Hong Seunghye, Lee Jieha, Goldberg Mathew, Emory-Khenmy Constance
Department of Social Work, Thompson School of Social Work & Public Health, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Department of Social Welfare, College of Social Science, Soongsil University, Seoul, South Korea.
J Racial Ethn Health Disparities. 2024 Sep 12. doi: 10.1007/s40615-024-02152-4.
Research has reported health care disparities, including low rates of health care utilization, among racial and ethnic minority groups compared to Whites. Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs) have experienced these disparities, attributed to various barriers such as limited access to linguistically and culturally concordant health care services. Telehealth may offer a viable mode of health service delivery for AANHPIs. The coronavirus disease of 2019 (COVID-19) pandemic sparked the adoption of technology for receiving health services. However, the literature on telehealth utilization before and during the COVID-19 pandemic among AANHPIs is limited. To address this gap, we conducted a scoping review of telehealth intervention empirical studies serving AANHPIs published between January 2010 and February 2024, using five databases. Twenty-four articles met our inclusion criteria, which required the use of a telehealth intervention program, provision of disaggregated AANHPIs, and targeting of physical and/or mental health outcomes. Our review revealed positive findings of telehealth interventions in helping AANHPIs access health care, with a primary focus on education and consultation for self-management. The review highlighted a range of technological platforms used in AANHPIs telehealth interventions, including web-based, mobile, and blended approaches. Additionally, the review emphasized the need for improved access to technology and reduction in digital exclusion. The findings affirm the usefulness and potential of telehealth interventions, providing implications for how health professionals can serve AANHPIs. Telehealth technology offers the ability for greater accessibility and individualization to address health care disparities in AANHPIs.
研究报告称，与白人相比，少数族裔群体存在医疗保健差异，包括医疗保健利用率较低。亚裔美国人、夏威夷原住民和太平洋岛民（AANHPIs）也经历了这些差异，这归因于各种障碍，如获得语言和文化上协调一致的医疗服务的机会有限。远程医疗可能为AANHPIs提供一种可行的医疗服务提供模式。2019年冠状病毒病（COVID-19）大流行促使人们采用技术来接受医疗服务。然而，关于AANHPIs在COVID-19大流行之前和期间使用远程医疗的文献有限。为了填补这一空白，我们使用五个数据库，对2010年1月至2024年2月期间发表的为AANHPIs服务的远程医疗干预实证研究进行了范围综述。24篇文章符合我们的纳入标准，这些标准要求使用远程医疗干预项目、提供分类的AANHPIs数据，以及针对身体和/或心理健康结果。我们的综述揭示了远程医疗干预在帮助AANHPIs获得医疗保健方面的积极结果，主要侧重于自我管理的教育和咨询。综述强调了AANHPIs远程医疗干预中使用的一系列技术平台，包括基于网络的、移动的和混合的方法。此外，综述强调需要改善技术获取并减少数字排斥。这些发现证实了远程医疗干预的有用性和潜力，为卫生专业人员如何为AANHPIs提供服务提供了启示。远程医疗技术能够提供更大的可及性和个性化，以解决AANHPIs中的医疗保健差异问题。
