Effect of Dedicated In-Person Interpreter on Satisfaction and Efficiency in Otolaryngology Ambulatory Clinic
Autor: | Dana M. Thompson, Douglas R. Johnston, Colin Harding, Allison Rose Hammer, Jennifer M. Lavin, Abbey Studer |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Quality management Spanish language Time Factors computer.software_genre Ambulatory Care Facilities Job Satisfaction 03 medical and health sciences Otolaryngology 0302 clinical medicine medicine Humans 030212 general & internal medicine Child business.industry 030503 health policy & services Interpretation (philosophy) Communication Barriers Translating medicine.disease Quality Improvement Telephone Otorhinolaryngology Patient Satisfaction Ambulatory Videoconferencing Surgery Medical emergency Self Report 0305 other medical science business computer Interpreter |
Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 164(5) |
ISSN: | 1097-6817 |
Popis: | In a large academic children's hospital ambulatory clinic, the increasing demand for Spanish interpretation exceeds the Interpreting Services Department capacity, necessitating telephone interpretation. By adding a dedicated Spanish interpreter in the otolaryngology clinic, we aimed to decrease visit times for Spanish-speaking patients and increase satisfaction. Additional aims explored if dedicated Spanish interpreters could increase patients seen per session.A quality improvement initiative investigated baseline state compared to 2 tests of change using video interpretation and dedicated, in-person interpretation. Time permitting, interpreters contacted patients before the visit to decrease missed appointments and late arrivals. Measures included clinic visit times, late arrivals, missed appointments, and family/employee satisfaction scores. Actuarial statistics forecasted if on-site Spanish interpreters would affect patients seen per session and the potential addition of sessions.In-person interpretation reduced visit times for Spanish-speaking patients from 55 to 48 minutes (Implementing dedicated Spanish interpreters may increase productivity and enhance family experience.Reducing patient visit time by 9 minutes permits 2 additional patients per clinic session (1560 visits, 390 surgeries per year). Applied institution-wide, the intervention could create 29% more capacity in the ambulatory schedule (31,000 additional visits) and reduce actuarial need for ambulatory sessions in the same clinic space. |
Databáze: | OpenAIRE |
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