The Bilingual Consultation

Ebden, P; Bhatt, Arvind; Carey, OliverJ.; Harrison, Brian

doi:10.1016/s0140-6736(88)91133-6

Cited by 89 publications

(49 citation statements)

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“…Research has shown a negative effect of using family members to interpret, with more confusion as a result. 6 One might hypothesize that this is more likely to adversely affect LOS. In comparison, bilingual providers have a positive impact on patient satisfaction and understanding of their illness.…”

Section: Discussionmentioning

confidence: 99%

“…Ad hoc interpreters can misinterpret or omit up to half of physicians' questions, are more likely to commit errors with clinical significance, have a higher risk of not mentioning medication side effects, and may ignore embarrassing issues (especially when children are used to interpret). 3,6,7 From an economical standpoint, it has been found that LEP patients stay in the hospital between 0.7 and 4.3 days longer than English speaking patients with similar conditions. 8 In addition non-English speaking patient have a higher 30-day readmission rate compared to their English speaking counterparts.…”

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confidence: 99%

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Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates

et al. 2012

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates

et al. 2012

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“…30 The patients' having to rely on relatives or interpreters may lead to information being lost or changed. A study by Ebden et al 31 claimed that 16-39% of the simplest questions can be mistranslated by relatives. Communication difficulties may also make it difficult to rearrange appointments.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Pardhan

Mahomed

2004

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Aims We carried out a survey of important nonclinical issues including awareness and self-management of diabetes on a group of South Asian and Caucasian patients attending diabetic clinics within a set period. Methods A structured questionnaire examined various issues including demographics, perceived knowledge and awareness of diabetes, perceived self-help/ support, and psycho-social factors. A total of 500 patients (268 South Asians and 232 Caucasian) took part. Results Univariate analysis showed significant differences (Po0.05) with various issues including a lower perceived awareness of diabetes and its complications in South Asians, and of the nutritional content of their diet. Asians also appeared to be less worried in the event of missed clinical appointments and if treatment was not strictly adhered to. Conclusions The study provides evidence of the inability of health information systems to convey the importance of diabetic control to the Asian population. In order that this important information reaches the required recipients, more assertive and perhaps more culturally acceptable methods need to be explored.

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“…21 High quality clinical care and patient safety are compromised when there are communication barriers. The use of nonprofessional interpreters is known to cause an increase in interpreter errors that can potentially harm the patient, through the misinterpretation of information 7,25,26 and alteration of key patient details. 27 One study found that there was a significantly higher proportion of errors with potential clinical consequences when ad hoc interpreters or no interpreters were used compared to professional interpreters.…”

Section: Mutltivariable Analyses Of Hospital Outcomesmentioning

confidence: 99%

Use of Interpreters by Physicians for Hospitalized Limited English Proficient Patients and Its Impact on Patient Outcomes

et al. 2015

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BACKGROUND: Few studies have examined the impact of inpatient interpreter use for limited English proficient (LEP) patients on length of stay (LOS), 30-day post discharge emergency department (ED) visits and 30-day hospital readmission rates for LEP patients. METHODS: A retrospective cohort analysis was conducted of all hospitalized patients admitted to the general medicine service at a large academic center. For patients self-reported as LEP, use of interpreters during each episode of hospitalization was categorized as: 1) interpreter used by non-MD (i.e., nurse); 2) interpreter used by a nonHospitalist MD; 3) interpreter used by Hospitalist; and 4) no interpreter used during hospitalization. We examined the association of English proficiency and interpreter use on outcomes utilizing Poisson and logistic regression models. RESULTS: Of 4,224 patients, 564 (13 %) were LEP. Of these LEP patients, 65.8 % never had a documented interpreter visit, 16.8 % utilized an interpreter with a non-MD, 12.6 % utilized an interpreter with a nonHospitalist MD and 4.8 % utilized an interpreter with a hospitalist present. In adjusted models, compared to English speakers, LEP patients with no interpreters had significantly shorter LOS. There were no differences in readmission rates and ED utilization between LEP and English-speaking patients. Compared to LEP patients with no interpreter use, those who had a physician use an interpreter had odds for a longer LOS, but there was no difference in odds of readmission or ED utilization. CONCLUSION: Academic hospital clinician use of interpreters remains highly variable and physicians may selectively be using interpreters for the sickest patients.KEY WORDS: limited English proficiency; interpreter use; length of stay; thirty-day readmissions.

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The Bilingual Consultation

Cited by 89 publications

References 1 publication

Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates

Professional Language Interpretation and Inpatient Length of Stay and Readmission Rates

Knowledge, self-help and socioeconomic factors in South Asian and Caucasian diabetic patients

Use of Interpreters by Physicians for Hospitalized Limited English Proficient Patients and Its Impact on Patient Outcomes

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