Analyzing Linguistic Disparities in Telehealth Care Outcomes at a Multidisciplinary Craniofacial Center.

IF 1.2 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Cleft Palate-Craniofacial Journal Pub Date : 2024-12-01 Epub Date: 2023-08-22 DOI:10.1177/10556656231187291

Elizabeth Danial, Jennifer Rios, Ryan Badiee, Glenn Rosenbluth, Jason H Pomerantz

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引用次数: 0

Abstract

Objective: To examine linguistic disparities between English- and Spanish-speaking patients in access to care, satisfaction, and telehealth appointment attendance.

Design: Retrospective study recording demographics for non-attendance analysis and conducting phone surveys assessing satisfaction with telehealth.

Setting: Data was collected between March and December 2020 at the UCSF Craniofacial Center (CFC), a multidisciplinary pediatric clinic. Patients: English- and Spanish-speaking patients with a telehealth appointment. Interventions: The CFC offered language-concordant outreach, assistance with the telehealth platform, and interpreters at all telehealth appointments.

Main outcome measures: Demographics and patient-reported satisfaction with telehealth, barriers, and instruction clarity.

Results: Medicaid insurance was the only predictor of non-attendance. Surveys revealed that Spanish-speakers had 12.4 times the odds of lacking access to telehealth technology and 10.7 times the odds of needing help with logging on compared to English-speakers. There were no significant differences in satisfaction outcomes.

Conclusions: We attribute this equity in satisfaction to our language-concordant outreach efforts.

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多学科颅面中心远程医疗结果的语言差异分析。

目的：研究英语和西班牙语患者在获得护理、满意度和远程医疗预约方面的语言差异。设计：回顾性研究记录了非出勤分析的人口统计数据，并进行了电话调查，评估了远程医疗的满意度。背景：数据于2020年3月至12月在加州大学旧金山分校颅面中心（CFC）收集，这是一家多学科儿科诊所。患者：有远程医疗预约的英语和西班牙语患者。干预措施：氟氯化碳提供语言协调外联、远程医疗平台援助以及所有远程医疗预约的口译员。主要结果指标：人口学和患者报告对远程医疗的满意度、障碍和指导清晰度。结果：医疗补助保险是未就诊的唯一预测因素。调查显示，与英语使用者相比，西班牙语使用者无法获得远程医疗技术的几率是英语使用者的12.4倍，登录时需要帮助的几率是英文使用者的10.7倍。满意度结果没有显著差异。结论：我们将这种满意度的公平归因于我们的语言和谐外联工作。

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

Cleft Palate-Craniofacial Journal 医学-外科

CiteScore

2.70

自引率

36.40%

发文量

215

期刊介绍： The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.