How Do Low-Income Urban African Americans and Latinos Feel about Telemedicine? A Diffusion of Innovation Analysis
How Do Low-Income Urban African Americans and Latinos Feel about Telemedicine? A Diffusion of Innovation Analysis
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DOI：
10.1155/2012/715194
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发表时间：
2012-01-01
影响因子：
4.4
通讯作者：
Baker, Richard S.
中科院分区：
文献类型：
--
作者：
George, Sheba;Hamilton, Alison;Baker, Richard S.
导论.远程医疗作为一种手段得到推广，以增加城市服务不足人群获得专科医疗的机会，但对这些人群接受远程医疗的情况知之甚少。我们使用的创新概念框架的扩散的组件来分析有关远程医疗的经验前的看法，以评估其在城市服务不足的非洲裔美国人和拉丁美洲人的吸引力。方法. 10个焦点小组进行了非裔美国人（n = 43）和拉丁美洲参与者（n = 44）在英语和西班牙语和分析的关键主题。结果两组都认为远程医疗的相对优势是增加和立即获得多种医疗意见和减少等待时间。然而，非裔美国人比拉丁美洲人更关心保密性，隐私和专家的身体缺席。这种差异可能反映了非洲裔美国人对新的医疗保健创新的信任程度较低，这是由于美国医疗系统过去滥用的遗产，而不是没有这种特殊历史背景的拉丁美洲移民。结论.这些研究结果的重要问题，如通过远程医疗，病人的满意度，医患互动，并针对这些人群的引进，营销和实施远程医疗的战略的发展和定制的影响。
Introduction. Telemedicine is promoted as a means to increase access to specialty medical care among the urban underserved, yet little is known about its acceptability among these populations. We used components of a diffusion of innovation conceptual framework to analyze preexperience perceptions about telemedicine to assess its appeal among urban underserved African Americans and Latinos. Methods. Ten focus groups were conducted with African American (n = 43) and Latino participants (n = 44) in both English and Spanish and analyzed for key themes. Results. Both groups perceived increased and immediate access to multiple medical opinions and reduced wait time as relative advantages of telemedicine. However, African Americans expressed more concerns than Latinos about confidentiality, privacy, and the physical absence of the specialist. This difference may reflect lower levels of trust in new health care innovations among African Americans resulting from a legacy of past abuses in the US medical system as compared to immigrant Latinos who do not have this particular historical backdrop. Conclusions. These findings have implications for important issues such as adoption of telemedicine, patient satisfaction, doctor-patient interactions, and the development and tailoring of strategies targeted to each of these populations for the introduction, marketing, and implementation of telemedicine.