TY - JOUR AU - Levine, Susan AU - Gupta, Richa AU - Alkwatli, Kenda AU - Almoushref, Allaa AU - Cherian, Saira AU - Jimenez, Dominique Feterman AU - Cordero Baez, Greishka Nicole AU - Hart, Angela AU - Weinstock, Clara PY - 2022 DA - 2022/8/10 TI -美国移民患者在学术内科实践中的远程健康认知:横断面研究JO - JMIR Hum Factors SP - e36069 VL - 9 IS - 3kw -远程医疗KW -移民患者KW -移民患者KW -少数民族患者KW -文化少数民族患者KW -患者满意度KW -远程卫生保健KW -满意度KW -卫生保健KW -卫生公平KW -数字卫生保健KW -患者体验AB -背景:远程医疗的使用在COVID-19大流行期间大幅增加。虽然有数据显示患者对远程医疗的满意度，但对移民患者的经历却知之甚少。目的:我们试图调查与移民和非移民之间的面对面访问相比，远程医疗患者的经验。我们希望在康涅狄格法明顿大学内科实践中确定和描述下次就诊偏好，以最终指导更公平的使用和访问选项的可及性建议。方法:共270例患者，包括122名移民和148名非移民，由4名内科医生在现场(n=132)或远程医疗(n=138)大学实践设置。在2021年2月至4月期间，使用了一份改编自之前验证过的患者满意度调查对患者进行了询问，该调查包含了由医疗保健提供商和系统消费者评估项目开发的标准问题。通过亲自拜访的患者完成了一份纸质的调查。同样的调查是通过远程医疗随访电话进行的。接受调查的患者说英语、西班牙语或阿拉伯语，并使用他们喜欢的语言进行调查。 For televisits, the same survey was read to the patient by a certified translator. The survey consisted of 10 questions on a Likert scale of 1-5. Of them, 9 questions assessed patient satisfaction under the categories of access to care, interpersonal interaction, and quality of care. An additional question asked patients to describe and explain the reasons behind next visit preferences. Survey question responses were compared by paired t tests. Results: Across both immigrant and nonimmigrant patient populations, satisfaction with perceived quality of care was high, regardless of visit type (P=.80, P=.60 for televisits and P=.76, P=.37 for in-person visits). During televisits, immigrants were more likely to feel providers spent sufficient time with them (P<.001). Different perceptions were noted among nonimmigrant patients. Nonimmigrants tended to perceive more provider time during in-person visits (P=.006). When asked to comment on reasons behind next televisit preference, nonimmigrant patients prioritized convenience, whereas immigrants noted not having to navigate office logistics. For those who chose in-person visits, both groups prioritized the need for a physical exam. Conclusions: Although satisfaction was high for both telemedicine and in-person visits across immigrant and nonimmigrant populations, significant differences in patient priorities were identified. Immigrants found televisits desirable because they felt they spent more time with providers and were able to avoid additional office logistics that are often challenging barriers for non-English speakers. This suggests opportunities to use information technology to provide cultural and language-appropriate information throughout immigrants’ in-person and telemedicine visit experience. A focus on diminishing these barriers will help reduce health care inequities among immigrant patients. SN - 2292-9495 UR - https://humanfactors.www.mybigtv.com/2022/3/e36069 UR - https://doi.org/10.2196/36069 UR - http://www.ncbi.nlm.nih.gov/pubmed/35947438 DO - 10.2196/36069 ID - info:doi/10.2196/36069 ER -