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Effectively teaching cultural competence in healthcare education
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Development of a standard of care for patients with valosin-containing protein associated multisystem proteinopathy.
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In: Orphanet journal of rare diseases, vol 17, iss 1 (2022)
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Providing a parent-administered outcome measure in a bilingual family of a father and a mother of two adolescents with ASD: brief report.
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In: Developmental neurorehabilitation, vol 25, iss 2 (2022)
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Satisfaction can co-exist with hesitation: qualitative analysis of acceptability of telemedicine among multi-lingual patients in a safety-net healthcare system during the COVID-19 pandemic.
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In: BMC health services research, vol 22, iss 1 (2022)
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Abstract:
BackgroundThe COVID-19 pandemic triggered unprecedented expansion of outpatient telemedicine in the United States in all types of health systems, including safety-net health systems. These systems generally serve low-income, racially/ethnically/linguistically diverse patients, many of whom face barriers to digital health access. These patients' perspectives are vital to inform ongoing, equitable implementation efforts.MethodsTwenty-five semi-structured interviews exploring a theoretical framework of technology acceptability were conducted from March through July 2020. Participants had preferred languages of English, Spanish, or Cantonese and were recruited from three clinics (general medicine, obstetrics, and pulmonary) within the San Francisco Health Network. Both deductive and inductive coding were performed. In a secondary analysis, qualitative data were merged with survey data to relate perspectives to demographic factors and technology access/use.ResultsParticipants were diverse with respect to language (52% non-English-speaking), age (range 23-71), race/ethnicity (24% Asian, 20% Black, 44% Hispanic/Latinx, 12% White), & smartphone use (80% daily, 20% weekly or less). All but 2 had a recent telemedicine visit (83% telephone). Qualitative results revealed that most participants felt telemedicine visits fulfilled their medical needs, were convenient, and were satisfied with their telemedicine care. However, most still preferred in-person visits, expressing concern that tele-visits relied on patients' abilities to access telemedicine, as well as monitor and manage their own health without in-person physical evaluation.ConclusionsHigh satisfaction with telemedicine can co-exist with patient-expressed hesitations surrounding the perceived effectiveness, self-efficacy, and digital access barriers associated with a new model of care. More research is needed to guide how healthcare systems and clinicians make decisions and communicate about visit modalities to support high-quality care that responds to patients' needs and circumstances.
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Keyword:
7.1 Individual care needs; Acceptability; Behavioral and Social Science; Clinical Research; COVID-19; Female; Health Policy & Services; Health Services; Humans; Library and Information Studies; Multilingual; Networking and Information Technology R&D; Nursing; Pandemics; Patient Safety; Patient Satisfaction; Personal Satisfaction; Pregnancy; Public Health and Health Services; Rural Health; Safety-net; SARS-CoV-2; Telehealth; Telemedicine; United States
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URL: https://escholarship.org/uc/item/3q59z6jf
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Developmental screening using caregiver report: an evaluation of screening tools and childhood developmental delays in South Africa ...
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Developmental screening using caregiver report: an evaluation of screening tools and childhood developmental delays in South Africa ...
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Evaluating the Efficacy of Thiel Cadavers Versus Low Fidelity Simulation Plastic Mannequins for Teaching Intubation Skills in Medical Education
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In: Appalachian Student Research Forum & Jay S. Boland Undergraduate Research Symposium (2022)
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Assessing Self-Efficacy in Families of Children with Hearing Concerns through an Audiological Early Intervention Training
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In: Appalachian Student Research Forum & Jay S. Boland Undergraduate Research Symposium (2022)
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Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 2785 (2022)
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Care Ethics, Bruno Latour, and the Anthropocene
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In: Philosophies; Volume 7; Issue 2; Pages: 31 (2022)
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Translation and Cultural Adaptation into Portuguese of the Quality of Dying and Death Scale for Family Members of Patients in Intensive Care Units
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 6; Pages: 3614 (2022)
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Critical Thinking and Motivation in Vocational Training and Baccalaureate: A Comparison Study of Students of Spanish Nationality, Unaccompanied Foreign Minors and Young Care Leavers
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 9; Pages: 5272 (2022)
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Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 9; Pages: 5102 (2022)
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Teaching Elaborative Reminiscing to Support Autobiographical Memory and Relationships in Residential and Community Aged Care Services
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In: Brain Sciences; Volume 12; Issue 3; Pages: 374 (2022)
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Requirements and Solution Approaches to Personality-Adaptive Conversational Agents in Mental Health Care
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In: Sustainability; Volume 14; Issue 7; Pages: 3832 (2022)
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Variation in Seeking Care for Cardiovascular Disease and Ambulance Utilization among Migrants in Australia: Time, Ethnicity, and Delay (TED) Study III
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 3; Pages: 1516 (2022)
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Promoting Mental Health and Wellbeing in Multicultural Australia: A Collaborative Regional Approach
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 5; Pages: 2723 (2022)
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Eco-Anxiety and Pastoral Care: Theoretical Considerations and Practical Suggestions
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In: Religions; Volume 13; Issue 3; Pages: 192 (2022)
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Queens and Wet Nurses: Indispensable Women in the Dynasty of the Sun King (1540–1580)
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In: Healthcare; Volume 10; Issue 2; Pages: 316 (2022)
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Health Care for Refugees in Europe: A Scoping Review
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In: International Journal of Environmental Research and Public Health; Volume 19; Issue 3; Pages: 1278 (2022)
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