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克服后 COVID-19“重置”时代的数字鸿沟:利用社区卫生工作者增强团体虚拟探访。

Overcoming the Digital Divide in the Post-COVID-19 "Reset": Enhancing Group Virtual Visits with Community Health Workers.

机构信息

Department of Family and Preventive Medicine, School of Medicine, Emory University, Dunwoody, GA, United States.

Hubert Department of Global Health, Emory Rollins School of Public Health, Emory University, Atlanta, GA, United States.

出版信息

J Med Internet Res. 2021 Jul 8;23(7):e27682. doi: 10.2196/27682.

Abstract

The COVID-19 pandemic created numerous barriers to the implementation of participant-facing research. For most, the pandemic required rapid transitioning to all virtual platforms. During this pandemic, the most vulnerable populations are at highest risk of falling through the cracks of engagement in clinical care and research. Nonetheless, we argue that we should reframe the discussion to consider how this transition may create opportunities to engage extensively to reach populations. Here, we present our experience in Atlanta (Georgia, United States) in transitioning a group visit model for South Asian immigrants to a virtual platform and the pivotal role community members in the form of community health workers can play in building capacity among participants. We provide details on how this model helped address common barriers to group visit models in clinical practice and how our community health worker team innovatively addressed the digital challenges of working with an elderly population with limited English proficiency.

摘要

新冠疫情大流行给面向参与者的研究的实施带来了诸多障碍。对大多数人来说,疫情要求迅速过渡到所有虚拟平台。在这场大流行期间,最脆弱的人群在参与临床护理和研究方面面临着最大的风险。尽管如此,我们认为我们应该重新调整讨论,以考虑这种转变如何为广泛参与提供机会,以接触到人群。在这里,我们介绍了我们在美国佐治亚州亚特兰大的经验,即将南亚移民的小组访问模式转变为虚拟平台,以及社区成员(以社区卫生工作者的形式)在参与者中建立能力方面可以发挥的关键作用。我们详细介绍了这种模式如何帮助解决临床实践中小组访问模式的常见障碍,以及我们的社区卫生工作者团队如何创新地解决与英语水平有限的老年人群合作的数字挑战。

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