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Designing for Patient-Centered Care and Equity in Virtual Hospital-at-Home Models: Quality Improvement Initiative

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Summary
This summary is machine-generated.

Experience-based co-design (EBCD) engaged diverse stakeholders to develop equitable virtual hospital-at-home strategies. Co-designed solutions address barriers like digital literacy and trust, promoting inclusive virtual care for underserved communities.

Keywords:
AISouth Asian peopleartificial intelligencecommunity-based participatory researchhealth equitytelemedicine

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Area of Science:

  • Health Services Research
  • Digital Health
  • Health Equity

Background:

  • Virtual hospital-at-home models rapidly expanded during COVID-19, offering hospital-level care remotely.
  • Implementation challenges exist, particularly for culturally diverse populations like South Asians facing chronic disease and access barriers.
  • Equitable design and adoption strategies are crucial for virtual hospital-at-home services.

Purpose of the Study:

  • To engage patients, caregivers, clinicians, and community organizations in developing a virtual hospital-at-home strategy.
  • To identify barriers, facilitators, and equity-focused solutions for virtual hospital-at-home implementation.
  • To inform the equitable design and adoption of virtual hospital-at-home models.

Main Methods:

  • A five-stage experience-based co-design (EBCD) quality improvement process was used.
  • Methods included forming a steering committee, reviewing provider experiences, and interviewing South Asian patients and caregivers.
  • A co-design workshop was held to develop solutions, followed by sharing findings.

Main Results:

  • Key barriers identified included digital literacy, language, and trust in virtual care.
  • Co-designed solutions emphasized culturally tailored education and hybrid digital training.
  • Strategies also focused on caregiver inclusion and community-driven engagement.

Conclusions:

  • EBCD facilitated the creation of inclusive and actionable strategies for virtual hospital-at-home services.
  • Ongoing community collaboration is essential for ensuring equity in virtual care innovation.
  • This approach can improve patient-centered care and health equity in virtual health models.