Interpreter services, language concordance, and health care quality - Experiences of Asian Americans with limited English proficiency
Interpreter services, language concordance, and health care quality - Experiences of Asian Americans with limited English proficiency
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DOI：
10.1111/j.1525-1497.2005.0223.x
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发表时间：
2005-11-01
影响因子：
5.7
通讯作者：
Iezzoni, LI
中科院分区：
文献类型：
--
作者：
Green, AR;Ngo-Metzger, Q;Iezzoni, LI
背景：与其他人相比，英语水平有限 (LEP) 的患者与医疗保健提供者沟通更加困难，并且对他们的护理不太满意。口译员和语言一致的临床医生可能有助于克服这些问题，但很少有研究对这些方法进行比较。 目的：比较 LEP 亚洲移民的自我报告沟通和就诊评分，这些移民的就诊涉及诊所口译员或讲其母语的临床医生。设计：横断面调查答复率为 74%。 患者：2715 名 LEP 中国和越南移民成人在全国 11 个社区卫生中心接受护理美国测量：五项自我报告的沟通测量和护理总体评分。 结果：使用口译员的患者比语言一致的患者更有可能报告对其护理有疑问（30.1% vs 20.9%，P
BACKGROUNG: Patients with limited English proficiency (LEP) have more difficulty communicating with health care providers and are less satisfied with their care than others. Both interpreter- and language-concordant clinicians may help overcome these problems but few studies have compared these approaches.OBJECTIVE: To compare self-reported communication and visit ratings for LEP Asian immigrants whose visits involve either a clinic interpreter or a clinician speaking their native language.DESIGN: Cross-sectional survey-response rate 74%.PATIENTS: Two thousand seven hundred and fifteen LEP Chinese and Vietnamese immigrant adults who received care at 11 community-based health centers across the U.S.MEASUREMENTS: Five self-reported communication measures and overall rating of care.RESULTS: Patients who used interpreters were more likely than language-concordant patients to report having questions about their care (30.1% vs 20.9%, P