TDARS: Translated Document Assembly and Retrieval System (Phase II)

描述（由申请人提供）：在美国，提供给有限英语熟练（LEP）患者的重要医疗保健文件存在显著差异。2007年，联合委员会对全国医院进行的一项调查发现，只有50%的医院翻译了知情同意文件。即使在那时，译本也往往只有西班牙语。其他类型的文件的翻译频率更低。用于语言服务的预算有限的医院正在努力分配资源，为患者创建高质量的翻译文件。在2005年关于健康差距和信息技术的圆桌会议期间，卫生保健研究和质量局（AHRQ）和少数民族健康办公室（OMH）确定了一个翻译文件的国家存储库，作为减少由于语言沟通不端造成的医疗差错的高度优先需要。在这项资助的第一阶段，我们开发并评估了一个新的网络文件访问平台，该平台证明了在创建、管理、共享、打印和用外语向患者讲文件方面的可行性。这个平台被称为TDARS（翻译文档组装和检索系统），它允许医疗机构快速组装连贯的重要医疗文档，立即创建可打印的高质量翻译版本，然后指示计算机将翻译的文档阅读给患者。TDARS在为每个组织定制文件方面提供了高度的灵活性，使文件能够在各机构之间共享，提供了一种符合联合委员会文件获取标准的方法，并且可以以低于将一份文件翻译成一种语言的平均成本来完成所有这些工作，使即使是最小的医院也能经济地访问文件库。在第二阶段，我们的目标是通过订阅定价模型为医院和其他医疗保健组织开发一种商业软件即服务（SaaS）产品。我们将扩大TDARS，纳入在第一阶段评估中被确定为最需要的一套核心文件，并以被确定为全国最常见和最具挑战性的语言（西班牙语、普通话、广东话、越南语、俄语、阿拉伯语、韩语和索马里语）提供。将招募30个参与地点，代表我们的目标市场人口中小型医院。

DESCRIPTION (provided by applicant): In the United States, significant disparity exists in the vital healthcare documents being provided to limited English-proficient (LEP) patients. In 2007, a nationwide survey of hospitals by The Joint Commission found that only 50 percent of hospitals had translated informed consent documents. Even then, the translations were often only available in Spanish. Other types of documents were translated even less frequently. Hospitals, with limited budgets for language services, are struggling to allocate resources to create quality, translated documents for their patients. During the 2005 Roundtable on Health Disparity and Information Technology, the Agency for Healthcare Research and Quality (AHRQ) and the Office of Minority Health (OMH) identified a national repository of translated documents as a high priority need to reduce medical errors due to language miscommunication. During Phase I of this grant, we developed and evaluated a new web-accessible platform for documents that demonstrated feasibility in creating, managing, sharing, printing, and speaking documents to patients in foreign languages. This platform, called TDARS (Translated Document Assembly and Retrieval System), allows healthcare organizations to quickly assemble coherent vital healthcare documents, instantly create quality, translated versions that can be printed, and then instruct a computer to read the translated documents to the patients. TDARS offers a high degree of flexibility in customizing documents for each organization, enables documents to be shared among institutions, provides a method to comply with The Joint Commission's document access standards, and can do all this for less than the average cost of translating one document in one language - making a library of documents economically accessible to even the smallest hospitals. During Phase II, our objective is to develop a commercial Software-as-a-Service (SaaS) product for hospitals and other healthcare organizations offered through a subscription-pricing model. We will expand TDARS to include a core set of documents identified as being of greatest need during our Phase I evaluation, making them available in the languages identified as being most common and challenging nationwide (Spanish, Mandarin, Cantonese, Vietnamese, Russian, Arabic, Korean, and Somali). Thirty participating sites will be recruited that represent our target market population of small and medium-sized hospitals. PUBLIC HEALTH RELEVANCE: A national repository of quality, pre-translated documents that can speak the documents to patients could dramatically reduce the disparity of information provided to our limited English proficient patients. Current methods of translating documents are expensive, the quality of translations is inconsistent, and efforts are being duplicated by multiple hospitals. Both the Agency for Healthcare Research and Quality (AHRQ) and the Office of Minority Health (OMH) have indicated that creating such a repository is a national priority.