Socio-Structural Intersect With Post-COVID-19 Telehealth Utilization for Hispanic/Latino Groups in Colorado: A Mixed Methods Study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-08-27 DOI:10.1177/10436596241271301

Claudia R Amura, Rosario Medina, Meagan Bean, Sophia Centi, Paul F Cook, Amy J Barton, Jacqueline Jones

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Abstract

Introduction: We evaluated telehealth utilization among Colorado Hispanics/Latinos during the COVID-19 pandemic.

Methods: A mixed methods design was used with urban and rural patients recruited through two Colorado Federally Qualified Health Centers (FQHCs) serving large Hispanic/Latino communities. Linguistically and culturally adapted Patient Attitudes Toward Telehealth (PATAT) surveys were collected electronically. Semi-structured interviews were conducted with a purposeful sample of Spanish-speaking Hispanics/Latinos.

Results: Although the FQHCs serve a Hispanic/Latino population, only 40% of survey respondents (82/204) were Hispanic/Latinos, and they reported less telehealth utilization (p < .01). Trust in telehealth seemed driven by previous use, with no differences in PATAT scores by ethnicity or geolocation. Interviews with Spanish-speaking Hispanics/Latinos showed they highly preferred in-person care, and factors that influenced telehealth utilization were situated within the intersection of culture and trust with socio-structural determinants of health.

Discussion: Resolving disparities in telehealth utilization requires patient-centric approaches and equitable transcultural care for underserved Hispanic/Latino populations.

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科罗拉多州西班牙裔/拉美裔群体在 COVID-19 后利用远程保健的社会结构交叉：混合方法研究。

简介我们对 COVID-19 大流行期间科罗拉多州西班牙裔/拉美裔使用远程医疗的情况进行了评估：我们采用了混合方法设计，通过科罗拉多州两家服务于大型西班牙裔/拉美裔社区的联邦合格医疗中心 (FQHC) 招募了城市和农村患者。通过电子方式收集了经过语言和文化调整的患者对远程医疗（PATAT）的态度调查。对讲西班牙语的西班牙裔/拉美裔进行了有目的的半结构式访谈：结果：尽管联邦定点医疗机构为西班牙裔/拉美裔人口提供服务，但只有 40% 的调查对象（82/204）是西班牙裔/拉美裔，而且他们对远程医疗的使用率较低（p < .01）。对远程医疗的信任度似乎取决于以往的使用情况，不同种族或地理位置的人在 PATAT 分数上没有差异。与讲西班牙语的西班牙裔/拉美裔人的访谈显示，他们非常喜欢亲自就诊，影响远程医疗使用的因素是文化和信任与健康的社会结构决定因素的交叉：讨论：要解决远程医疗利用率方面的差异，就必须采取以患者为中心的方法，并为服务不足的西班牙裔/拉美裔人群提供公平的跨文化医疗服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.