Mixed methods evaluation of pediatric telehealth equity for patients/families who communicate in languages other than English.
Mixed methods evaluation of pediatric telehealth equity for patients/families who communicate in languages other than English.
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DOI：
10.21037/mhealth-22-43
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Thompson, Darcy A.
中科院分区：
文献类型：
--
作者：
DeCamp, Lisa Ross;Williams, Leah;Palmer, Claire;Gorman, Carol;Olson, Christina;Thompson, Darcy A.
新兴的研究表明，用英语以外的语言交流的患者的远程医疗差异。需要更好地了解以英语以外的语言进行沟通的家庭对儿科远程保健的使用情况，以便为促进远程保健公平的干预措施提供信息。我们使用2020年4月至2021年7月门诊视频远程医疗的电子健康记录数据，以及对临床工作人员和远程医疗患者的西班牙语父母的定性采访，在儿童医院卫生系统中进行了一项远程医疗的混合方法研究。在为期16个月的研究期间，共进行了102，387次远程医疗接触，其中5%是英语以外的语言接触。83%的英语以外的语言接触是与首选西班牙语医疗保健语言的患者/家庭。11%的提供者进行了英语以外的10种以上语言的远程医疗服务。这部分供应商进行了71%的英语以外的所有语言的遭遇。我们对临床工作人员（n=13）和家长（n=12）进行了25次访谈。在访谈中确定的共同主题是：（一）技术障碍影响远程保健的获得和质量;（二）临床工作人员和家长不确定远程保健对用英语以外的语言交流的患者/家庭的未来作用;（三）众所周知的语言障碍的影响-在远程保健中，用英语以外的语言交流的病人的个人保健服务和质量也很明显。用英语以外的语言交流的患者在远程保健接触中代表性不足，接触集中在少数几个提供者中。促进公平的远程医疗保健需要投资解决技术障碍，提高提供者和诊所提供英语以外的语言远程医疗保健的准备程度，并继续关注减少语言障碍对医疗保健的影响。
Emerging research demonstrates telehealth disparities for patients who communicate in languages other than English. A better understanding of pediatric telehealth use with families who communicate in languages other than English is needed to inform interventions to promote telehealth equity. We conducted a mixed methods study of telehealth care in a children’s hospital health system using electronic health record data for outpatient video telehealth encounters from April 2020 to July 2021 and qualitative interviews with clinical staff and Spanish-speaking parents of telehealth patients. The 16-month study period included 102,387 telehealth encounters; 5% of which were encounters in languages other than English. 83% of languages other than English encounters were with patients/families with a preferred healthcare language of Spanish. 11% of providers conducted ≥10 languages other than English telehealth encounters. This subset of providers conducted 71% of all languages other than English encounters. We conducted 25 interviews with clinical staff (n=13) and parents (n=12). Common themes identified across interviews were: (I) technology barriers affect access to and quality of telehealth; (II) clinical staff and parents are uncertain about the future role of telehealth for patients/families who communicate in languages other than English; (III) the well-known impact of language barriers on in-person healthcare access and quality for patients who communicate in languages other than English is also evident in telehealth. Patients who communicate in languages other than English were underrepresented among telehealth encounters and encounters were concentrated among few providers. Promoting equitable telehealth care requires investment to address technology barriers, increase the readiness of providers and clinics to provide telehealth care in languages other than English, and continued attention to reducing the healthcare impact of language barriers.
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影响因子：
3.1
作者：
Flower KB;Wurzelmann S;Tucker C;Rojas C;Díaz-González de Ferris ME;Sylvester F
通讯作者：
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DOI：
10.1016/s1553-7250(11)37055-9
发表时间：
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影响因子：
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影响因子：
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作者：
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