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

描述（由申请人提供）：在美国，向英语能力有限（LEP）患者提供的重要医疗保健文件存在显著差异。2007年，联合委员会在全国范围内对医院进行的一项调查发现，只有50%的医院翻译了知情同意书。即使在那时，翻译往往只有西班牙语。其他类型的文件的翻译频率更低。由于语言服务预算有限，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年健康差距和信息技术圆桌会议期间，医疗保健研究和质量机构（AHRQ）和少数民族健康办公室（OMH）确定了国家翻译文件库的高度优先需求，以减少由于语言误解造成的医疗错误。在第一阶段，我们开发并评估了一个新的网络访问文件平台，该平台展示了创建、管理、共享、打印和向患者讲外语文件的可行性。这个平台被称为TDARS（翻译文档组装和检索系统），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文档阅读给患者。TDARS在为每个组织定制文档方面提供了高度的灵活性，使文档能够在机构之间共享，提供了一种符合联合委员会文档访问标准的方法，并且可以以低于将一份文档翻译成一种语言的平均成本来完成所有这些工作-即使是最小的医院也可以经济地访问文档库。在第二阶段，我们的目标是通过订阅定价模式为医院和其他医疗机构开发商业软件即服务（SaaS）产品。我们将扩大TDARS，以包括在第一阶段评估中确定的最需要的一套核心文件，并以确定为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）提供这些文件。将招募30家参与研究中心，代表我们的中小型医院目标市场人群。 公共卫生相关性：一个国家级的高质量预翻译文件库，可以向患者提供这些文件，这可以大大减少向我们有限的英语熟练患者提供信息的差异。目前的翻译文件的方法是昂贵的，翻译的质量是不一致的，并努力正在被多家医院重复。卫生保健研究和质量机构（AHRQ）和少数民族健康办公室（OMH）都表示，创建这样一个存储库是国家的优先事项。

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.