Language Barriers among Patients in Boston Emergency Departments: Use of Medical Interpreters After Passage of Interpreter Legislation

Ginde, Adit A.; Clark, Sunday; Camargo, Carlos A.

doi:10.1007/s10903-008-9188-5

Cited by 42 publications

(28 citation statements)

References 10 publications

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“…6,15 In our study, professional LIS was documented to be provided for less than a quarter of the LEP patients. While this usage of LIS services may appear low, it is consistent with other prospective ED studies that report an LIS utilization rate between 12% and 18% 6,9,11,17 …”

Section: Discussionsupporting

confidence: 90%

The Association Between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours

Ngai

Grudzen

Lee

et al. 2016

Annals of Emergency Medicine

117

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Study Objective-Language barriers are known to negatively impact many health outcomes among limited English proficiency (LEP) patient populations, but little is known about the quality of care LEP patients receive in the Emergency Department (ED). This study seeks to determine if LEP patients experience different quality of care than English speaking patients in the ED, using unplanned revisit within 72 hours as a surrogate quality indicator.Methods-We conducted a retrospective cohort from an urban adult ED in calendar year 2012; with a total of 41,772 patients and 56,821 ED visits. We compared 2,943 limited English proficiency patients with 38,829 English speaking patients presenting to ED after excluding patients with psychiatric complaints, altered mental status, non-verbal states, and patients with more than four ED visits in 12 months. Two main outcomes-the risk of inpatient admission from the ED, and risk of unplanned ED revisit within 72 hours-were measured using odds ratios from generalized estimating equation multivariate models.Author Contributions KMN, LDR, and AF were responsible for conception and design of the study. LDR and AF supervised the conduct of the study. KMN managed the data. KMN and RL provided statistical advice on study design and analyzed the data. KMN and AL drafted the article, and all authors contributed substantially to its revision. KMN takes responsibility for the paper as a whole. MeetingsWe presented an earlier version of the results as a poster at Society for Academic Emergency Medicine Annual Meeting in Dallas, Texas, in May 2014. Conflicts of InterestAll authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. HHS Public Access Author Manuscript Author ManuscriptAuthor Manuscript Author ManuscriptResults-LEP patients were more likely than English speakers to be admitted (32.0% vs. 27.2%, OR 1.20, 95% CI 1.11-1.30), this association became non-significant after adjustments (OR=1.04, 95% CI 0.95-1.15). 32,857 patients with 45,546 ED visits were included in the ED revisit within 72 hours analysis. 4.2% of all patients (n=1,380) had at least one unplanned revisit. LEP patients were more likely than English speakers to have an unplanned revisit (5.0% vs. 4.1%, OR=1.19, 95% CI 1.02-1.45). This association persisted (OR=1.24, 95% CI 1.02-1.53) after adjustment for potential confounders including insurance status.Conclusions-We found no difference in hospital admission rates between limited English proficiency patients...

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Section: Discussionsupporting

confidence: 90%

The Association Between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours

Ngai

Grudzen

Lee

et al. 2016

Annals of Emergency Medicine

117

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“…Even when professional interpreters assist clinicianpatient interactions, if LEP patients perceive the amount of time to discuss on health-related behaviors as limited, these individuals are less likely to satisfied with the treatments [42]. Moreover, due to the lack of microinstructions and regulations, the governmental legislations have not been successful in ensuring that medical providers fully utilize medical interpreters for language-discordant patients [5,62].…”

Section: Indirect Pathways To Health Disparities (Access To Healthcare)mentioning

confidence: 99%

Conceptualizing the Pathways and Processes Between Language Barriers and Health Disparities: Review, Synthesis, and Extension

Terui

2015

J Immigrant Minority Health

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While many may view language barriers in healthcare settings (LBHS) as a simple, practical problem, they present unique challenges to theoretical development and practice implications in healthcare delivery, especially when one considers the implications and impacts of specific contextual factors. By exploring the differences of contextual factors in the US and Japan, this review explores and highlights how such differences may entail different impacts on patients' quality of care and require different solutions. I conduct narrative review through library database, Google Scholar, and CiNii (a Japanese library database) with multiple search terms, including language barriers, healthcare, medical interpreter, and immigrant. I first present a diagram to show the pathways and process between language barriers and health disparities, using the literature reported in the US. Then, I examined the literature reported in Japan and discuss the needs for re-conceptualizing LBHS. The implications for future research will be discussed.

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“…Many healthcare settings have inadequate interpreter services for people with limited English proficiency (Chen, Youdelman, & Brooks, ; Ginde, Clark, & Camargo, ; Ramirez, Engel, & Tang, ) despite federal and state laws requiring healthcare providers and hospitals receiving federal funds to provide access to such services (Chen et al., ). Healthcare providers often call upon untrained staff or untrained ad hoc interpreters, including family members and children.…”

Section: Mistrust and Languagementioning

confidence: 99%

Minority mothers' healthcare beliefs, commonly used alternative healthcare practices, and potential complications for infants and children

Hannan

2015

Journal of the American Association of Nurse Practitioners

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Purpose Complementary and alternative healthcare practices have increased substantially in the United States especially with low‐income ethnic minority mothers. These mothers often have provider mistrust, language barriers, differing health belief systems, and as a result are less likely to seek preventive health screening, access healthcare services, and use alternative remedies for their infants and children that are potentially harmful or lethal. Therefore, the purpose of this article is to examine healthcare beliefs, commonly used alternative healthcare practices, and their potential complications for infants and children. Data sources A search of CINAHL and PubMed (1980–2012) was conducted using the following terms: alternative healthcare practice, mothers’ health beliefs, cultural health beliefs, folk remedies, and infant health practices. Conclusion Given the changing U.S. population and an increasing immigrant population, examining alternative healthcare practices mothers use for their infants and children is especially important for providers in addressing healthcare for this group. Implications for practice The use of alternative healthcare practices is rarely discussed by parents with healthcare providers for fear of disapproval. When interviewing ethnic minority mothers and caregivers questions should include the use of alternative healthcare practices for infants and children and information regarding the potential dangers should be provided to them.

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Language Barriers among Patients in Boston Emergency Departments: Use of Medical Interpreters After Passage of Interpreter Legislation

Cited by 42 publications

References 10 publications

The Association Between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours

The Association Between Limited English Proficiency and Unplanned Emergency Department Revisit Within 72 Hours

Conceptualizing the Pathways and Processes Between Language Barriers and Health Disparities: Review, Synthesis, and Extension

Minority mothers' healthcare beliefs, commonly used alternative healthcare practices, and potential complications for infants and children

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