电话调查--黑人和非黑人癌症患者对远程医疗就诊的看法。

IF 4.7 3区 医学 Q1 ONCOLOGY
Ilona Fridman, Christine Neslund-Dudas, Lauren C J Barrow, Matthew R Dunn, Regina Jones, Alan C Kinlaw, Angela B Smith, Jacob N Stein, Samantha Tam, William A Wood, Jennifer Elston Lafata
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引用次数: 0

摘要

目的:经验证据强调了远程医疗就诊的好处以及黑人成年人在使用远程医疗就诊方面持续存在的差异。在技术接受模型的指导下,我们评估了在两个学术医疗系统接受癌症治疗的黑人和非黑人成人对远程医疗就诊的看法:方法:2022 年 4 月至 2023 年 10 月期间,我们对过去 3 年接受过癌症治疗的成年患者进行了调查。调查招募按就诊类型(远程医疗或面对面就诊)和种族进行分层。在预定的肿瘤就诊前,受访者完成了一项电话调查,以评估他们对远程医疗就诊的实用性、易用性和态度的看法。采用卡方检验估计频率差异,采用逻辑回归估计流行率差异:773 名受访者(42% 为黑人)完成了调查,回复率为 15%。黑人受访者更年轻,更少报告男性性别、已婚、受过大学教育、收入宽裕或对医疗和电子扫盲有信心。与非黑人受访者相比,黑人受访者认为远程医疗就诊在确定健康需求(37% 对 48%)和提出问题(9% 对 15%)方面的作用较小。他们认为远程医疗就诊在理解医疗服务提供者(14% 对 21%)和连接能力(23% 对 30%)方面不那么容易。黑人受访者对互联网接入(26% 对 15%)、电子设备接入(17% 对 9%)和寻找连接帮助(24% 对 12%)表示了更多的担忧。他们还认为远程医疗就诊的私密性较差(19% 对 34%):在远程医疗的易用性和实用性认知方面的种族差异凸显了肿瘤治疗需要将连接支持与有效的沟通策略相结合,以避免肿瘤远程医疗服务中的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telephone Survey-Reported Perceptions of Telehealth Visits Among Black and Non-Black Patients Diagnosed With Cancer.

Purpose: Empirical evidence underscores both benefits of telehealth visits and persistent disparities in use for Black adults. Guided by the Technology Acceptance Model, we evaluated perceptions regarding telehealth visits among Black and Non-Black adults receiving cancer care from two academic health systems.

Methods: Between April 2022 and October 2023, a survey was conducted among adult patients treated for cancer in the past 3 years. Survey recruitment was stratified by visit type (telehealth or in-person) and race. Before a scheduled oncology visit, respondents completed a telephone survey to assess their perceptions of usefulness, ease of use, and attitudes toward telehealth visits. Frequency differences were estimated using chi-square tests, and prevalence differences using logistic regression.

Results: The survey was completed by 773 respondents (42% Black) with a 15% response rate. Black respondents were younger and less likely to report male sex, being married, having a college education, comfortable income, or confidence in medical and e-literacy. Compared with Non-Black respondents, Black respondents perceived telehealth visits as less useful for determining health needs (37% v 48%) and asking questions (9% v 15%). They thought that telehealth visits were less easy with regard to understanding their health care provider (14% v 21%) and the ability to connect (23% v 30%). Black respondents expressed more concern about internet access (26% v 15%), access to electronic devices (17% v 9%), and finding assistance for connecting (24% v 12%). They also found telehealth visits to be less private (19% v 34%).

Conclusion: Racial differences in telehealth ease of use and usefulness perceptions highlight the need for oncology practices to couple connectivity support with effective communication strategies to avoid disparities in oncology telehealth services.

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来源期刊
CiteScore
6.40
自引率
7.50%
发文量
518
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