1 |
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
|
|
BASE
|
|
Hide details
|
|
2 |
Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives.
|
|
|
|
BASE
|
|
Show details
|
|
3 |
‘Making the most of together time’: development of a Health Visitor–led intervention to support children’s early language and communication development at the 2–2½-year-old review ...
|
|
|
|
BASE
|
|
Show details
|
|
4 |
Moderators and predictors in a parent hearing aid management eHealth program ...
|
|
|
|
BASE
|
|
Show details
|
|
5 |
Moderators and predictors in a parent hearing aid management eHealth program ...
|
|
|
|
BASE
|
|
Show details
|
|
6 |
‘Making the most of together time’: development of a Health Visitor–led intervention to support children’s early language and communication development at the 2–2½-year-old review ...
|
|
|
|
BASE
|
|
Show details
|
|
7 |
Additional file 2 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
|
|
|
|
BASE
|
|
Show details
|
|
8 |
Additional file 2 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
|
|
|
|
BASE
|
|
Show details
|
|
9 |
Additional file 3 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
|
|
|
|
BASE
|
|
Show details
|
|
10 |
Additional file 5 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
|
|
|
|
BASE
|
|
Show details
|
|
11 |
The Demography of COVID-19 Deaths Database: A gateway to well-documented international data ...
|
|
|
|
BASE
|
|
Show details
|
|
12 |
Additional file 5 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
|
|
|
|
BASE
|
|
Show details
|
|
13 |
The Demography of COVID-19 Deaths Database: A gateway to well-documented international data ...
|
|
|
|
BASE
|
|
Show details
|
|
14 |
Additional file 3 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
|
|
|
|
BASE
|
|
Show details
|
|
15 |
Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties ...
|
|
|
|
BASE
|
|
Show details
|
|
16 |
Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties ...
|
|
|
|
BASE
|
|
Show details
|
|
17 |
Brief internet-delivered skills training based on DBT for adults with borderline personality disorder – a feasibility study ...
|
|
|
|
BASE
|
|
Show details
|
|
18 |
Brief internet-delivered skills training based on DBT for adults with borderline personality disorder – a feasibility study ...
|
|
|
|
BASE
|
|
Show details
|
|
19 |
Locality and attachment preferences in preverbal versus post-verbal Relative Clauses ...
|
|
|
|
BASE
|
|
Show details
|
|
20 |
Locality and attachment preferences in preverbal versus post-verbal Relative Clauses ...
|
|
|
|
BASE
|
|
Show details
|
|
|
|