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Socio-Structural Intersect With Post-COVID-19 Telehealth Utilization for Hispanic/Latino Groups in Colorado: A Mixed

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Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
|August 27, 2024
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Summary

Hispanic/Latino patients in Colorado utilized telehealth less during the COVID-19 pandemic. Factors like preference for in-person care and socio-structural determinants influenced their telehealth use, highlighting the need for culturally sensitive approaches.

Keywords:
Hispanic/Latinosintersectionalitysociostructurally determinants of healthtelemedicineurban and rural

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Area of Science:

  • Health Services Research
  • Health Disparities
  • Telehealth Equity

Background:

  • The COVID-19 pandemic accelerated telehealth adoption globally.
  • Understanding disparities in telehealth utilization among minority populations is crucial for equitable healthcare access.

Purpose of the Study:

  • To evaluate telehealth utilization among Hispanic/Latino populations in Colorado during the COVID-19 pandemic.
  • To identify factors influencing telehealth use within this demographic.

Main Methods:

  • A mixed-methods approach combining electronic surveys (Patient Attitudes Toward Telehealth - PATAT) and semi-structured interviews.
  • Recruitment occurred in urban and rural Federally Qualified Health Centers (FQHCs) serving Hispanic/Latino communities.
  • Linguistic and cultural adaptations were made to survey instruments.

Main Results:

  • Hispanic/Latino respondents reported significantly less telehealth utilization compared to non-Hispanic/Latino respondents (p < .01).
  • Trust in telehealth was primarily associated with prior usage, not ethnicity or location.
  • Interviews revealed a strong preference for in-person care, influenced by cultural factors, trust, and socio-structural determinants.

Conclusions:

  • Telehealth utilization disparities exist among Colorado's Hispanic/Latino population.
  • Addressing these disparities requires patient-centered, transcultural care strategies.
  • Equitable telehealth access necessitates understanding and mitigating socio-structural barriers.