Trust, Reciprocity, and the Role of Timebanks as Intermediaries: Design Implications for Addressing Healthcare Transportation Barriers

Trust, Reciprocity, and the Role of Timebanks as Intermediaries: Design Implications for Addressing Healthcare Transportation Barriers
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信任、互惠以及时间银行作为中介的作用:解决医疗保健运输障碍的设计意义

DOI:
10.1145/3491102.3502494
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发表时间:
2022
期刊:
Conference on Human Factors in Computing Systems
影响因子:
--
通讯作者:
Young, Samuel L.
Young, Samuel L.
中科院分区:
--
文献类型:
--
作者:
Dillahunt, Tawanna R;Maestre, Juan F.;Kameswaran, Vaishnav;Poon, Erica;Osorio Torres, John;Gallardo, Mia;Rasmussen, Samantha E.;Shih, Patrick C.;Bagley, Alice;Young, Samuel L.

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由于缺乏非紧急交通,数百万美国人放弃医疗服务,特别是少数族裔、老年人以及患有残疾或慢性病的人。我们的研究调查了在干预措施中使用时间银行(基于社区的志愿服务,鼓励以“时间美元”而不是金钱交换服务)的潜力,以解决医疗保健交通障碍,从而为未来负担得起的乘车共享平台的种子设计带来影响。与时间银行和联邦合格医疗中心 (FQHC) 合作,30 名参与者完成了活动包,其中 29 人参加了在线研讨会。我们的研究结果表明,促进驾驶员和乘客之间的信任需要优先考虑安全性和可靠性的系统;然而,时间银行和 FQHC 调节信任的能力存在差异。我们还发现时间银行支持互惠,但医疗交通需要额外的支持以确保平衡的互惠。我们根据网络关闭和信任文献来解释这些发现。最后,我们为促进信任和促进关系而非交易互动的系统提供设计启示,这有助于促进互惠并反映参与者的价值观。
Millions of Americans forego medical care due to a lack of non-emergency transportation, particularly minorities, older adults, and those who have disabilities or chronic conditions. Our study investigates the potential for using timebanks—community-based voluntary services that encourage exchanges of services for “time dollars” rather than money—in interventions to address healthcare transportation barriers to seed design implications for a future affordable ridesharing platform. In partnership with a timebank and a federally qualified healthcare center (FQHC), 30 participants completed activity packets and 29 of them attended online workshop sessions. Our findings suggest that promoting trust between drivers and riders requires systems that prioritize safety and reliability; yet, there were discrepancies in the ability of the timebank and FQHC to moderate trust. We also found that timebank supports reciprocity, but healthcare transportation requires additional support to ensure balanced reciprocity. We explain these findings drawing from network closure and trust literature. Finally, we contribute design implications for systems that promote trust and facilitate relational over transactional interactions, which help to promote reciprocity and reflect participants’ values.
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