and tools to inform the establishment of an anti-racism strategy across South Australian Government agencies Protocol ...
Othman, Shwikar. - : Open Science Framework, 2022
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A rapid review of anti-racism strategies and tools to inform the establishment of an anti-racism strategy across South Australian Government agencies Protocol ...
Othman, Shwikar. - : Open Science Framework, 2022
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6
Constitutional Amendments and The Promotion of True Federalism in Nig.-A Foundation for A Sustainable National Security.pdf ...
Ugbe, Rose Ohiama. - : figshare, 2022
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Constitutional Amendments and The Promotion of True Federalism in Nig.-A Foundation for A Sustainable National Security.pdf ...
Ugbe, Rose Ohiama. - : figshare, 2022
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8
FAIRsharing record for: EuroVoc ... : EuroVoc ...
FAIRsharing Team. - : FAIRsharing, 2022
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9
Vedantic Basis and Praxis of the Integral Advaita of Sri Aurobindo
In: Monsoon: South Asian Studies Association Journal (2022)
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10
Tusha Hiti: The Origin and Significance of the Name
In: Monsoon: South Asian Studies Association Journal (2022)
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11
Diversity, Equity, and Inclusion: Perspectives from Contemporary India and 6th Century Jain Yoga
In: Monsoon: South Asian Studies Association Journal (2022)
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12
Ganges in Indian Sculpture and Literature: Mythology and Personification
In: Monsoon: South Asian Studies Association Journal (2022)
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13
Digital and Spatial Humanities Mapping: Eurasia-Pacific Early Trade and Belief Linkages
In: Monsoon: South Asian Studies Association Journal (2022)
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14
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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The UK Government's "balancing act" in the pandemic: rational decision-making from an argumentative perspective
Fairclough, Isabela. - : Springer, 2022
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16
Integrating the asylum population and migrants into the labour market
Wong, Man Wing (Lorraine). - : University College Dublin. School of Economics, 2022
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17
The Logic of "Social Enterprise": The Big Issue Organization and New Labour Policy at the Millennial Juncture
In: CLCWeb: Comparative Literature and Culture (2022)
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18
Towards a Workforce Development Action Plan in the City of Chelsea: Community Voices
In: Lorna Rivera (2022)
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19
Participation and deliberation in language policy: the case of gender-neutral language
In: Erdocia, Iker orcid:0000-0003-2459-1346 (2021) Participation and deliberation in language policy: the case of gender-neutral language. Current Issues in Language Planning . ISSN 1466-4208 (2021)
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The Patient as Consumer: In Whose Interest? The Role of Health Consumer Rhetoric in Shaping the U.S. Health Care System, 1969-1991
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