关键词: access accessibility experience language language-concordant care maps physicians primary care web-based maps

来  源:   DOI:10.2196/56716   PDF(Pubmed)

Abstract:
BACKGROUND: Language-concordant health care, or health care in a patient\'s language of choice, is an important element of health accessibility that improves patient safety and comfort and facilitates an increased quality of care. However, prior research has found that linguistic minorities often face higher travel burdens to access language-concordant care compared to the general population.
OBJECTIVE: This study intended to assess patient experiences and satisfaction with an online interactive physician map that allows patients to find family physicians who speak their preferred language in and around Ottawa, Ontario, Canada, as a means of identifying areas of improvement.
METHODS: This study used an online survey with questions related to user satisfaction. Responses to Likert-scale questions were compiled as summary statistics and short-answer responses underwent thematic analysis. The study setting was Ottawa and Renfrew County, Ontario, and the surrounding region, including the province of Quebec.
RESULTS: A total of 93 respondents completed the survey and self-identified as living in Ontario or Quebec. Overall, 57 (61%) respondents were \"very satisfied\" or \"somewhat satisfied\" with the map, 16 (17%) were \"neither satisfied nor dissatisfied,\" and 20 (22%) were \"very dissatisfied\" or \"somewhat dissatisfied.\" We found no significant differences in satisfaction by preferred language, age group, physician attachment, or intended beneficiary. A total of 56 respondents provided short-answer responses to an open-ended question about map improvements. The most common specific suggestion was to show which physicians are accepting new patients (n=20). Other suggestions included data refreshes (n=6), user interface adjustments (n=23), and additional languages (n=2). Some participants also provided positive feedback (n=5) or expressed concern with their inability to find a family physician (n=5). Several comments included multiple suggestions.
CONCLUSIONS: While most patients were satisfied with the online map, a significant minority expressed dissatisfaction that the map did not show which family physicians were accepting new patients. This suggests that there may be public interest in an accessible database of which family physicians in Ontario are currently accepting new patients.
摘要:
背景:语言和谐的医疗保健,或以患者选择的语言进行医疗保健,是健康可及性的重要因素,可提高患者的安全性和舒适度,并有助于提高护理质量。然而,先前的研究发现,与普通人群相比,语言少数群体通常面临更高的旅行负担,无法获得语言和谐的护理。
目的:这项研究旨在评估患者的经验和对在线互动医生地图的满意度,该地图使患者能够找到在渥太华及其周边地区说自己喜欢的语言的家庭医生。安大略省,加拿大,作为确定改进领域的一种手段。
方法:这项研究使用了一项在线调查,其中包含与用户满意度相关的问题。对李克特量表问题的回答被编制为汇总统计数据,简短回答的回答进行了专题分析。研究背景是渥太华和伦弗鲁县,安大略省,和周围地区,包括魁北克省。
结果:共有93名受访者完成了调查,并自我确定为居住在安大略省或魁北克。总的来说,57(61%)受访者对地图“非常满意”或“有点满意”,16人(17%)“既不满意也不满意,20人(22%)表示“非常不满意”或“有点不满意”。“我们发现不同首选语言的满意度没有显著差异,年龄组,医生依恋,或预期受益人。共有56名受访者对有关地图改进的开放式问题提供了简短回答。最常见的具体建议是显示哪些医生正在接受新患者(n=20)。其他建议包括数据刷新(n=6),用户界面调整(n=23),和其他语言(n=2)。一些参与者还提供了积极的反馈(n=5)或表示担心他们无法找到家庭医生(n=5)。一些评论包括多个建议。
结论:虽然大多数患者对在线地图感到满意,少数人对地图没有显示哪些家庭医生正在接受新患者表示不满。这表明,安大略省的家庭医生目前正在接受新患者的可访问数据库可能会引起公众的兴趣。
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