School of Health, Medical and Applied Sciences, Central Queensland University, Mackay, Queensland, Australia.
School of Public Health, Griffith University, Southport, Queensland, Australia.
Public Health. 2022 Jun;207:119-126. doi: 10.1016/j.puhe.2022.04.007. Epub 2022 May 28.
The COVID-19 pandemic has highlighted the importance of access to telehealth as an alternative model of service during social restrictions and for urban and remote communities alike. This study aimed to elucidate whether First Nations and culturally and linguistically diverse (CALD) patients also benefited from the resource before or during the pandemic.
This study was a scoping review.
A scoping review of MEDLINE, CINAHL and PsycINFO databases from 2000 to 2021 was performed. Paired authors independently screened titles, abstracts and full texts. A narrative synthesis was undertaken after data extraction using a standard template by a team including First Nations and CALD researchers.
Seventeen studies (N = 4,960 participants) mostly qualitative, covering First Nations and CALD patient recipients of telehealth in the United States, Canada, Australia, and the Pacific Islands, met the inclusion criteria. Telehealth was perceived feasible, satisfactory, and acceptable for the delivery of health screening, education, and care in mental health, diabetes, cancer, and other chronic conditions for remote and linguistically isolated populations. The advantages of convenience, lower cost, and less travel promoted uptake and adherence to the service, but evidence was lacking on the wider availability of technology and engagement of target communities in informing priorities to address inequalities.
Further studies with larger samples and higher level evidence methods involving First Nations and CALD people as co-designers will assist in filling the gap of safety and cultural competency.
新冠疫情凸显了在社会限制期间以及对于城市和偏远社区而言，获得远程医疗作为替代服务模式的重要性。本研究旨在阐明在疫情之前或期间，原住民和文化及语言多样化（CALD）患者是否也能从该资源中受益。
本研究为范围性综述。
对 2000 年至 2021 年期间的 MEDLINE、CINAHL 和 PsycINFO 数据库进行了范围性综述。两名作者独立筛选标题、摘要和全文。在使用包括原住民和 CALD 研究人员在内的团队制定的标准模板提取数据后，进行了叙述性综合。
有 17 项研究（N=4960 名参与者）符合纳入标准，主要为美国、加拿大、澳大利亚和太平洋岛屿的原住民和 CALD 远程医疗患者接受者的定性研究。远程医疗被认为在心理健康、糖尿病、癌症和其他慢性病的健康筛查、教育和护理方面具有可行性、满意度和可接受性，适用于语言隔离的偏远人群。便利、成本降低和减少旅行等优势促进了服务的采用和坚持，但缺乏有关更广泛的技术可用性和目标社区参与以解决不平等问题的信息。
涉及原住民和 CALD 人群作为共同设计者的更大样本量和更高水平证据方法的进一步研究将有助于填补安全性和文化能力方面的空白。
