用大学导航器弥合远程医疗数字沟:混合方法评估研究服务学习健康差异课程的研究
Zakaria Nadeem Doueiri1, Rika Bajra2, Malathi Srinivasan2
1Department of Epidemiology and Population Health, Stanford University School of Medicine, Palo Alto, CA, United States.
斯坦福技术访问资源团队 (START) 计划成功改善了需要支持的78.7%患者的数字健康访问. 学生们获得了有关健康差距和技术获取障碍的宝贵见解.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康
- 医学教育 医学教育
背景情况:
- 有限的数字素养对寻求医疗保健服务的弱势患者群体构成重大障碍.
- 医疗保健中的数字沟限制了对电子医疗记录和远程医疗等基本服务的访问.
- 解决健康的社会决定因素对于公平的医疗保健服务至关重要.
研究的目的:
- 评估斯坦福技术访问资源团队 (START) 计划在弥合远程医疗数字沟方面的有效性.
- 评估学生领导的技术支持对患者访问电子病历 (EMR) 和视频访问的影响.
- 了解学生关于健康和健康差异的社会决定因素的学习.
主要方法:
- 在START计划中,培训学生为患者提供实际的技术援助.
- 学生与来自学术医疗中心和联邦合格卫生中心的1185名患者进行了接触.
- 通过EMR招生和视频访问设置测量患者结果;通过反射分析测量学生结果.
主要成果:
- START学生为141名要求技术援助的患者提供支持,成功启用EMR帐户和视频访问78.7% (111/141).
- 患者反显示了很高的满意度,94.7%的人认为学生有帮助,73.7%的人成功地通过数字方式与提供者建立联系.
- 访问障碍包括缺乏Wi-Fi/设备,缺少口译员,以及影响视频使用的残疾.
结论:
- START计划有效地改善了绝大多数寻求帮助的患者的远程医疗接入.
- 学生参与者报告说,他们对健康差异和健康的社会决定因素有了更好的理解,这影响了他们的职业愿望.
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