语言障碍和美国医院患者门户的访问
Debbie W Chen1, Maya Watanabe2, Steven Xie3
1Division of Metabolism, Endocrinology & Diabetes, University of Michigan, Ann Arbor.
JAMA network open
|October 16, 2025
概括
大多数医院提供英语和西班牙语的患者门户,但很少有人提供其他语言的访问. 数字健康工具必须优先考虑所有患者的语言可访问性.
科学领域:
- 医疗信息学 医疗信息学
- 数字健康 公平数字健康 公平
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患者门户网站对于医疗保健提供越来越重要.
- 关于这些数字健康平台的语言可访问性存在有限的数据.
- 确保公平获取对于多样化的患者群体至关重要.
研究的目的:
- 评估美国各地医院患者门户网站的语言可访问性.
- 确定影响多语言门户可用性的因素.
主要方法:
- 一项横截面研究分析了美国17个州511家符合条件的医院的患者门户.
- 收集的数据包括门户网站URL,语言可访问性 (登录提示),供应商和消息可用性.
- 多变量后勤回归确定了与多语言可访问性相关的因素.
主要成果:
- 只有29.4%的患者门户只有英语;59.7%的英语和西班牙语;10.9%的多种语言.
- 只有4.7%的受访者可以使用该县最常见的非英语和非西班牙语.
- 教学医院和那些使用特定供应商 (Epic,Cerner) 的医院在提供多语言门户的几率不同.
结论:
- 一小部分医院提供患者门户,可用非英语,非西班牙语的语言访问.
- 在数字健康设计中优先考虑语言可访问性对于包容性至关重要.
- 需要进一步的研究来改善数字医疗保健工具中的语言访问.
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