Gallegos-Rejas Victor M, De Guzman Keshia R, Kelly Jaimon T, Smith Anthony C, Thomas Emma E
Centre for Online Health, The University of Queensland, Ground Floor, Building 33, Princess Alexandra Hospital199 Ipswich Road, Woolloongabba, Brisbane 4102 QLD, Australia.
Centre for Health Services Research, The University of Queensland, Ground Floor, Building 33, Princess Alexandra Hospital199 Ipswich Road, Woolloongabba, Brisbane 4102 QLD, Australia.
J Public Health (Oxf). 2025 Aug 29;47(3):e374-e390. doi: 10.1093/pubmed/fdaf030.
CaLD populations face considerable digital health inequities; strategies are needed to ensure telehealth models of care are available to all. We aimed to identify and describe interventions that enhance telehealth access for CaLD communities.
We systematically searched four databases (PubMed, Scopus, Embase, and CINAHL). Included studies were published between 2011 and 2024 and reported on at least one of the outcomes described in the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) Framework. Two authors independently screened articles, solutions were synthesized qualitatively.
Twenty-seven articles were included in the review and primarily used videoconferencing as the predominant telehealth modality (n = 14, 52%). Five strategies were identified to promote telehealth use across CaLD communities including: (i) Provide bilingual options; (ii) Enhance staff cultural competence; (iii) Provide flexible adaptions to align with consumer needs; (iv) Supply technology and technological support; and (v) Involve digital health navigators and/or health educators.
Culturally competent professionals supported by language services and technological support are strategies which can help improve equity of access to telehealth services for people from CaLD communities. Such strategies can support the implementation of practical solutions to overcome health inequities and prevent access gaps.
语言和文化背景多元化（CaLD）人群面临着显著的数字健康不平等问题；需要采取策略以确保所有人都能获得远程医疗护理模式。我们旨在识别和描述能够增强CaLD社区远程医疗可及性的干预措施。
我们系统检索了四个数据库（PubMed、Scopus、Embase和CINAHL）。纳入的研究发表于2011年至2024年之间，并报告了在可及性、有效性、采用率、实施情况和维持情况（RE-AIM）框架中描述的至少一项结果。两名作者独立筛选文章，对解决方案进行定性综合分析。
该综述纳入了27篇文章，主要使用视频会议作为主要的远程医疗方式（n = 14，52%）。确定了五项促进CaLD社区使用远程医疗的策略，包括：（i）提供双语选项；（ii）提高工作人员的文化能力；（iii）提供灵活调整以符合消费者需求；（iv）提供技术和技术支持；以及（v）让数字健康导航员和/或健康教育工作者参与其中。
由语言服务和技术支持提供支持的具备文化能力的专业人员是有助于改善CaLD社区人群获得远程医疗服务公平性的策略。这些策略可以支持实施切实可行的解决方案，以克服健康不平等问题并防止出现获取差距。
