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在儿科初级保健中参与数字健康的语言相关障碍

Silvio Fernandes-Junior^1,2, Skyler E Kalady^2,3, Aarti Chandawarkar^2,3,4

¹IT Research and Innovation, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, Ohio, USA.

Telemedicine journal and e-health : the official journal of the American Telemedicine Association

|October 11, 2025

概括

儿科患者的英语水平有限与数字健康参与度较低有关,包括患者门户和远程医疗使用. 需要有针对性的干预措施,以确保这些家庭平等获得数字卫生服务.

科学领域:

数字健康公平数字健康
儿科初级护理儿科初级护理
医疗信息学医疗信息学

背景情况:

医疗保健系统越来越多地使用数字工具,如患者门户 (Epic MyChart®) 和远程医疗.
有语言障碍的家庭在公平地获得数字卫生服务方面面临重大挑战.
这项研究重点关注儿科患者及其与数字健康工具的接触.

研究的目的:

检查儿科患者语言偏好与数字健康参与之间的关联.
根据语言能力,具体评估患者门户激活和远程医疗的使用情况.
识别不同语言群体在数字健康获取方面的差异.

主要方法:

在初级保健网络中对儿科患者的回顾性分析.
分类为英语熟练 (EP),有限英语熟练 (LEP) 和间歇性口译用户 (IIU) 组.
这些措施包括Epic MyChart激活,在线安排和远程医疗利用,并考虑了健康的社会驱动因素 (SDOH).

主要成果:

在所有测量指标中,LEP患者的数字参与度显著降低.
与EP患者 (95.5%) 相比,在LEP (2.3%) 和IIU (2.2%) 组中,远程医疗的使用量明显较低.
在LEP (60.3%) 和IIU (76.2%) 患者中,Epic MyChart激活率低于EP患者 (82.2%).
在线预约安排在LEP患者中最不常见 (2.3%).
在LEP远程医疗用户 (16.7%) 中,交通挑战更为普遍.

结论:

调查结果强调了非英语说话的儿科患者在数字健康参与方面的显著差异.
迫切需要有针对性的干预措施来改善数字医疗接入和初级保健中的公平.
解决语言障碍对于通过数字健康平台优化沟通和护理提供至关重要.

关键词:

健康的社会驱动因素数字化参与度数字化参与度语言障碍语言障碍主要护理是一级医疗保健.远程医疗远程医疗

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