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全民远程医疗?评估远程服务对拉丁裔移民的传递。

Telehealth for All? Assessing Remote Service Delivery for Latinx Immigrants.

机构信息

School of Social Work, Boston College, Chestnut Hill, MA, USA.

出版信息

Health Soc Work. 2023 Jul 21;48(3):170-178. doi: 10.1093/hsw/hlad016.

Abstract

The COVID-19 pandemic spurred a widespread shift to remotely delivered health services. Telehealth has shown promise in making healthcare more accessible. Little research has looked at the effects of this change on access to healthcare for Latinx immigrants. This qualitative study explored the shift to remote services during the COVID-19 pandemic in a new immigrant destination. Authors interviewed 23 service providers to assess if telehealth increased access to healthcare for Latinx immigrants. Results showed that telehealth improved access to services overall. Still, barriers to care remained. Immigrants experienced (a) limited access to technology and low digital literacy, (b) lack of privacy during the provision of services, (c) inability to utilize certain digital platforms due to confidentiality regulations, and (d) decreased quality of services. Findings suggest that telehealth is a promising modality to decrease healthcare disparities, but providers need to thoughtfully address barriers unique to Latinx immigrants to ensure their full participation.

摘要

新冠疫情推动了远程医疗服务的广泛应用。远程医疗在使医疗保健更便利方面显示出了前景。但很少有研究关注这一变化对拉丁裔移民获得医疗保健的影响。本定性研究探索了新移民目的地在新冠疫情期间向远程服务的转变。作者采访了 23 名服务提供者,以评估远程医疗是否增加了拉丁裔移民获得医疗保健的机会。结果表明,远程医疗总体上改善了服务的可及性。但护理障碍仍然存在。移民在以下方面遇到困难:(a) 获取技术的机会有限且数字素养较低,(b) 在提供服务时缺乏隐私,(c) 由于保密规定无法使用某些数字平台,以及(d) 服务质量下降。研究结果表明,远程医疗是减少医疗保健差异的一种很有前途的模式,但提供者需要深思熟虑地解决拉丁裔移民特有的障碍,以确保他们的充分参与。

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