Patient satisfaction with different interpreting methods: A randomized controlled trial
Patient satisfaction with different interpreting methods: A randomized controlled trial
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DOI：
10.1007/s11606-007-0360-8
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发表时间：
2007-11-01
影响因子：
5.7
通讯作者：
Changrani, Jyotsna
中科院分区：
文献类型：
--
作者：
Gany, Francesca;Leng, Jennifer;Changrani, Jyotsna
背景：美国外国出生人口的增长导致英语能力有限（LEP）患者数量的增加。为了解决语言障碍，出现了创新的医学口译策略，包括远程同声医学口译（RSMI）。本研究评估口译方法对患者satisfactions.Methods的影响：1,276名英语，西班牙语，普通话，粤语的患者参加初级保健诊所和急诊科的一个大纽约市市立医院进行了筛选，在一项随机对照试验中招募。不一致的患者被随机分配到RSMI或常规和习惯（U&C）翻译。语言一致的提供者的患者接受常规护理。人口统计学和病人满意度调查问卷进行了管理，以所有participator.Results：541例患者的语言与他们的供应商一致，而不是随机的; 371被随机分配到RSMI，其中167人暴露于RSMI;和364被随机分配到U&C，其中198人暴露于U&C。随机分配到RSMI组的患者比U&C组的患者更有可能认为医生尊重他们（RSMI 71%，U&C 64%，p < 0.05），但他们在医生沟通/护理的其他措施方面没有差异。在线性回归分析中，暴露于RSMI与医生沟通/护理的总体满意度增加显著相关（β 0. 10，95% CI 0. 02 - 0. 18，量表0- 1. 0）。随机分配到RSMI组的患者更可能认为口译方法保护了他们的隐私（RSMI 51%，U&C 38%，p < 0.05）。患者随机分配到任何一个手臂的解释报告的理解和满意度比患者在语言一致的encounters.Conclusions：虽然不是语言一致的供应商的替代品，RSMI可以提高患者的满意度和隐私LEP患者。实施RSMI应被视为解决医疗保健中语言障碍的多管齐下方法的重要组成部分。
Background: Growth of the foreign-born population in the U.S. has led to increasing numbers of limited-English-proficient (LEP) patients. Innovative medical interpreting strategies, including remote simultaneous medical interpreting (RSMI), have arisen to address the language barrier. This study evaluates the impact of interpreting method on patient satisfaction.Methods: 1,276 English-, Spanish-, Mandarin-, and Cantonese-speaking patients attending the primary care clinic and emergency department of a large New York City municipal hospital were screened for enrollment in a randomized controlled trial. Language-discordant patients were randomized to RSMI or usual and customary (U&C) interpreting. Patients with language-concordant providers received usual care. Demographic and patient satisfaction questionnaires were administered to all participants.Results: 541 patients were language-concordant with their providers and not randomized; 371 were randomized to RSMI, 167 of whom were exposed to RSMI; and 364 were randomized to U&C, 198 of whom were exposed to U&C. Patients randomized to RSMI were more likely than those with U&C to think doctors treated them with respect (RSMI 71%, U&C 64%, p < 0.05), but they did not differ in other measures of physician communication/care. In a linear regression analysis, exposure to RSMI was significantly associated with an increase in overall satisfaction with physician communication/care (beta 0.10, 95% CI 0.02-0.18, scale 0-1.0). Patients randomized to RSMI were more likely to think the interpreting method protected their privacy (RSMI 51%, U&C 38%, p < 0.05). Patients randomized to either arm of interpretation reported less comprehension and satisfaction than patients in language-concordant encounters.Conclusions: While not a substitute for language-concordant providers, RSMI can improve patient satisfaction and privacy among LEP patients. Implementing RSMI should be considered an important component of a multipronged approach to addressing language barriers in health care.