National Healthcare Quality and Disparities Report
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大象视频Research Studies
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 4 of 4 Research Studies DisplayedHsueh L, Zheng M, Huang J
"Complete and accurate, and warmhearted too": telemedicine experiences and care needs of Mandarin-speaking patients with limited English proficiency.
The purpose of this study was to examine telemedicine experiences among Mandarin-speaking patients with limited English proficiency at Kaiser Permanente Northern California. The study interviewed 20 participants aged 41-81 who completed telemedicine visits in August 2021. Patients highlighted communication quality, provider patience, and language service accessibility as key factors in their care experience. The investigation revealed that while participants viewed telemedicine as valuable, they encountered challenges with healthcare provider communication styles and needed more comprehensive language support throughout their care journey.
AHRQ-funded; HS025189.
Citation: Hsueh L, Zheng M, Huang J .
"Complete and accurate, and warmhearted too": telemedicine experiences and care needs of Mandarin-speaking patients with limited English proficiency.
J Gen Intern Med 2024 Nov; 39(14):2741-46. doi: 10.1007/s11606-024-08984-4.
Keywords: Telehealth, Health Information Technology (HIT), Patient Experience, Cultural Competence, Communication
Strechen I, Wilson P, Eltalhi T
Harnessing health information technology to promote equitable care for patients with limited English proficiency and complex care needs.
This study aims to address healthcare disparities faced by patients with language barriers by leveraging interpreter services through a stepped wedge cluster randomized trial at Mayo Clinic. Running from May 2023 to June 2024, the trial will compare standard care (control group) with an intervention group that uses a predictive machine-learning algorithm to identify and prioritize adult inpatients needing interpreter services. The effectiveness will be measured by comparing in-person interpreter use and the time to first interpreter engagement between both groups.
AHRQ-funded; HS028475.
Citation: Strechen I, Wilson P, Eltalhi T .
Harnessing health information technology to promote equitable care for patients with limited English proficiency and complex care needs.
Trials 2024 Jul 4; 25(1):450. doi: 10.1186/s13063-024-08254-y..
Keywords: Telehealth, Health Information Technology (HIT), Communication, Cultural Competence, Clinician-Patient Communication
Olaya F, Brin M, Caraballo PB
A randomized controlled trial of the dissemination of an mHealth intervention for improving health outcomes: the WiseApp for Spanish-speakers living with HIV study protocol.
The purpose of this study is to test the effectiveness of an mHealth tool to improve adherence to HIV medication in Spanish-speaking people living in New York City and the Dominican Republic. The researchers developed the WiseApp study as a two-arm randomized controlled trial. The 248 participants from New York and the Dominican Republic were randomly assigned to receive a CleverCap pill bottle that is linked to the WiseApp (intervention) or to the standard of care (control). The participants completed surveys at the baseline, 3-month, 6-month, and 12-month follow-up visits. Through blood draws at each study timepoint, the study team collected HIV-1 viral load and CD4 count results. Results will be forthcoming.
AHRQ-funded; HS028523.
Citation: Olaya F, Brin M, Caraballo PB .
A randomized controlled trial of the dissemination of an mHealth intervention for improving health outcomes: the WiseApp for Spanish-speakers living with HIV study protocol.
BMC Public Health 2024 Jan 17; 24(1):201. doi: 10.1186/s12889-023-17538-y..
Keywords: Human Immunodeficiency Virus (HIV), Telehealth, Health Information Technology (HIT), Cultural Competence, Outcomes
Hsueh L, Huang J, Millman AK
Cross-sectional association of patient language and patient-provider language concordance with video telemedicine use among patients with limited English proficiency.
The surge in telemedicine use during the COVID-19 pandemic underscores the need to address gaps in patient care, particularly for individuals with limited English proficiency. The purpose of this study was to investigate the relationship between patient language, patient-provider language alignment, and the type of telemedicine visit (video or phone consultation). The researchers conducted a cross-sectional analysis using automated data from primary care telemedicine appointments scheduled between March 16, 2020, and October 31, 2020 within a comprehensive healthcare delivery system in Northern California. A total of 22,427 completed primary care telemedicine visits booked by 13,764 patients with limited English proficiency through the patient portal. The study examined the cross-sectional link between electronic health record-documented patient language (with Spanish as the reference) and patient-provider language concordance, considering patient demographics, technology access, and technology familiarity. RESULTS: The study found that among all scheduled appointments, 34.5% (n=7747) were video consultations. The three most common patient languages were Spanish (42.4%), Cantonese (16.9%), and Mandarin (10.3%). After adjusting for demographic and technology factors, video visit usage was higher for patients speaking Cantonese, Mandarin, or Vietnamese, compared to Spanish-speaking patients, but lower for those who spoke Punjabi. Language concordance was linked to decreased video visit utilization and influenced the relationship between speaking Spanish, Cantonese, and Korean with video visit usage. Furthermore, for all language groups, patients with prior video visit experience were more likely to use video visits again.
AHRQ-funded; HS025189
Citation: Hsueh L, Huang J, Millman AK .
Cross-sectional association of patient language and patient-provider language concordance with video telemedicine use among patients with limited English proficiency.
J Gen Intern Med 2023 Feb;38(3):633-40. doi: 10.1007/s11606-022-07887-6.
Keywords: Telehealth, Health Information Technology (HIT), Cultural Competence, Clinician-Patient Communication, Communication, Healthcare Delivery, COVID-19
