Patient interest in and barriers to telemedicine video visits in a multilingual urban safety-net system
Open accessAbstract
Objective: To determine interest in and barriers to video visits in safety-net patients with diverse age, racial/ethnic, or linguistic background. Materials and Methods: We surveyed patients in an urban safety-net system to assess: interest in video visits; ability to successfully complete test video visits; and barriers to successful completion of test video visits. Results: Among 202 participants, of which 177 (87.6%) were persons of color and 113 (55.9%) preferred non-English languages, 132 (65.3%) were interested in and 109 (54.0%) successfully completed a test video visit. Younger age, non-English preference, and prior smartphone application use were associated with interest. Over half (n = 112) reported barriers to video visits; Internet/data access was the most common barrier (n = 50, 24.8%). Conclusion: Safety-net patients are interested in video visits and able to successfully complete test visits. Internet or mobile data access is a common barrier in even urban safety-net settings and may impact equitable telemedicine access.
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In the included studies, digital health interventions improved timeliness of and accessibility to health care and information.
“This included improved user experience, timeliness of and accessibility to health care and information, consistent with studies in other settings20,85,86.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [85]
In the included studies, digital health interventions improved user experience.
“This included improved user experience, timeliness of and accessibility to health care and information, consistent with studies in other settings20,85,86.”
From Digital health interventions for non-communicable disease management in primary health care in low-and middle-income countries (2023) · cites this paper as [85]
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- Authors
- Khoong, E. C., Butler, B. A., Mesina, O., Su, G., DeFries, T. B., Nijagal, M., & Lyles, C. R.
- Affiliations
- San Francisco General Hospital (US)
- University of California, San Francisco (US)
- Corresponding author
- Khoong, Elaine C
- Venue
- Journal of the American Medical Informatics Association
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-11-04
- Volume
- 28
- Issue
- 2
- Pages
- 349-353
- ISSN
- 1067-5027 (ISSN-L)
- 1527-974X
- PMC
- PMC7883976
- OpenAlex
- W3092246734
- Cited by
- 94
- References
- 16
- Citations by year
- 2026: 5 · 2025: 13 · 2024: 18 · 2023: 27 · 2022: 20 · 2021: 10
- FWCI
- 10.67
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Journal of the American Medical Informatics Association (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Patrick and Catherine Weldon Donaghue Medical Research Foundation
- National Heart Lung and Blood Institute of the NIH (K12HL138046)
- National Center for Advancing Translational Sciences of the NIH (KL2TR001870)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- telemedicine, video consultation, safety net health care, patient interests, barriers to telehealth, multilingual patients, language preference, racial and ethnic minorities, internet access, mobile data access, health equity, smartphone use, urban health services
- MeSH terms
- Adolescent, Adult, Age Factors, Aged, Attitude to Health, California, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Telemedicine, Urban Health Services, Multilingualism, Health Care Surveys, Young Adult, Safety-net Providers
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