Supporting Healthcare Providers' Motivations for Caring for Patients in Underserved Communities
Pages 459 - 464
Abstract
Immigrant communities in the US are affected by Social Determinants of Health (SDOH), such as lack of educational opportunities, low income, lower rates of health insurance, and limited English proficiency; together, these drive immense health disparities. The lack of providers' motivation to work in underserved communities also reduces the quality of healthcare services. HCI and healthcare researchers strive to address immigrants' unmet healthcare needs by developing emerging technologies. However, there is limited understanding of effective strategies, especially how technologies can effectively be designed to increase providers' understanding of working with socially marginalized communities and their motivations to enhance practices. The goal of our larger study is to examine different perspectives on the immigrant community's health management and identify design implications for improved access to care for marginalized communities. As an initial step, we discuss findings from interviews with 15 health providers working in underserved community settings and explore future directions. This study presents design implications for better assisting healthcare providers to achieve improved motivation for working with underserved populations, thereby facilitating patient care.
References
[1]
American Immigration Council. 2021. Take a look: How immigrants drive the economy in United States of America. https://map.americanimmigrationcouncil.org/locations/national/
[2]
Jay Bhatt and Priya Bathija. 2018. Ensuring Access to Quality Health Care in Vulnerable Communities. Academic Medicine 93, 9 (2018). https://doi.org/10.1097/ACM.0000000000002254
[3]
Timothy W. Bickmore, Laura M. Pfeifer, and Brian W. Jack. 2009. Taking the time to care: empowering low health literacy hospital patients with virtual nurse agents. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Boston, MA, USA) (CHI '09). Association for Computing Machinery, New York, NY, USA, 1265--1274. https://doi.org/10.1145/1518701.1518891
[4]
Tenya M Blackwell, LeConte J Dill, Lori A Hoepner, and Laura A Geer. 2020. Using Text Messaging to Improve Access to Prenatal Health Information in Urban African American and Afro-Caribbean Immigrant PregnantWomen: Mixed Methods Analysis of Text4baby Usage. JMIR Mhealth Uhealth 8, 2 (13 Feb 2020), e14737. https://doi.org/10.2196/14737
[5]
J Borghi, J Lohmann, E Dale, F Meheus, J Goudge, K Oboirien, and A Kuwawenaruwa. 2017. How to do (or not to do). . . Measuring health worker motivation in surveys in low- and middle-income countries. Health Policy and Planning 33, 2 (11 2017), 192--203. https:// doi.org/10.1093/heapol/czx153 arXiv:https://academic.oup.com/heapol/articlepdf/ 33/2/192/33032711/czx153.pdf
[6]
Matthew F. Bouchonville, Brant W. Hager, Jessica B. Kirk, Clifford R. Qualls, and Sanjeev Arora. 2018. Endo Echo Improves Primary Care Provider And Community Health Worker Self-Efficacy In Complex Diabetes Management In Medically Underserved Communities. Endocrine Practice 24, 1 (2018), 40--46. https://doi.org/10.4158/EP-2017-0079
[7]
Deana Brown, Victoria Ayo, and Rebecca E. Grinter. 2014. Reflection through design: immigrant women's self-reflection on managing health and wellness. In Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (Toronto, Ontario, Canada) (CHI '14). Association for Computing Machinery, New York, NY, USA, 1605--1614. https://doi.org/10.1145/2556288.2557119
[8]
Isolde Martina Busch and Michela Rimondini. 2021. Empowering Patients and Supporting Health Care Providers'New Avenues for High Quality Care and Safety. International Journal of Environmental Research and Public Health 18, 18 (2021). https://doi.org/10.3390/ijerph18189438
[9]
Manuel Carballo and Mourtala Mboup. 2005. International migration and health. Global Commission on International Migration (2005).
[10]
Heide Castañeda, Seth M. Holmes, Daniel S. Madrigal, Maria-Elena DeTrinidad Young, Naomi Beyeler, and James Quesada. 2015. Immigration as a Social Determinant of Health. Annual Review of Public Health 36, Volume 36, 2015 (2015), 375--392. https://doi.org/10.1146/annurev-publhealth-032013--182419
[11]
Kathy Charmaz. 2014. Constructing Grounded Theory (2 ed.). SAGE Publications Ltd. https://us.sagepub.com/en-us/nam/constructing-grounded-theory/ book235960#description
[12]
Edward L. Deci and Richard M. Ryan. 2012. Self-determination theory. In Handbook of theories of social psychology, Vol. 1. Sage Publications Ltd, Thousand Oaks, CA, 416--436.
[13]
Nick Drydakis. 2021. Mobile applications aiming to facilitate immigrants? societal integration and overall level of integration, health and mental health. Does artificial intelligence enhance outcomes? Computers in Human Behavior 117 (2021), 106661. https://doi.org/10.1016/j.chb.2020.106661
[14]
Martina Fernández-Gutiérrez, Pilar Bas-Sarmiento, and Miriam Poza-Méndez. 2019. Effect of an mHealth Intervention to Improve Health Literacy in Immigrant Populations: A Quasi-experimental Study. CIN: Computers, Informatics, Nursing 37, 3 (2019). https://doi.org/10.1097/CIN.0000000000000497
[15]
Christina N. Harrington, Katya Borgos-Rodriguez, and Anne Marie Piper. 2019. Engaging Low-Income African American Older Adults in Health Discussions through Community-based Design Workshops. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems (Glasgow, Scotland Uk) (CHI '19). Association for Computing Machinery, New York, NY, USA, 1--15. https://doi.org/10.1145/3290605.3300823
[16]
Christina N. Harrington, Radhika Garg, Amanda Woodward, and Dimitri Williams. 2022. Its Kind of Like Code-Switching?: Black Older Adults? Experiences with a Voice Assistant for Health Information Seeking. In Proceedings of the 2022 CHI Conference on Human Factors in Computing Systems (New Orleans, LA, USA) (CHI '22). Association for Computing Machinery, New York, NY, USA, Article 604, 15 pages. https://doi.org/10.1145/3491102.3501995
[17]
Azra Ismail, Naveena Karusala, and Neha Kumar. 2018. Bridging Disconnected Knowledges for Community Health. Proc. ACM Hum.-Comput. Interact. 2, CSCW, Article 75 (nov 2018), 27 pages. https://doi.org/10.1145/3274344
[18]
Azra Ismail and Neha Kumar. 2019. Empowerment on the Margins: The Online Experiences of Community Health Workers. In Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems (Glasgow, Scotland Uk) (CHI '19). Association for Computing Machinery, New York, NY, USA, 1--15. https://doi.org/10.1145/3290605.3300329
[19]
Katharina Janus. 2014. The Effect of Professional Culture on Intrinsic Motivation Among Physicians in an Academic Medical Center. Journal of Healthcare Management 59, 4 (2014). https://doi.org/10.1097/00115514--201407000-00009
[20]
Ntwa Katule, Ulrike Rivett, and Melissa Densmore. 2016. A Family Health App: Engaging Children to Manage Wellness of Adults. In Proceedings of the 7th Annual Symposium on Computing for Development (Nairobi, Kenya) (ACM DEV '16). Association for Computing Machinery, New York, NY, USA, Article 7, 10 pages. https://doi.org/10.1145/3001913.3001920
[21]
Bo Young Kim, Qingyan Ma, and Lisa Diamond. 2024. Its in My language: A Case Study on Multilingual mHealth Application for Immigrant Populations With Limited English Proficiency. In Extended Abstracts of the 2024 CHI Conference on Human Factors in Computing Systems (Honolulu, HI, USA) (CHI EA '24). Association for Computing Machinery, New York, NY, USA, Article 544, 7 pages. https://doi.org/10.1145/3613905.3637125
[22]
Jeanine Krath, Linda Schürmann, and Harald F.O. von Korflesch. 2021. Revealing the Theoretical Basis of Gamification: A Systematic Review and Analysis of Theory in Research on Gamification, Serious Games and Game-Based Learning. Computers in Human Behavior 125 (Dec. 2021), 106963. https://doi.org/10.1016/j. chb.2021.106963
[23]
Hee Yun Lee, Mi Hwa Lee, Zan Gao, and Karim Sadak. 2018. Development and Evaluation of Culturally and Linguistically Tailored Mobile App to Promote Breast Cancer Screening. Journal of Clinical Medicine 7, 8 (2018). https://doi. org/10.3390/jcm7080181
[24]
Hee Yun Lee and Suzanne Vang. 2010. Barriers to Cancer Screening in Hmong Americans: The Influence of Health Care Accessibility, Culture, and Cancer Literacy. Journal of Community Health 35, 3 (June 2010), 302--314. https://doi. org/10.1007/s10900-010--9228--7
[25]
Julia Lohmann, Adamson S. Muula, Nathalie Houlfort, and Manuela De Allegri. 2018. How does performance-based financing affect health workers? intrinsic motivation? A Self-Determination Theory-based mixed-methods study in Malawi. Social Science & Medicine 208 (July 2018), 1--8. https://doi.org/10.1016/j.socscimed. 2018.04.053
[26]
Sakchai Muangsrinoon and Poonpong Boonbrahm. 2019. Game elements from literature review of gamification in healthcare context. Journal of Technology and Science Education 9, 1 (2019), 20--31. https://doi.org/10.3926/jotse.556
[27]
Rose N. Muthuri, Flavia Senkubuge, and Charles Hongoro. 2020. Determinants of Motivation among Healthcare Workers in the East African Community between 2009--2019: A Systematic Review. Healthcare 8, 2 (2020). https://doi.org/10.3390/ healthcare8020164
[28]
Mehwish Nisar, Riaz Uddin, Tracy Kolbe-Alexander, and Asaduzzaman Khan. 2023. The prevalence of chronic diseases in international immigrants: a systematic review and meta-analysis. Scandinavian Journal of Public Health 51, 3 (2023), 442--453. https://doi.org/10.1177/14034948221116219 arXiv:https://doi.org/10.1177/14034948221116219 36321559.
[29]
Kara Odom Walker, Gery Ryan, Robin Ramey, Felix L. Nunez, Robert Beltran, Robert G. Splawn, and Arleen F. Brown. 2010. Recruiting and Retaining Primary Care Physicians in Urban Underserved Communities: The Importance of Having a Mission to Serve. American Journal of Public Health 100, 11 (2010), 2168--2175. https://doi.org/10.2105/AJPH.2009.181669 arXiv:https://doi.org/10.2105/AJPH.2009.181669 20935263.
[30]
Cesar Orsini, Phillip Evans, and Oscar Jerez. 2015. How to encourage intrinsic motivation in the clinical teaching environment?: a systematic review from the self-determination theory. Journal of Educational Evaluation for Health Professions 12 (2015). https://doi.org/10.3352/jeehp.2015.12.8
[31]
Wei Peng, Jih-Hsuan Lin, Karin A. Pfeiffer, and Brian Winn. 2012. Need Satisfaction Supportive Game Features as Motivational Determinants: An Experimental Study of a Self-Determination Theory Guided Exergame. Media Psychology 15, 2 (May 2012), 175--196. https://doi.org/10.1080/15213269.2012.673850
[32]
Devon Roe and Megh Marathe. 2023. Examining Race in Healthcare-Focused HCI Research. In Companion Publication of the 2023 Conference on Computer Supported Cooperative Work and Social Computing (Minneapolis, MN, USA) (CSCW '23 Companion). Association for Computing Machinery, New York, NY, USA, 22--26. https://doi.org/10.1145/3584931.3607021
[33]
Richard M. Ryan and Edward L. Deci. 2002. Overview of self-determination theory: An organismic-dialectical perspective. In Handbook of self-determination research. University of Rochester Press, Rochester, NY, US, 3--33.
[34]
Herman Saksono, Ashwini Ranade, Geeta Kamarthi, Carmen Castaneda-Sceppa, Jessica A. Hoffman, Cathy Wirth, and Andrea G. Parker. 2015. Spaceship Launch: Designing a Collaborative Exergame for Families. In Proceedings of the 18th ACM Conference on Computer Supported Cooperative Work & Social Computing (Vancouver, BC, Canada) (CSCW '15). Association for Computing Machinery, New York, NY, USA, 1776--1787. https://doi.org/10.1145/2675133.2675159
[35]
Debra L. Scammon, Lawrence B. Li, and Scott D. Williams. 1995. Increasing the Supply of Providers for the Medically Underserved: Marketing and Public Policy Issues. Journal of Public Policy & Marketing 14, 1 (1995), 35--47. https://doi.org/ 10.1177/074391569501400104 arXiv:https://doi.org/10.1177/074391569501400104
[36]
Elizabeth Stowell, Mercedes C. Lyson, Herman Saksono, Reneé C. Wurth, Holly Jimison, Misha Pavel, and Andrea G. Parker. 2018. Designing and Evaluating mHealth Interventions for Vulnerable Populations: A Systematic Review. In Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems (Montreal QC, Canada) (CHI '18). Association for Computing Machinery, New York, NY, USA, 1--17. https://doi.org/10.1145/3173574.3173589
[37]
Robin A. Streeter, John E. Snyder, Hayden Kepley, Anne L. Stahl, Tiandong Li, and Michelle M.Washko. 2020. The geographic alignment of primary care Health Professional Shortage Areas with markers for social determinants of health. PLOS ONE 15, 4 (04 2020), 1--20. https://doi.org/10.1371/journal.pone.0231443
[38]
Frédérique Thonon, Swati Perrot, Abhijna Vithal Yergolkar, Olivia Rousset- Torrente, James W Griffith, Olivier Chassany, and Martin Duracinsky. 2021. Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review. J Med Internet Res 23, 5 (6 May 2021), e25131. https://doi.org/10.2196/25131
[39]
Sheryl Thorburn, Jennifer Kue, Karen Levy Keon, and Patela Lo. 2012. Medical Mistrust and Discrimination in Health Care: A Qualitative Study of Hmong Women and Men. Journal of Community Health 37, 4 (Aug. 2012), 822--829. https://doi.org/10.1007/s10900-011--9516-x
[40]
Kazuki Tokumasu, Mikako Obika, Haruo Obara, Makoto Kikukawa, Yoshito Nishimura, and Fumio Otsuka. 2022. Processes of increasing medical residents? intrinsic motivation: a qualitative study. International journal of medical education 13 (April 2022), 115--123. https://doi.org/10.5116/ijme.6250.1017
[41]
Stéphanie M.E. van der Burgt, Rashmi A. Kusurkar, Gerda Croiset, and Saskia M. Peerdeman. 2018. Exploring the situational motivation of medical specialists: a qualitative study. International Journal of Medical Education 9 (Feb. 2018), 57--63. https://doi.org/10.5116/ijme.5a83.6025
[42]
Nervo Verdezoto, Naveen Bagalkot, Syeda Zainab Akbar, Swati Sharma, Nicola Mackintosh, Deirdre Harrington, and Paula Griffiths. 2021. The Invisible Work of Maintenance in Community Health: Challenges and Opportunities for Digital Health to Support Frontline Health Workers in Karnataka, South India. Proc. ACM Hum.-Comput. Interact. 5, CSCW1, Article 91 (apr 2021), 31 pages. https: //doi.org/10.1145/3449165
[43]
Christine C. Welles, Allison Tong, Elinor Brereton, John F. Steiner, Matthew K. Wynia, Neil R. Powe, Michel Chonchol, Romana Hasnain-Wynia, and Lilia Cervantes. 2023. Sources of Clinician Burnout in Providing Care for Underserved Patients in a Safety-Net Healthcare System. Journal of General Internal Medicine 38, 6 (May 2023), 1468--1475. https://doi.org/10.1007/s11606-022-07896--5
Index Terms
- Supporting Healthcare Providers' Motivations for Caring for Patients in Underserved Communities
Recommendations
Patients' vs. Professionals' Perceptions of Quality of Care in Greek Public Hospitals
The aim of the study was to compare the views of health care professionals and patients on the quality of care in Greek public hospitals. Traditionally quality of health care was measured using only professional standards. However, in this study the ...
The 'Self' as Barrier for Self-Management Technologies in Healthcare?
PervasiveHealth '18: Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for HealthcareSelf-management technologies are promising in healthcare. In the name of patient empowerment, they can address an important challenge: how to meet an increasing demand for care without additional resources. We designed and evaluated the PICASSO-Tx ...
Data Work in Healthcare: Challenges for Patients, Clinicians and Administrators
CSCW '18 Companion: Companion of the 2018 ACM Conference on Computer Supported Cooperative Work and Social ComputingWith the wide adoption of information infrastructures in healthcare (IIH), citizens and healthcare professionals now carry out intensive "data work' as part of their healthcare and self-management practices. For example, citizens use mobile apps to ...
Comments
Please enable JavaScript to view thecomments powered by Disqus.Information & Contributors
Information
Published In
November 2024
755 pages
ISBN:9798400711145
DOI:10.1145/3678884
- General Chairs:
- Rosta Farzan,
- Claudia López,
- Program Chairs:
- Daniel Cardoso Llach,
- Daniele Quercia,
- Maryam Mustafa,
- Shuo Niu,
- Marisol Wong-Villacrés
Copyright © 2024 ACM.
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].
Sponsors
Publisher
Association for Computing Machinery
New York, NY, United States
Publication History
Published: 13 November 2024
Check for updates
Author Tags
Qualifiers
- Research-article
Funding Sources
Conference
CSCW '24
Sponsor:
CSCW '24: The 27th ACM Conference on Computer-Supported Cooperative Work and Social Computing
November 9 - 13, 2024
San Jose, Costa Rica
Acceptance Rates
Overall Acceptance Rate 2,235 of 8,521 submissions, 26%
Upcoming Conference
CSCW '25
- Sponsor:
- sigchi
Contributors
Other Metrics
Bibliometrics & Citations
Bibliometrics
Article Metrics
- 0Total Citations
- 32Total Downloads
- Downloads (Last 12 months)32
- Downloads (Last 6 weeks)32
Reflects downloads up to 30 Nov 2024
Other Metrics
Citations
View Options
Login options
Check if you have access through your login credentials or your institution to get full access on this article.
Sign in