Socio-Structural Intersect With Post-COVID-19 Telehealth Utilization for Hispanic/Latino Groups in Colorado: A Mixed Methods Study.
| Autor: | Amura CR; University of Colorado, Aurora, USA., Medina R; University of Colorado, Aurora, USA., Bean M; University of Colorado, Aurora, USA., Centi S; University of Colorado, Aurora, USA., Cook PF; University of Colorado, Aurora, USA., Barton AJ; University of Colorado, Aurora, USA., Jones J; University of Colorado, Aurora, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of transcultural nursing : official journal of the Transcultural Nursing Society [J Transcult Nurs] 2024 Aug 27, pp. 10436596241271301. Date of Electronic Publication: 2024 Aug 27. |
| DOI: | 10.1177/10436596241271301 |
| Abstrakt: | Introduction: We evaluated telehealth utilization among Colorado Hispanics/Latinos during the COVID-19 pandemic. Methods: A mixed methods design was used with urban and rural patients recruited through two Colorado Federally Qualified Health Centers (FQHCs) serving large Hispanic/Latino communities. Linguistically and culturally adapted Patient Attitudes Toward Telehealth (PATAT) surveys were collected electronically. Semi-structured interviews were conducted with a purposeful sample of Spanish-speaking Hispanics/Latinos. Results: Although the FQHCs serve a Hispanic/Latino population, only 40% of survey respondents (82/204) were Hispanic/Latinos, and they reported less telehealth utilization ( p < .01). Trust in telehealth seemed driven by previous use, with no differences in PATAT scores by ethnicity or geolocation. Interviews with Spanish-speaking Hispanics/Latinos showed they highly preferred in-person care, and factors that influenced telehealth utilization were situated within the intersection of culture and trust with socio-structural determinants of health. Discussion: Resolving disparities in telehealth utilization requires patient-centric approaches and equitable transcultural care for underserved Hispanic/Latino populations. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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