Introduction The rapid adoption of telehealth during the global pandemic has the potential to widen disparities for culturally and linguistically diverse (CALD) consumers. We explored the perspectives and experiences of CALD consumers accessing telehealth during the global pandemic and those of their healthcare providers. Methods A multistakeholder mixed-methods study involving two parallel samples comprising consumer–participants ( n = 56) and healthcare provider–participants ( n = 81). Multicultural consumer–participants, recruited from consecutive referrals to Health Language Services for telehealth support, were assisted to complete two surveys (before and after their clinical telehealth appointment) in their preferred language. A purposive sample of consumer–participants was interviewed to understand their perceived barriers and enablers of successful telehealth consultations. Simultaneously, all healthcare providers within the local health district were eligible to participate in an online survey if they had provided telehealth care to a consumer during the recruitment period. Closed-ended responses were descriptively summarised, while open-ended responses and interview transcripts were analysed thematically. Results Despite 86% of consumer–participants inexperienced with telehealth, 80% achieved a successful appointment with a healthcare provider. Consumer perceptions were shaped by cultural and diagnostic concepts of legitimacy, in the context of known accessibility and technology literacy challenges. Healthcare provider perspectives were less favourable towards telehealth, with equity of healthcare delivery a major concern. Discussion Our findings highlight unintended consequences arising from a rapid transition to telehealth. Adopting collaborative approaches to the design and implementation of telehealth is imperative to mitigate health inequities faced by CALD communities and maximise their opportunity to realise potential health benefits associated with telehealth.
University lecturers are professional knowledge workers who have the function of training, fostering and developing a high-quality workforce for the society. They perform two tasks at the same time: teaching and researching. The motivation to work of university lecturers is born from the need and is expressed through the aspects of awareness, attitude and behavior. From case study of performance-based management in TanTrao university, an investigate among 107 responders who are lecturers of the University was implemented. The results showed factors affecting on working motivation of university lecturers and their level of satisfaction with motivating activities in performance-based management system in the University. After that, the author recommended some solutions to motivate lecturers in Vietnam's university to further advance their performance.
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