BackgroundRural and remote communities were especially vulnerable to the COVID-19 pandemic due to the availability and capacity of rural health services. Research has found that key issues surrounded (1) the lack of staff, (2) the need for coordinated health services, and (3) operational and facility issues. Similarly, research also confirms that irrespective of hospital capacity issues existing during crisis, compared to urban communities, rural communities typically face poorer access to health services. Telehealth programs have long held promise for addressing health disparities perpetuated by inadequate health care access. In response to the current COVID-19 pandemic, Adventist Health Saint Helena Hospital, a rural hospital in northern California, urgently worked to expand telehealth services. However, as Adventist Health Saint Helena Hospital is the longest-serving rural hospital in the state of California, administrators were also able to draw on experiences from the pandemic of 1918/1919. Understanding their historically rural and heavily Latino populations, their telehealth approach was coupled with cultural approaches for prioritizing socially responsive and equitable access to health services. ObjectiveThis study aimed to present one rural community’s holistic sociotechnical response to COVID-19 in redesigning their health care delivery approach. Redesign efforts included the expansion of digital health services coupled with county-wide collaborations for nondigital mobile health centers, testing, and vaccination clinics to meet the needs of those with limited digital access and language barriers. MethodsWe present data on telehealth services for maintaining critical care services and a framework on the feasibility of private-public partnerships to address COVID-19 challenges. ResultsIn this paper, we provide a critical review of how a rural hospital adapted its health care approach to incorporate telehealth services and distance services to meet the needs of a diverse population. ConclusionsThis paper contributes empirical data on how rural communities can use telehealth technologies and community partnerships for a holistic community approach to meet health needs during a natural disaster. Conflicts of InterestNone declared.
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Navigating Telehealth Challenges: Rural Perspectives on Technology Access and Trust
This study delves into the adoption and challenges of telehealth services in rural settings, examining racial and locational influences on usage. Employing qualitative methods, it draws on 30 detailed interviews with both healthcare providers and patients in two racially diverse, economically disadvantaged towns in Southern Illinois from fall 2021 to spring 2023. Our findings indicate that insufficient internet access and lack of necessary devices are significant factors in the reluctance of rural residents to embrace telehealth services. Additionally, this study reveals a major barrier: a deep-seated mistrust in the telehealth infrastructure's ability to safeguard private medical information. Notably, our results show that Black participants have heightened concerns regarding the health care industry's capacity to maintain the confidentiality of their medical data.
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- Award ID(s):
- 2122092
- PAR ID:
- 10506576
- Editor(s):
- Ramsey, Doug
- Publisher / Repository:
- Rural Development Institute, Brandon University
- Date Published:
- Journal Name:
- Journal of rural and community development
- Volume:
- 19
- Issue:
- 2
- ISSN:
- 1712-8277
- Page Range / eLocation ID:
- 167-180
- Subject(s) / Keyword(s):
- telehealth broadband rural inequalities trust race
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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