Patient and provider perspectives on using telemedicine for chronic disease management among Native Hawaiian and Alaska Native people.

摘要: Background. Among indigenous populations in remote locations who are at increased risk for chronic diseases such as diabetes, telemedicine has the potential to improve access health care services and thus may reduce adverse outcomes. Yet few studies available on how best use technology reducing ethnic racial disparities. Objective. We examined perspectives of patients providers 2 Alaska Hawai’i about primary disease management. Design. Six focus groups with sites (3 3 Hawai’i). Results. Three broad themes were common both sites: (a) benefits barriers using telemedicine; (b) building patientprovider relationships; (c) elements an acceptable encounter. Two key endorsed by important effective encounter: initial interaction should be face-to-face; must see same provider follow-up visits. Conclusion. The management patient supplement relationships. Keywords: Alaska; Indians, North America; groups; use; treatment; perspective; perspective (Published: 5 August 2013) This paper is part of  Supplement 1, 2013, ICCH15 Proceedings . More papers from this can found  here Citation: Int J Circumpolar Health 72 : 21401 - http://dx.doi.org/10.3402/ijch.v72i0.21401