社会结构与科罗拉多州西班牙裔/拉丁裔群体的COVID-19后远程医疗利用相交:一项混合方法研究
Claudia R Amura1, Rosario Medina1, Meagan Bean1
1University of Colorado, Aurora, USA.
概括
科罗拉多州的西班牙裔/拉丁裔患者在COVID-19大流行期间使用远程医疗的次数较少. 诸如个人护理的偏好和社会结构决定因素等因素影响了他们的远程医疗使用,突出了对文化敏感方法的需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 远程医疗权益股权
背景情况:
- 在全球范围内,COVID-19大流行加速了远程医疗的采用.
- 了解少数群体使用远程医疗的差异对于公平获得医疗保健至关重要.
研究的目的:
- 在科罗拉多州的西班牙裔/拉丁裔人口中评估远程医疗在COVID-19大流行期间的使用情况.
- 在这个人口群体中确定影响远程医疗使用的因素.
主要方法:
- 一种混合方法的方法,结合电子调查 (患者对远程医疗的态度 - PATAT) 和半结构面试.
- 招聘发生在城市和农村联邦合格卫生中心 (FQHCs),服务西班牙裔/拉丁裔社区.
- 对调查工具进行了语言和文化调整.
主要成果:
- 与非西班牙裔/拉丁裔受访者相比,西班牙裔/拉丁裔受访者报告的远程医疗利用率明显低 (p < .01).
- 对远程医疗的信任主要与之前的使用有关,而不是种族或位置.
- 采访显示,人们更倾向于亲自照顾,受文化因素,信任和社会结构决定因素的影响.
结论:
- 在科罗拉多州的西班牙裔/拉丁裔人口中存在远程医疗利用差异.
- 解决这些差异需要以患者为中心的跨文化护理策略.
- 公平的远程医疗接入需要理解和减轻社会结构障碍.
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