Division of General Internal Medicine, Department of Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, California, USA.
UCSF Center for Vulnerable Populations, University of California San Francisco, San Francisco, California, USA.
J Am Med Inform Assoc. 2021 Feb 15;28(2):349-353. doi: 10.1093/jamia/ocaa234.
To determine interest in and barriers to video visits in safety-net patients with diverse age, racial/ethnic, or linguistic background.
We surveyed patients in an urban safety-net system to assess: interest in video visits; ability to successfully complete test video visits; and barriers to successful completion of test video visits.
Among 202 participants, of which 177 (87.6%) were persons of color and 113 (55.9%) preferred non-English languages, 132 (65.3%) were interested in and 109 (54.0%) successfully completed a test video visit. Younger age, non-English preference, and prior smartphone application use were associated with interest. Over half (n = 112) reported barriers to video visits; Internet/data access was the most common barrier (n = 50, 24.8%).
Safety-net patients are interested in video visits and able to successfully complete test visits. Internet or mobile data access is a common barrier in even urban safety-net settings and may impact equitable telemedicine access.
了解不同年龄、种族/族裔或语言背景的安全网患者对视频就诊的兴趣和障碍。
我们对城市安全网系统中的患者进行了调查，以评估：对视频就诊的兴趣；成功完成测试视频就诊的能力；以及成功完成测试视频就诊的障碍。
在 202 名参与者中，其中 177 名（87.6%）为有色人种，113 名（55.9%）更喜欢非英语语言，132 名（65.3%）对视频就诊感兴趣，109 名（54.0%）成功完成了测试视频就诊。年龄较小、偏好非英语语言以及之前使用智能手机应用程序与兴趣相关。超过一半（n=112）报告了视频就诊的障碍；互联网/数据访问是最常见的障碍（n=50，24.8%）。
安全网患者对视频就诊感兴趣，并且能够成功完成测试就诊。即使在城市安全网环境中，互联网或移动数据访问也是一个常见障碍，可能会影响公平获得远程医疗的机会。
