在COVID-19期间,在初级保健安全网中实现公平的远程医疗的语言特定挑战和解决方案
Anjana E Sharma1,2,3, Sarah Lisker4,5, Jessica D Fields4,5,6
1Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, USA. Anjana.sharma@ucsf.edu.
Journal of general internal medicine
|August 31, 2023
概括
在安全网诊所的有限英语水平 (LEP) 患者的远程医疗接入面临挑战. 优化平台和工作流程与认证口译员对于公平的护理提供至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 健康 公平 卫生 公平
背景情况:
- 随着COVID-19大流行,在初级医疗保健中加速采用远程医疗.
- 安全网诊所为弱势群体提供服务,包括那些英语水平有限的人 (LEP).
研究的目的:
- 在安全网初级保健诊所中识别远程医疗实施的促进者和障碍,为LEP患者提供服务.
- 了解远程医疗的扩张如何影响疫情期间对LEP人口的护理.
主要方法:
- 从安全网诊所收集的远程医疗量和患者人口统计数据 (2019年2月-2021年8月).
- 进行了半结构化采访,与服务于高比例LEP患者的诊所的领导者进行了采访.
- 分析了采访数据,使用混合的诱导-演方法与实施研究综合框架.
主要成果:
- 在大流行期间,远程医疗访问显著增加,相当一部分LEP患者使用电话访问.
- 现有的远程医疗平台和口译服务往往对LEP患者来说不足.
- 具有技术基础设施和语言一致的员工的诊所能够更好地为LEP患者提供服务.
- 患有较少通用的语言或交叉识字障碍的患者仍然没有得到远程医疗的服务.
结论:
- 安全网诊所面临的困难是确保边缘化的LEP患者获得公平的远程医疗.
- 需要主动,数据驱动的战略来解决患者和社区的障碍.
- 通过认证的医疗口译员优化临床工作流程对于公平的远程医疗接入至关重要.
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