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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)
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Telemedicine implementation and use in community health centers during COVID-19: Clinic personnel and patient perspectives.
Payán, Denise D; Frehn, Jennifer L; Garcia, Lorena; Tierney, Aaron A; Rodriguez, Hector P. - : eScholarship, University of California, 2022
Abstract: In March 2020, federal and state telehealth policy changes catalyzed telemedicine adoption and use in community health centers. There is a dearth of evidence on telemedicine implementation and use in these safety net settings and a lack of information reflecting the perspectives of patients with limited English proficiency. We conducted in-depth interviews with clinic personnel and patients during the pandemic in two federally qualified health centers that primarily serve Chinese and Latino immigrants. Twenty-four interviews (clinic personnel=15; patients who primarily speak a language other than English=9) were completed remotely between December 2020 and April 2021. Interview scripts included questions about their telemedicine experiences, technology, resources and needs, barriers, facilitators, language access, and continued use, with a brief socio-demographic survey. Data analyses involved a primarily deductive approach and thematic analysis of transcript content. Both FQHCs adopted telemedicine in a few weeks and transitioned primarily to video and audio-only visits within two months. Findings reveal third-party language interpretation services were challenging to integrate into telemedicine video visits. Bilingual personnel who provided language concordant care were seen as essential for efficient and high-quality patient telemedicine experiences. Audio-only visits were of particular benefit to reach patients of older age, with limited English proficiency, and with limited digital literacy. Continued use of telemedicine is contingent on reimbursement policy decisions and interventions to increase patient digital literacy and technological resources. Results highlight the importance of reimbursing audio-only visits post-pandemic and investing in efforts to improve the quality of language services in telemedicine encounters.
Keyword: Aging; Behavioral and Social Science; Clinical Research; COVID-19; Federally qualified health center; Health Services; Language; Networking and Information Technology R&D; Policy; Rural Health; Telehealth; Telemedicine
URL: https://escholarship.org/uc/item/92g3q39r
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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 ...
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Moderators and predictors in a parent hearing aid management eHealth program ...
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Moderators and predictors in a parent hearing aid management eHealth program ...
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‘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 ...
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Additional file 2 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
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Additional file 2 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
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Additional file 3 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
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Additional file 5 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
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The Demography of COVID-19 Deaths Database: A gateway to well-documented international data ...
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Additional file 5 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
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The Demography of COVID-19 Deaths Database: A gateway to well-documented international data ...
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Additional file 3 of Overcoming the language barrier: a novel curriculum for training medical students as volunteer medical interpreters ...
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Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties ...
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Scales for assessing therapeutic adherence and competence in dialectical behaviour therapy for PTSD: development and analysis of psychometric properties ...
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Brief internet-delivered skills training based on DBT for adults with borderline personality disorder – a feasibility study ...
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Brief internet-delivered skills training based on DBT for adults with borderline personality disorder – a feasibility study ...
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19
Locality and attachment preferences in preverbal versus post-verbal Relative Clauses ...
Aguilar, Miriam; Ferré, Pilar; Hinojosa, José A.. - : Taylor & Francis, 2022
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Locality and attachment preferences in preverbal versus post-verbal Relative Clauses ...
Aguilar, Miriam; Ferré, Pilar; Hinojosa, José A.. - : Taylor & Francis, 2022
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