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Exploring Primary Healthcare Experiences and Interest in Mobile Technology Engagement Amongst an Urban Population Experiencing Barriers to Care.
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.
Afiliación
  • Pakhomova TE; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Nicholson V; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Fischer M; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Ferguson J; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Moore DM; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Salters K; Department of Medicine, Division of Infectious Diseases, University of British Columbia, Vancouver, BC, Canada.
  • Lester RT; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Kremer H; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
  • Dawydiuk N; Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
  • Barrios R; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
  • Parashar S; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
Qual Health Res ; 33(8-9): 765-777, 2023 07.
Article en En | MEDLINE | ID: mdl-37225177
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina Tipo de estudio: Qualitative_research Aspecto: Implementation_research Límite: Humans Idioma: En Revista: Qual Health Res Asunto de la revista: ENFERMAGEM / PESQUISA EM SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Telemedicina Tipo de estudio: Qualitative_research Aspecto: Implementation_research Límite: Humans Idioma: En Revista: Qual Health Res Asunto de la revista: ENFERMAGEM / PESQUISA EM SERVICOS DE SAUDE Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos