Exploring Primary Healthcare Experiences and Interest in Mobile Technology Engagement Amongst an Urban Population Experiencing Barriers to Care.
| Autor: | Pakhomova, Tatiana E., Nicholson, Valerie, Fischer, Matthew, Ferguson, Joanna, Moore, David M., Salters, Kate, Lester, Richard T., Kremer, Hayden, Dawydiuk, Nicole, Barrios, Rolando, Parashar, Surita |
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| Předmět: |
CELL phones
RELIABILITY (Personality trait) HEALTH services accessibility FOCUS groups MIDDLE-income countries DISCRIMINATION (Sociology) PHYSICIAN-patient relations RESEARCH methodology MEDICAL technology SOCIAL stigma MEDICAL care costs DIGITAL health PRIMARY health care PATIENTS' attitudes CONTINUUM of care DESCRIPTIVE statistics LOW-income countries RESEARCH funding THEMATIC analysis MEDICAL needs assessment |
| Zdroj: | Qualitative Health Research; Jul2023, Vol. 33 Issue 8/9, p765-777, 13p |
| Abstrakt: | Mobile phone–based engagement approaches provide potential platforms for improving access to primary healthcare (PHC) services for underserved populations. We held two focus groups (February 2020) with residents (n = 25) from a low-income urban neighbourhood (downtown Vancouver, Canada), to assess recent healthcare experiences and elicit interest in mobile phone–based healthcare engagement for underserved residents. Note-based analysis, guided by interpretative description, was used to explore emerging themes. Engagement in PHC was complicated by multiple, intersecting personal-level and socio-structural factors, and experiences of stigma and discrimination from care providers. Perceived inadequacy of PHC services and pervasive discrimination reported by participants indicate a significant and ongoing need to improve client–provider relationships to address unmet health needs. Mobile phone–based engagement was endorsed, highlighting phone ownership and client–provider text-messaging, facilitated by non-clinical staff such as peers, as helpful to strengthening retention and facilitating care team connection. Concerns raised included reliability, cost, and technology and language accessibility. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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