Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Mini Review Volume 4 Issue 12

Multicultural Competencies of Healthcare Professionals and Disability-Inclusive in Telehealth during the COVID-19 Pandemic

Si-Yi Chao1*, Keith B Wilson1 and Carrie L Acklin2

1Department of Early Childhood, Special Education, and Counselor Education, University of Kentucky, USA
2Department of Rehabilitation and Counseling, University of Wisconsin-Stout, USA

*Corresponding Author: Si-Yi Chao, Department of Early Childhood, Special Education, and Counselor Education, University of Kentucky, Lexington, KY, USA.

Received: September 30, 2020; Published: November 30, 2020

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Abstract

  There is evidence that people with disabilities are more likely to be discriminated against and to have disproportionate health care disparities compared to people who are able-bodied during the devastating COVID-19 pandemic. In light of COVID-19, telehealth has been transformed to the primary health care delivery due to social restrictions of most, globally. Disability-inclusive telehealth design can promote culturally diverse groups access and more accurate COVID-19 information, knowledge, public health measures, and guidelines of preventive strategies for acquiring COVID-19. Applying multicultural competencies is required for healthcare providers to maximize health engagement and outcomes of PWD. In many areas of health care, healthcare professionals recognize needs, expectations, and perceptions of diverse disability populations. That being said, healthcare professionals should implement appropriate interactions with a patient with a disability and provide culturally responsive telehealth services for other underrepresented groups as well. Hence, the multicultural competencies of healthcare professionals and disability responsive telehealth systems can assist PWD to mitigate health care disparities.

Keywords: People with Disabilities; COVID-19; Multicultural Competencies; Disability Inclusive; Telehealth; Accommodations

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References

  1. World Health Organization. “World report on disability 2011”. World Health Organization (2011).
  2. World Health Organization. “Disability considerations during the COVID-19 outbreak”. World Health Organization (2020).
  3. Brigo, F., et al. "Telemedicine and the challenge of epilepsy management at the time of COVID-19 pandemic”. Epilepsy and Behavior 110 (2020): 107164.
  4. Erickson W., et al. “2018 Disability Status Report: United States”. Ithaca, NY: Cornell University Yang-Tan Institute on Employment and Disability (YTI) (2020): 1-64.
  5. Bright T and Kuper HA. “Systematic review of access to general healthcare services for people with disabilities in low and middle income countries”. International Journal of Environmental Research and Public Health 9 (2018):1879.
  6. Krahn GL., et al. “Persons with disabilities as an unrecognized health disparity population”. American Journal of Public HealthS2 (2015): S198-206.
  7. Sakellariou D., et al. “Disability inclusiveness of government responses to COVID-19 in South America: a framework analysis study”. International Journal for Equity in Health1 (2020): 1-10.
  8. United Nations. “Convention on the rights of persons with disabilities”. United Nations (2016).
  9. Devandas C. “COVID-19: Who is protecting the people with disabilities? - UN rights expert”. United Nations Office of the High Commissioner for Human Rights (2020).
  10. National center for immunization and respiratory diseases. “Information for health departments on reporting cases of COVID-19”. Centers for Disease Control and Prevention (2020).
  11. Andrews, EE., et al. "No body is expendable: Medical rationing and disability justice during the COVID-19 pandemic”. American Psychologist (2020): 1-11.
  12. United Nations. “Policy brief: a disability-inclusive response to COVID-19” (2020): 1-18.
  13. O’Connell CM., et al. "Now, more than ever, our community is needed: spinal cord injury care during a global pandemic”. Spinal Cord Series and Cases18 (2020): 1-2.
  14. Moscoso-Porras MG and German FA. "Association between perceived discrimination and healthcare-seeking behavior in people with a disability”. Disability and Health Journal1 (2018): 93-98.
  15. Iezzoni LI., et al. “Rural residents with disabilities confront substantial barriers to obtaining primary care”. Health Services Research4 Pt 1 (2006): 1258-1275.
  16. Ali A., et al. "Discrimination and other barriers to accessing health care: perspectives of patients with mild and moderate intellectual disability and their carers”. PLoS One8 (2013): 1-13.
  17. Michalopoulou G., et al. “Physicians' cultural competency as perceived by African American patients”. Journal of the National Medical Association9 (2009): 893-899.
  18. Michalopoulou G., et al. “Linking cultural competence to functional life outcomes in mental health care settings”. Journal of the National Medical Association1 (2014): 42-49.
  19. Annlee B. “Health care providers’ knowledge, attitudes, and self-efficacy for working with patients with spinal cord injury who have diverse sexual orientations”. Physical Therapy2 (2008): 191-198.
  20. Bashshur RL., et al. “The empirical foundations of telemedicine interventions for chronic disease management”. Telemedicine Journal and e-Health9 (2014): 769-800.
  21. Aguilera A. "Digital technology and mental health interventions: Opportunities and challenges”. Arbor 771 (2015): A210.
  22. Hilty DM., et al. “A comparison of in-person, synchronous and asynchronous telepsychiatry: Skills/Competencies, teamwork, and administrative workflow”. Journal of Technology in Behavioral Science 5 (2020): 273-288.
  23. Agha Z., et al. “Cost effectiveness of telemedicine for the delivery of outpatient pulmonary care to a rural population”. Telemedicine Journal and e-Health3 (2002): 281-291.
  24. Khubchandani A and Thew D. "Achieving equity in the health of women with disabilities through telehealth: Challenges and benefits”. Eliminating Inequities for Women with Disabilities: An Agenda for Health and Wellness. Washington: American Psychological Association (2016): 83-91.
  25. Mekonnen WT. “A framework for evaluating telemedicine-based healthcare inequality reduction in Ethiopia: a grounded theory approach”. University of South Africa, PhD dissertation (2019).
  26. Annaswamy TM., et al. “Telemedicine barriers and challenges for persons with disabilities: Covid-19 and beyond”. Disability and Health Journal (2020): 1-3.
  27. Wilson KB., et al. "Facilitating application of the multicultural counseling competencies”. Rehabilitation Research, Policy, and Education4 (2019): 234-244.
  28. Hilty DM., et al. "Telehealth for rural diverse populations: Telebehavioral and cultural competencies, clinical outcomes and administrative approaches”. Mhealth20 (2020): 1-19.
  29. Butler M., et al. "Chapter 2 Disability population”. Improving cultural competence to reduce health disparities, Comparative Effectiveness Review No. 170. (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2012-00016-I), Agency for Healthcare Research and Quality; (March 2016): 10-30.
  30. Sue DW., et al. "Multicultural counseling competencies and standards: A call to the profession”. Journal of Counseling and Development4 (1992): 477-486.
  31. Michael J and Richardson A. "Healthcare for all: the independent inquiry into access to healthcare for people with learning disabilities”. Tizard Learning Disability Review4 (2008): 28-34.
  32. Banks LM., et al. “Disability-inclusive responses to COVID-19: Lessons learnt from research on social protection in low- and middle-income countries”. World Development 137 (2021): 105178.
  33. Lund EM and Kara BA. "Raising awareness of disabled lives and health care rationing during the COVID-19 pandemic”. Psychological Trauma: Theory, Research, Practice, and PolicyS1 (2020): S210-S211.
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Citation

Citation: Si-Yi Chao., et al. “Multicultural Competencies of Healthcare Professionals and Disability-Inclusive in Telehealth during the COVID-19 Pandemic”. Acta Scientific Medical Sciences 4.12 (2020): 124-132.




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