评估试点移动健康干预措施,以吸引城市诊所的初级保健客户服务于边缘化人口:混合方法队列研究
Lauren Harrison1, Christina Fulton1, Antonio Marante Changir1
1British Columbia Centre for Excellence in HIV/AIDS, #608-1081 Burrard Street, Vancouver, BC, V6T 1Y6, Canada, 1 604-806-3478.
像WelTel这样的移动健康工具显示出改善城市低收入人口获得初级保健的希望. 尽管电话保留存在挑战,但这项干预得到了很好的接待,并加强了客户和提供商之间的关系.
科学领域:
- 数字健康数字健康
- 主要医疗保健是主要的医疗保健.
- 健康 公平 卫生 公平
背景情况:
- 城市低收入人口在获得初级保健方面面临重大障碍.
- 系统性挑战包括无家可归和医疗保健歧视.
- 移动健康 (mHealth) 为提供者和患者之间的沟通提供了潜在的解决方案.
研究的目的:
- 评估WelTel的可行性和可接受性,这是一个移动健康工具,在低收入城市环境中的初级保健客户中.
- 测量电话保留率并探索客户对mHealth干预的体验.
主要方法:
- 一项试点研究涉及49名温哥华市中心东区的初级保健客户.
- 参与者获得了一个手机和6个月的WelTel接入.
- 混合方法方法使用调查和半结构面试来评估手机保留,功能和用户体验.
主要成果:
- 在49名参与者中,有14人 (29%) 保留了学习手机;26人 (59%) 在6个月后拥有功能性手机.
- 一般来说,WelTel受到了很好的欢迎,有96%的人喜欢每周的消息.
- 定性访谈表明,WelTel加强了客户与提供者的关系和护理途径.
结论:
- 韦尔泰尔的干预对边缘化城市人口来说是可行的和可以接受的.
- 留住电话仍然是一个重大挑战.
- 需要进一步研究扩大招生率,以确认其对初级保健参与度的影响.
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