Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024.
Digital health services can facilitate patients' access to healthcare. However, access to reliable internet and utilization of digital healthcare are patterned by race, ethnicity, and class in the United States. We assessed willingness, use, and challenges accessing digital healthcare platforms amon...
| Publicado en: | Journal of Immigrant & Minority Health Vol. 28; no. 1; pp. 37 - 42 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191453444&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191453444 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15571912 1UWU jtl: Journal of Immigrant & Minority Health issn: 15571912 maglogo: N pubinfo: dt: Feb2026 vid: 28 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191453444 187523985 191453444 191453444 10.1007/s10903-025-01767-x 191453444 ppf: 37 ppct: 5 formats: tig: atl: Telehealth, Telebehavioral Health, and Patient Portal Willingness, Use, and Access Challenges among Migrant Farmworkers on H-2A Visas, North Carolina, USA, 2024. aug: au: Reed, Elisabeth C. Nusrat, Nowrin Andres, Lilibeth Connaughton-Espino, Tania Rivera, Natalie D. Moore, Modjulie A. Robles Arvizu, Jose A. LePrevost, Catherine E. Lee, Joseph G. L. affil: https://ror.org/0207ad724 Department of Implementation Science, Division of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States sug: subj: Telehealth Telepsychiatry Patient Portals Health Services Accessibility Farmworkers Psychosocial Factors Migrants Psychosocial Factors Internet Access Health Resource Utilization Human North Carolina Digital Health Descriptive Statistics Logistic Regression Data Analysis Software Confidence Intervals Odds Ratio Male Female Adolescence Adult Middle Age Aged Digital Divide Healthcare Disparities Patient Attitudes Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Digital health services can facilitate patients' access to healthcare. However, access to reliable internet and utilization of digital healthcare are patterned by race, ethnicity, and class in the United States. We assessed willingness, use, and challenges accessing digital healthcare platforms among farmworkers arriving in North Carolina on temporary H-2A work visas (n = 327). We fielded a survey on digital healthcare access in English and Spanish at a central arrival hub for H-2A visa holders in 2024. We calculated descriptive statistics and assessed associations between willingness to use and uptake of digital healthcare and demographic variables. Most participants were interested in utilizing telehealth and patient portals, but few had ever used these services. Among participants who had used telehealth, 50% reported needing assistance. Older participants were less likely to utilize patient portals than younger participants. Future interventions should consider the unique context of migrant farmworkers in building digital health service models and provide digital skills training. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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