在远程医疗和退伍军人视频连接中通过语言定制的方法提高准入:创伤性脑损伤 (TBI) 退伍军人满意度评估
Irma L Molina-Vicenty1,2, Isabel C Borras-Fernández1,2, Yuri Quintana3,4
1ACOS/Research & Development Service, VA Caribbean Health Care System, San Juan, PR 00921, United States.
Military medicine
|August 20, 2024
概括
退伍军人报告说,他们对远程医疗对创伤性脑损伤 (TBI) 查的满意度很高,无论语言如何. 混合方法揭示了改善远程医疗服务的领域,特别是针对西班牙语人士.
科学领域:
- 神经科学与康复治疗
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 创伤性脑损伤 (TBI) 影响语言处理,需要量身定制的干预措施.
- 远程医疗为农村退伍军人提供了潜在的护理机会,但其适用于不同语言偏好的可行性尚未得到充分理解.
- 这项研究调查了西班牙语和英语老兵对TBI查远程医疗服务的满意度.
研究的目的:
- 评估退伍军人对TBI查的远程医疗服务的满意度.
- 用混合方法探索远程医疗满意度的语言特异性差异.
- 确定优化为TBI退伍军人提供远程医疗服务的领域.
主要方法:
- 采用混合方法方法,结合定量调查 (CVT和TSUQ) 和定性半结构面试.
- 在2021年10月至2023年10月期间,从57名退伍军人 (12名英语,45名西班牙语) 和4名提供者收集了数据.
- 定量数据涉及计算满意度和实用性的平均得分,而定性数据则被编码为主题分析.
主要成果:
- 英语 (4.50/5) 和西班牙语 (4.69/5) 的退伍军人对远程医疗的总体满意度都很高.
- 需要改进的具体领域包括为英语发言人提供视频连接的方便性,以及为西班牙语发言人提供预期清晰度.
- 质量反突出了访问和通信方面的优势,但也突出了连接,延迟和隐私方面的弱点.
结论:
- 远程医疗表明,患者对跨语言群体的TBI查的满意度很高,这表明其潜力.
- 混合方法揭示了需要改进的具体领域,包括基础设施,协调和解决物流/技术需求.
- 建议对更大,多样化的样本进行进一步的研究,并与人身护理进行比较,以改进针对语言的远程医疗方法.
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