对非英语语言偏好患者视频访问的挑战:一种定性研究
Marianna Kong1, Francine Rios-Fetchko2, Madelyn Olmos-Rodriguez3
1Department of Family and Community Medicine, University of California, San Francisco.
JAMA network open
|February 12, 2025
概括
偏好非英语语言的患者面临视频访问的沟通和技术障碍. 需要采取干预措施,以改善这些人群的远程医疗公平和获取.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
- 健康 公平 卫生 公平
背景情况:
- 非英语语言偏好 (NELP) 患者使用视频访问的频率低于英语患者.
- 了解NELP患者的能力,机会和动机对于优化视频访问利用至关重要.
研究的目的:
- 调查影响NELP患者视频访问采用的促进者和障碍.
- 确定可以增强视频访问可访问性和参与多种语言群体的因素.
主要方法:
- 半结构面试与西班牙语和广东语患者的定性分析,没有先前的视频访问历史.
- 通过电话进行的采访,录音,转录,翻译,并使用快速定性分析进行分析.
- 确定并映射到能力,机会和动机模型的主题.
主要成果:
- 出现了四个主要主题:沟通挑战,医疗评估的感知缺点和好处,技术/访问障碍 (数字素养,设备/数据访问) 和促进者 (面对面的教学,更简单的流程,实践,支持,语言一致的交互).
- 一些参与者被不利因素所阻碍,而另一些人则发现便利性抵消了好处.
- 关键障碍包括沟通困难,医疗评估质量低下以及技术问题.
结论:
- 患有NELP的患者认为视频访问存在重大障碍,包括沟通和技术挑战.
- 解决这些可解决的技术和语言挑战对于改善视频访问访问和动机至关重要.
- 干预措施是必要的,以促进对语言障碍患者的远程医疗公平.
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