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1
Building Confianza: Empowering Latinos/as Through Transcultural Health Care Communication
Magaña, Dalia. - : The Ohio State University Press, 2021
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The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
In: Journal of medical Internet research, vol 22, iss 4 (2020)
Abstract: BACKGROUND:Technology is being increasingly used to communicate health information, but there is limited knowledge on whether these strategies are effective for vulnerable populations, including non-English speaking or low-income individuals. OBJECTIVE:This study assessed how language preferences (eg, English, Spanish, or Chinese), smartphone ownership, and the type of clinic for usual source of care (eg, no usual source of care, nonintegrated safety net, integrated safety net, private or community clinic, academic tertiary medical center, or integrated payer-provider) affect technology use for health-related communication. METHODS:From May to September 2017, we administered a nonrandom, targeted survey to 1027 English-, Spanish-, and Chinese-speaking San Francisco residents and used weighted multivariable logistic regression analyses to assess predictors of five technology use outcomes. The three primary predictors of interest-language preference, smartphone ownership, and type of clinic for usual care-were adjusted for age, gender, race or ethnicity, limited English proficiency, educational attainment, health literacy, and health status. Three outcomes focused on use of email, SMS text message, or phone apps to communicate with clinicians. The two other outcomes were use of Web-based health videos or online health support groups. RESULTS:Nearly one-third of participants watched Web-based health videos (367/1027, 35.74%) or used emails to communicate with their clinician (318/1027, 30.96%). In adjusted analyses, individuals without smartphones had significantly lower odds of texting their clinician (adjusted odds ratio [aOR] 0.27, 95% CI 0.13-0.56), using online health support groups (aOR 0.14, 95% CI 0.04-0.55), or watching Web-based health videos (aOR 0.31, 95% CI 0.15-0.64). Relative to English-speaking survey respondents, individuals who preferred Chinese had lower odds of texting their clinician (aOR 0.25, 95% CI 0.08-0.79), whereas Spanish-speaking survey respondents had lower odds of using apps to communicate with clinicians (aOR 0.34, 95% CI 0.16-0.75) or joining an online support group (aOR 0.30, 95% CI 0.10-0.92). Respondents who received care from a clinic affiliated with the integrated safety net, academic tertiary medical center, or integrated payer-provider systems had higher odds than individuals without a usual source of care at using emails, SMS text messages, or apps to communicate with clinicians. CONCLUSIONS:In vulnerable populations, smartphone ownership increases the use of many forms of technology for health purposes, but device ownership itself is not sufficient to increase the use of all technologies for communicating with clinicians. Language preference impacts the use of technology for health purposes even after considering English proficiency. Health system factors impact patients' use of technology-enabled approaches for communicating with clinicians. No single factor was associated with higher odds of using technology for all health purposes; therefore, existing disparities in the use of digital health tools among diverse and vulnerable populations can only be addressed using a multipronged approach.
Keyword: Adult; Aged; Cohort Studies; Communication; consumer health information; Cross-Sectional Studies; digital divide; Female; health information technology; Health Literacy; Humans; Information and Computing Sciences; Information Seeking Behavior; internet; Male; Medical and Health Sciences; Medical Informatics; Middle Aged; Multilingualism; physician patient relations; Psychology and Cognitive Sciences; social media; Surveys and Questionnaires; Urban Health; vulnerable populations
URL: https://escholarship.org/uc/item/3g30n4ts
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The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
In: Journal of medical Internet research, vol 22, iss 4 (2020)
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4
Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.
In: Journal of medical Internet research, vol 21, iss 5 (2019)
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5
Multicultural Health Translation, Interpreting and Communication
Ji, Meng; Taibi, Mustapha (R12032); Crezee, Ineke H.. - : U.K., Routledge, 2019
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6
Standardized patients in psychiatry – the best way to learn clinical skills?
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7
Deaf patient-provider communication and lung cancer screening: Health Information National Trends survey in American Sign Language (HINTS-ASL).
In: Patient education and counseling, vol 101, iss 7 (2018)
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8
Obtaining History with a Language Barrier in the Emergency Department: Perhaps not a Barrier After All
In: PMC (2018)
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9
What can organisational theory offer knowledge translation in healthcare? : a thematic and lexical analysis
Dadich, Ann M. (R10177); Doloswala, Kalika N. (R11492). - : U.K., BioMed Central, 2018
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10
The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging.
Schillinger, Dean; McNamara, Danielle; Crossley, Scott. - : eScholarship, University of California, 2017
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11
The Next Frontier in Communication and the ECLIPPSE Study: Bridging the Linguistic Divide in Secure Messaging.
Schillinger, Dean; McNamara, Danielle; Crossley, Scott. - : eScholarship, University of California, 2017
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12
Communication Theory in Physician Training: Examining Medical School Communication Curriculum at American Medical Universities
In: http://rave.ohiolink.edu/etdc/view?acc_num=ucin1504873270954601 (2017)
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13
Patient-centred advanced cancer care: a systemic functional linguistic analysis of oncology consultations with advanced cancer patients
Karimi, Neda. - : Sydney, Australia : Macquarie University, 2017
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14
Agenda-setting revisited: When and how do primary-care physicians solicit patients' additional concerns?
In: Patient education and counseling, vol 99, iss 5 (2016)
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15
Medical students' creative projects on a third year pediatrics clerkship: a qualitative analysis of patient-centeredness and emotional connection.
In: BMC medical education, vol 16, iss 1 (2016)
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16
'Please don't call me Mister': patient preferences of how they are addressed and their knowledge of their treating medical team in an Australian hospital
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17
Beyond the 'dyad': a qualitative re-evaluation of the changing clinical consultation.
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18
Disclosure of complementary health approaches among low income and racially diverse safety net patients with diabetes.
In: Patient education and counseling, vol 98, iss 11 (2015)
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19
A Study of Pragmatic Competence: International Medical Graduates' and Patients' Negotiation of the Treatment Phase of Medical Encounters
Fioramonte, Amy. - : Digital Commons @ University of South Florida, 2014
In: Graduate Theses and Dissertations (2014)
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20
Diskurse der Unfruchtbarkeitsbehandlung: ein französisch-englischer Vergleich
In: Freiburger FrauenStudien ; 1 ; 75-85 (2013)
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