Spanish-Speaking Parents' Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use.
Spanish-Speaking Parents' Experiences Accessing Academic Medical Center Care: Barriers, Facilitators and Technology Use.
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DOI：
10.1016/j.acap.2020.10.008
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发表时间：
2021-07
影响因子：
3.1
通讯作者：
Sylvester F
中科院分区：
文献类型：
--
作者：
Flower KB;Wurzelmann S;Tucker C;Rojas C;Díaz-González de Ferris ME;Sylvester F
西班牙语看护人的孩子在学术医疗中心接受护理面临多重障碍。本研究确定了卫生保健的障碍和促进因素，并描述了卫生信息技术的使用情况，以指导干预措施和优化服务。采用结构化访谈指南，对在学术医疗中心诊所接受护理的儿童的单语西班牙语护理人员（N = 28）进行了深入的录音访谈。访谈以西班牙文记录，并利用专题分析确定关键主题。每个主题的说明性引语都被翻译成英文。语言障碍包括以英语进行抵达/注册，缺乏双语人员，严重依赖口译员，等待时间长，电话沟通困难。非语言障碍包括医疗中心的规模和复杂性、服务距离、缺乏方便和协调的预约、缺少工作/学校，以及包括保险覆盖或缺乏公民身份在内的财务障碍。护理人员确定口译员、双语医生和工作人员以及西班牙语书面材料作为护理的辅助人员。大多数照顾者都有互联网接入，并表示有兴趣使用卫生信息技术，包括病人门户网站，以便就其子女的健康状况进行交流。西班牙语儿童的护理人员遇到许多语言特异性障碍，而复杂的卫生系统和社会需求所产生的非语言特异性障碍使这些障碍更加复杂。尽管存在这些障碍，资源有限的护理人员仍在努力满足儿童复杂的卫生保健需求。大多数护理人员都能上网，并对患者门户网站感兴趣。学术医疗中心可能需要多方面的干预措施，以提高双语工作人员和口译人员的可用性，并解决护理人员的社会和信息需求。
Children of Spanish-speaking caregivers face multiple barriers to care in academic medical centers. This study identified barriers and facilitators of health care and described use of health information technology in order to guide interventions and optimize services. In-depth, audiotaped interviews were conducted with monolingual Spanish-speaking caregivers (N = 28) of children receiving care in academic medical center clinics using a structured interview guide. Interviews were transcribed in Spanish, and key themes were identified using thematic analysis. Illustrative quotes for each theme were translated into English. Language-specific barriers included arrival/registration occurring in English, lack of bilingual personnel, heavy reliance on interpreters, long wait times, and challenging phone communication. Non–language-specific barriers included medical center size and complexity, distance to services, lack of convenient and coordinated appointments, missing work/school, and financial barriers including insurance coverage or lack of citizenship. Caregivers identified interpreters, bilingual physicians and staff, and written materials in Spanish as facilitators of care. Most caregivers had internet access and expressed interest in health information technology, including patient portals, to communicate about their children's health. Caregivers of Spanish-speaking children encounter many language-specific barriers, which are compounded by non–language-specific barriers arising from complex health systems and social needs. Caregivers with limited resources described working hard to meet children's complex health care needs despite these barriers. Most caregivers had internet access and interest in patient portals. Academic medical centers may need multifaceted interventions that improve the availability of bilingual staff and interpreters and also address caregivers' social and informational needs.
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影响因子：
3.4
作者：
Karliner, Leah S.;Jacobs, Elizabeth A.;Mutha, Sunita
通讯作者：
Mutha, Sunita
DOI：
10.1016/s1553-7250(11)37055-9
发表时间：
2011-10-01
影响因子：
2.3
作者：
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通讯作者：
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作者：
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通讯作者：
Beveridge, Mark S Jr
影响因子：
8
作者：
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通讯作者：
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影响因子：
8
作者：
Flores, G;Olson, L;Tomany-Korman, SC
通讯作者：
Tomany-Korman, SC