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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.
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In: BMC health services research, vol 22, iss 1 (2022)
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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.
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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
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URL: https://escholarship.org/uc/item/3q59z6jf
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Development of an Ergonomic Writing Assistive Device for Finger Pain Reduction in the Elderly
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In: Applied Sciences; Volume 12; Issue 3; Pages: 993 (2022)
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Analysis of the Effects of Lockdown on Staff and Students at Universities in Spain and Colombia Using Natural Language Processing Techniques
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 9; Pages: 5705 (2022)
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Individual Perception of Telehealth: Validation of a German Translation of the Telemedicine Perception Questionnaire and a Derived Short Version
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 2; Pages: 902 (2022)
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Application of Modern Digital Systems and Approaches to Business Process Management
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In: Sustainability; Volume 14; Issue 3; Pages: 1697 (2022)
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Marital Satisfaction, Family Functioning, and Children’s Mental Health—The Effect of Parental Co-Viewing
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In: Children; Volume 9; Issue 2; Pages: 216 (2022)
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| 7 |
The third wave of the IAB-BAMF-SOEP Survey of Refugees: Refugees are improving their German language skills and continue to feel welcome in Germany
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In: 1-2020 ; BAMF-Brief Analysis ; 18 (2022)
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A study of the Illinois ESL etextbook from the perspective of students and instructors
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| 9 |
Satisfacción de los estudiantes con la docencia online en tiempos de COVID-19
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In: Comunicar: Revista científica iberoamericana de comunicación y educación, ISSN 1134-3478, Nº 70, 2022 (Ejemplar dedicado a: Nuevos retos del profesorado ante la enseñanza digital), pags. 35-45 (2022)
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Reducing Academic Burnout Through Social Support and Life Satisfaction: Evidence from Pakistan ...
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Reducing Academic Burnout Through Social Support and Life Satisfaction: Evidence from Pakistan ...
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ЗНАЧЕНИЕ СЛОВА «РАДОСТЬ» В ПАСХАЛЬНЫХ ПОСЛАНИЯХ СВЯТЕЙШЕГО ПАТРИАРХА КИРИЛЛА ... : THE MEANING OF THE WORD “JOY” IN THE EASTER EPICTLES OF HIS HOLINESS PATRIARCH KIRILL ...
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| 14 |
Does Basic Psychological Need Satisfaction Matter to College Students’ Sustained Volunteering? A Mixed-Methods Study
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In: International Journal of Environmental Research and Public Health; Volume 18; Issue 24; Pages: 13229 (2021)
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Reasons for Utilizing Telemedicine during and after the COVID-19 Pandemic: An Internet-Based International Study
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In: Journal of Clinical Medicine ; Volume 10 ; Issue 23 (2021)
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| 16 |
The opinion of Slovene (mother tongue) teachers on distance learning in primary schools ; Mnenje učiteljev slovenščine (mater inščine) o poučevanju na daljavo v osnovni šoli
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In: CEPS Journal 11 (2021) Special Issue, S. 383-406 (2021)
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Twitter Analysis to Predict the Satisfaction of Saudi Telecommunication Companies’ Customers
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Factors influencing adult learners’ satisfaction and retention
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Factors influencing adult learners’ satisfaction and retention
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Factors influencing adult learners’ satisfaction and retention
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