Assessment of Interpretation Modality and Patient Comprehension in Spanish-speaking Limited English Proficiency (LEP) Patients Presenting to the Emergency Department
| Autor: | Cassidy Muir, Amaury Michel, Cara Joyce, Theresa Nguyen |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Modalities Modality (human–computer interaction) Limited English Proficiency business.industry Communication Barriers Public Health Environmental and Occupational Health Emergency department Translating computer.software_genre Comprehension Patient satisfaction Limited English proficiency Humans Medicine Medical physics Medical diagnosis Emergency Service Hospital business computer Interpreter Language |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 32:2143-2153 |
| ISSN: | 1548-6869 |
| DOI: | 10.1353/hpu.2021.0187 |
| Popis: | Background Provider-patient language discrepancies with limited English proficiency (LEP) patients can lead to misunderstandings about diagnoses and follow-up care. Objectives To assess interpretation modalities used in the emergency department (ED) in terms of patient satisfaction and understanding of discharge diagnosis. Methods Spanish-speaking LEP patients completed a survey assessing overall satisfaction and discharge diagnosis comprehension. Modalities included in-person (interpreter or physician/nurse), remote (phone or video), or combination. Differences in proportions with correctly identified diagnoses were compared by modality using Fisher's exact test. Results Patients preferred a Spanish-speaking staff member (52%) or in-person interpreter (33%) over other modalities. Almost 74% of surveyed patients accurately described their discharge diagnosis. Diagnostic accuracy was increased among patients using remote modalities alone compared with in-person alone or combination (p=.02). Conclusion Taking into account patient preferences and diagnostic accuracy, this study suggests the utility of having different interpreter modalities available for Spanish-speaking LEP ED patients. |
| Databáze: | OpenAIRE |
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