远程医疗、远程行为健康和H-2A签证移民农场工人的患者门户意愿、使用和访问挑战,北卡罗来纳州,美国,2024。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Elisabeth C Reed, Nowrin Nusrat, Lilibeth Andres, Tania Connaughton-Espino, Natalie D Rivera, Modjulie A Moore, Jose A Robles Arvizu, Catherine E LePrevost, Joseph G L Lee
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引用次数: 0

摘要

数字医疗服务可以便利患者获得医疗保健服务。然而,在美国,获得可靠的互联网和使用数字医疗保健是由种族、民族和阶级决定的。我们评估了持临时H-2A工作签证抵达北卡罗来纳州的农场工人(n = 327)访问数字医疗保健平台的意愿、使用情况和挑战。我们于2024年在H-2A签证持有人的中央抵达中心进行了一项关于英语和西班牙语数字医疗保健访问的调查。我们计算了描述性统计数据,并评估了使用和接受数字医疗保健的意愿与人口变量之间的关联。大多数与会者对利用远程保健和病人门户网站感兴趣,但很少有人使用过这些服务。在使用过远程保健的参与者中,50%报告需要帮助。年龄较大的参与者比年轻的参与者更不可能使用患者门户。未来的干预措施应考虑农民工在建立数字卫生服务模式和提供数字技能培训方面的独特背景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024.

Digital health services can facilitate patients' access to healthcare. However, access to reliable internet and utilization of digital healthcare are patterned by race, ethnicity, and class in the United States. We assessed willingness, use, and challenges accessing digital healthcare platforms among farmworkers arriving in North Carolina on temporary H-2A work visas (n = 327). We fielded a survey on digital healthcare access in English and Spanish at a central arrival hub for H-2A visa holders in 2024. We calculated descriptive statistics and assessed associations between willingness to use and uptake of digital healthcare and demographic variables. Most participants were interested in utilizing telehealth and patient portals, but few had ever used these services. Among participants who had used telehealth, 50% reported needing assistance. Older participants were less likely to utilize patient portals than younger participants. Future interventions should consider the unique context of migrant farmworkers in building digital health service models and provide digital skills training.

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来源期刊
Journal of Immigrant and Minority Health
Journal of Immigrant and Minority Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
5.30%
发文量
104
期刊介绍: Journal of Immigrant and Minority Health is an international forum for the publication of peer-reviewed original research pertaining to immigrant health from contributors in many diverse fields including public health, epidemiology, medicine and nursing, anthropology, sociology, population research, immigration law, and ethics. The journal also publishes review articles, short communications, letters to the editor, and notes from the field.
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