The Impact of Language Discordance on Patients' Perception of a Clinical Encounter and Trust in Provider.
The Impact of Language Discordance on Patients' Perception of a Clinical Encounter and Trust in Provider.
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语言不一致对患者对临床遭遇的感知和对医疗服务提供者的信任的影响。
DOI：
10.1097/spv.0000000000001283
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Rogers,RebeccaG
中科院分区：
文献类型：
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作者：
Caldwell,Lauren;Halder,GabrielaE;White,AmandaB;High,RachelA;Wright,MichelleL;Rogers,RebeccaG
本研究的目的是比较语言一致性的影响，语言不一致的影响，对患者的经验和信任，在他们的provider.MethodsThis横断面队列研究招募英语和西班牙语的患者在最初的评估在泌尿妇科诊所。母语为英语或西班牙语的提供者所见的英语和西班牙语患者被招募到语言一致组。语言不一致组包括由翻译或非母语西班牙语提供者看到的西班牙语患者。患者完成了医生信任量表和医疗保健提供者和系统临床医生和群体调查（CG-CAHPS）的消费者评估。患者和提供者对提供者的西班牙语水平进行评分，评分范围为10分，从0（低）到10（高）。症状困扰问卷完成4-6个月后enrollment.ResultsEighty妇女招募，每组40人。平均年龄为55.4±12.9岁。大多数人是白色（75%）和西班牙裔（77.5%）。两组患者对医生的信任度评分相似（46.2±8.5 vs 44.4±7.5，P> 0.05）。CG-CAHPS的提供者沟通、提供者评级和推荐领域在组间无差异（均P> 0.05）。提供者对西班牙语水平的自评低于患者的自评（7.5±1.8 vs 9.8±0.5，P< 0.001）。4-6个月时两组症状困扰无差异（均P> 0.05）。结论患者-提供者语言不一致不影响患者对提供者的信任或对医生信任量表和CG-CAHPS问卷测量的遭遇的感知。
ObjectiveThe aim of this study was to compare the impact of language concordance with the impact of language discordance on the patient experience and trust in their provider.MethodsThis cross-sectional cohort study enrolled English-and Spanish-speaking patients during initial evaluation in a urogynecology clinic. English-and Spanish-speaking patients seen by native English-or Spanish-speaking providers were recruited to the language-concordant group. The language-discordant group included Spanish-speaking patients seen with a translator or by nonnative Spanish-speaking providers. Patients completed the Trust in Physician Scale and the Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey (CG-CAHPS). Patients and providers rated the provider's Spanish proficiency on a 10-point scale from 0 (low) to 10 (high). Symptom bother questionnaires were completed 4–6 months after enrollment.ResultsEighty women were recruited, with 40 in each group. Mean age was 55.4±12.9 years. The majority identified as White (75%) and Hispanic (77.5%). Trust in Physician Scale scores were similar between groups (46.2±8.5 vs 44.4±7.5, P> 0.05). The provider communication, provider rating, and recommendation domains of the CG-CAHPS did not differ between groups (all P> 0.05). Provider self-rating of Spanish proficiency was lower than patient ratings (7.5±1.8 vs 9.8±0.5, P< 0.001). There was no difference between groups in symptom bother at 4–6 months (all P> 0.05).ConclusionsPatient-provider language discordance does not affect patient trust in the provider or perception of the encounter as measured by the Trust in Physician Scale and CG-CAHPS questionnaires.