美国西班牙语人士使用数字健康技术:一项综合性审查
Robin T Higashi1, Bhaskar Thakur1,2,3,4, Emily C Repasky1
1O'Donnell School of Public Health, The University of Texas Southwestern Medical Center, Dallas.
JAMA network open
|May 15, 2025
概括
数字健康工具,如患者门户和远程医疗,由于技术,语言和识字障碍,西班牙语使用率较低. 支持护理合作伙伴的干预措施和定制材料可以帮助弥合这个数字健康差距.
科学领域:
- 数字健康数字健康
- 健康差异 在健康上的差异
- 医疗信息学 医疗信息学
背景情况:
- 数字医疗技术 (如患者门户,远程医疗,移动医疗) 提供了改善医疗保健获取,质量和结果的潜力.
- 一项新兴的文献突出了西班牙语和英语发言者在使用数字健康工具方面的差异.
研究的目的:
- 描述美国西班牙语人口中数字健康技术使用的障碍和促进因素.
- 为了解决这些差异,为产生假设的问题和干预计划提供信息.
主要方法:
- 使用PubMed,Scopus,Web of Science和Google Scholar对2013年1月至2024年4月的出版物进行了范围审查.
- 系统性审查,非美国研究和非英语研究被排除在外. 对包括在内的研究中的非结构化文本进行了主题分析.
- 包括106项研究,其中68%在2019年至2024年之间发表. 大多数 (69%) 采用了定量方法.
主要成果:
- 与英语使用者相比,西班牙语使用者对患者门户,远程医疗和在线资源的采用率和使用率始终较低.
- 关键障碍包括有限的技术/Wi-Fi访问,低的一般和数字素养,缺乏意识,不够的西班牙语指令和翻译挑战.
- 跨技术使用的促进者包括短信,社交媒体干预,护理伙伴/口译员参与以及文化/语言定制的材料.
结论:
- 美国的西班牙语人士在访问数字健康工具时遇到重大技术,语言和识字障碍.
- 卫生系统,EHR供应商和社区组织可以通过支持护理合作伙伴,利用文本/社交媒体和提供量身定制的材料来缓解这些差异.
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