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耐药性对残疾人士使用远程医疗的影响。

The impact of resistance on telemedicine use for people with disabilities.

作者信息

Keptner Karen M, Heath Michele

机构信息

College of Health, Cleveland State University, Cleveland, OH, USA.

College of Business, Cleveland State University, Cleveland, OH, USA.

出版信息

J Telemed Telecare. 2025 Jun;31(5):705-714. doi: 10.1177/1357633X231213412. Epub 2023 Nov 28.

Abstract

People with disabilities face many challenges in accessing healthcare. They may be provided opportunities to utilize new technologies just like non-disabled patients, but their unique challenges might cause them to resist new technology. The purpose of the study is to explore reasons why disabled patients might resist telemedicine. Using thematic analysis, we analyzed open-ended questions from a larger telemedicine survey for people with disabilities in the United States. The analysis identified the following themes: The paper demonstrated that while telemedicine provides convenience to patients in terms of removing barriers such as transportation and cost, patients still value their doctor relationship and certain features of in-person visits. Resistance to telemedicine occurred on both individual and structural levels. This study has implications for institutions serving people with disabilities through remote means.

摘要

残疾人在获得医疗保健方面面临许多挑战。他们可能会像非残疾患者一样有机会使用新技术,但他们独特的挑战可能会导致他们抵制新技术。本研究的目的是探讨残疾患者抵制远程医疗的原因。我们采用主题分析法,分析了美国一项针对残疾人的大型远程医疗调查中的开放式问题。分析确定了以下主题:该论文表明,虽然远程医疗在消除交通和费用等障碍方面为患者提供了便利,但患者仍然重视他们与医生的关系以及面对面就诊的某些特点。对远程医疗的抵制在个人和结构层面都存在。这项研究对通过远程方式为残疾人服务的机构具有启示意义。

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