Patient Preferences for Telemental Health Care in a Federally Qualified Health Center.

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Telemedicine and e-Health Pub Date : 2024-12-05 DOI:10.1089/tmj.2024.0458

Rebecca L Emery Tavernier, Celia Blaszkowsky, Abigail Jacobs, Peyton Rogers, Grace Wang

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Abstract

Objective: This cross-sectional study evaluated whether preferences for attending mental health visits virtually or in-person vary by demographics and identified factors influencing these preferences among federally qualified health center (FQHC) patients. Methods: FQHC patients (N = 350) completed a satisfaction survey of their mental health care experiences in 2022. Demographic data were obtained from the electronic health record. Fisher's Exact tests were used to determine whether modality preferences (phone, video, or in-person) varied across demographic factors. Open-ended comments were qualitatively evaluated using an inductive approach to identify themes related to modality preferences. Results: Modality preferences varied by age and language (p's <0.02) but not race and gender (p's >0.36). Reasons for modality preferences fell within six themes: (1) convenience, (2) connection, (3) transportation/accessibility, (4) health concerns, (5) caretaking responsibilities, and (6) technology. Conclusion: These findings clarify the reasons FQHC patients prefer telemental health care and identify gaps in its usage.

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联邦合格医疗中心患者对远程心理保健的偏好。

目的：本横断面研究评估了在联邦合格健康中心（FQHC）患者中，参加虚拟或亲自精神卫生访问的偏好是否因人口统计学而异，并确定了影响这些偏好的因素。方法：FQHC患者（N = 350）于2022年完成心理健康服务满意度调查。人口统计数据来自电子健康记录。Fisher’s Exact测试用于确定人们对方式的偏好（电话、视频或面对面）是否因人口统计因素而异。使用归纳方法对开放式评论进行定性评估，以确定与情态偏好相关的主题。结果：情态偏好随年龄和语言的不同而不同（p's p's >0.36）。模式偏好的原因分为六个主题：(1)便利，(2)连接，(3)交通/可达性，(4)健康问题，(5)照顾责任，(6)技术。结论：这些发现阐明了FQHC患者偏好远程医疗的原因，并确定了远程医疗的使用差距。

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来源期刊

Telemedicine and e-Health 医学-卫生保健

CiteScore

8.80

自引率

6.40%

发文量

270

审稿时长

2.3 months

期刊介绍： Telemedicine and e-Health is the leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. It places special emphasis on the impact of telemedicine on the quality, cost effectiveness, and access to healthcare. Telemedicine applications play an increasingly important role in health care. They offer indispensable tools for home healthcare, remote patient monitoring, and disease management, not only for rural health and battlefield care, but also for nursing home, assisted living facilities, and maritime and aviation settings. Telemedicine and e-Health offers timely coverage of the advances in technology that offer practitioners, medical centers, and hospitals new and innovative options for managing patient care, electronic records, and medical billing.