Comparison of Throughput Times for Limited English Proficiency Patient Visits in the Emergency Department Between Different Interpreter Modalities
Comparison of Throughput Times for Limited English Proficiency Patient Visits in the Emergency Department Between Different Interpreter Modalities
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DOI：
10.1007/s10903-011-9532-z
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发表时间：
2012-08-01
影响因子：
1.9
通讯作者：
Roosevelt, Genie E.
中科院分区：
文献类型：
--
作者：
Grover, Amy;Deakyne, Sara;Roosevelt, Genie E.
对于英语水平有限的家庭（LEP）来说，适当的口译是必不可少的。我们比较了涉及LEP家庭的急诊就诊的吞吐量时间，这是基于所提供的口译类型：现场口译、远程电话口译或双语提供者。本研究是对不同翻译模式下看护者满意度的前瞻性研究的二次分析。我们查询了医疗记录的事件时间戳，临床因素和处置。面对面队列（116分钟）的总处理时间明显短于电话队列（141分钟）和双语提供者队列（153分钟）（P < 0.0001），这是由于提供者到处置的时间不同。在控制了诸如入院率等潜在混杂因素后（P = 0.006），与电话口译相比，面对面队列的提供者到处置的时间在统计学上仍显着缩短。现场口译大大减少了ED的处理时间，这可能是选择口译员模式的一个重要考虑因素。
Appropriate interpretation is imperative for families with limited English proficiency (LEP). We compared throughput times for ED visits involving families with LEP based on type of interpretation provided: in-person interpretation, remote telephonic interpretation or bilingual providers. This study is a secondary analysis of a prospective study of caretaker satisfaction with different interpreter modalities. We queried the medical record for event time stamps, clinical factors and disposition. The in-person cohort (116 min) had a significantly shorter total throughput time than telephonic (141 min) and bilingual provider (153 min) cohorts (P < 0.0001), due to a difference in time seen by provider to disposition. Time seen by provider to disposition remained statistically significantly shorter for the in-person cohort when compared to telephonic interpretation when controlling for potential confounders such as admission rate (P = 0.006). In-person interpretation significantly decreased ED throughput times and may be an important consideration in the choice of interpreter modality.