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Accepted for/Published in: JMIR Human Factors

Date Submitted: Jun 25, 2025
Open Peer Review Period: Jun 25, 2025 - Aug 20, 2025
Date Accepted: Oct 16, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Hospital-at-Home for South Asian Communities in British Columbia, Canada: Qualitative Interview Study

Wong E, Kandola M, Arora K, Sharda H, Deol R, Jung M, Paquin R, Montenegro M, MacPherson M

Hospital-at-Home for South Asian Communities in British Columbia, Canada: Qualitative Interview Study

JMIR Hum Factors 2026;13:e79675

DOI: 10.2196/79675

PMID: 41490346

PMCID: 12768396

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

South Asians for Equitable (SAFE) Virtual Health: Understanding South Asian’s Experiences with Virtual Hospitals-at-Home

  • Emma Wong; 
  • Mahabhir Kandola; 
  • Kamal Arora; 
  • Harroop Sharda; 
  • Roman Deol; 
  • Mary Jung; 
  • Robert Paquin; 
  • Maria Montenegro; 
  • Megan MacPherson

ABSTRACT

Background:

Hospital-at-Home and virtual care models have the potential to improve healthcare delivery but may present unique challenges for ethnocultural communities.

Objective:

This study explores barriers and facilitators to Hospital-at-Home adoption among South Asian patients and caregivers.

Methods:

A qualitative study using semi-structured interviews was conducted with South Asian community members and healthcare providers in the Fraser Health region in British Columbia, Canada. Thematic analysis was used to identify key patterns in perceptions, experiences, and needs.

Results:

Participants expressed mixed views about Hospital-at-Home care, with concerns centering on digital literacy, language barriers, caregiver readiness, and home environment suitability. Facilitators included comfort at home, trust in providers, and alignment with cultural and religious values. Many participants were unaware of healthcare alternatives beyond emergency departments.

Conclusions:

Equitable implementation of Hospital-at-Home services for South Asian communities requires culturally tailored strategies that address digital access, health system awareness, and family caregiver roles.


 Citation

Please cite as:

Wong E, Kandola M, Arora K, Sharda H, Deol R, Jung M, Paquin R, Montenegro M, MacPherson M

Hospital-at-Home for South Asian Communities in British Columbia, Canada: Qualitative Interview Study

JMIR Hum Factors 2026;13:e79675

DOI: 10.2196/79675

PMID: 41490346

PMCID: 12768396

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