Quyen Ngo-Metzger1, Dara H Sorkin, Russell S Phillips. 1. 1 Division of General Internal Medicine and Primary Care and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California, USA 2 Beth Israel Deaconess Medical Center, Division of General Medicine and Primary Care, Harvard Medical School, Boston, Massachusetts, USA.
Abstract
BACKGROUND: : Among patients with limited English-language proficiency (LEP), provider-patient language discordance is related to lower patient satisfaction. However, little is known about how language barriers are associated with specific patient experiences, and how these experiences in turn may influence patient satisfaction. OBJECTIVE: : To evaluate the degree of health education and the quality of interpersonal care that occurs during patient visits, and their associations with patient satisfaction, in LEP Asian American patients. METHODS: : A cross-sectional mail survey was conducted in 2746 LEP Chinese and Vietnamese patients aged ≥18 years from 11 community health centers in eight US cities. We examined self-reported healthcare experiences of LEP patients who had visits to a language concordant (speaks the patient's language) or discordant (does not speak the patient's language) provider over the previous month. Multivariable logistic regressions were conducted to examine the associations between interpersonal care, discussions of health-related behaviors, and patient satisfaction. RESULTS: : Discussions of health-related behaviors and the quality of interpersonal care received were independent predictors of patient satisfaction (p < 0.001). For language-discordant visits without access to an interpreter, patients who received poor-quality interpersonal care were more likely to be dissatisfied with the visit (adjusted odds ratio [AOR] 2.44; 95% CI 1.67, 3.57) and with the provider (AOR 4.43; 95% CI 1.71, 11.48) [both p < 0.01]. CONCLUSIONS: : Improving the quality of interpersonal care and the degree of health-related discussions may result in greater satisfaction among LEP patients. The quality of the provider's interpersonal care is especially important to patient satisfaction. Interpreter services may alleviate some disparities in care.
BACKGROUND: : Among patients with limited English-language proficiency (LEP), provider-patient language discordance is related to lower patient satisfaction. However, little is known about how language barriers are associated with specific patient experiences, and how these experiences in turn may influence patient satisfaction. OBJECTIVE: : To evaluate the degree of health education and the quality of interpersonal care that occurs during patient visits, and their associations with patient satisfaction, in LEP Asian American patients. METHODS: : A cross-sectional mail survey was conducted in 2746 LEP Chinese and Vietnamese patients aged ≥18 years from 11 community health centers in eight US cities. We examined self-reported healthcare experiences of LEP patients who had visits to a language concordant (speaks the patient's language) or discordant (does not speak the patient's language) provider over the previous month. Multivariable logistic regressions were conducted to examine the associations between interpersonal care, discussions of health-related behaviors, and patient satisfaction. RESULTS: : Discussions of health-related behaviors and the quality of interpersonal care received were independent predictors of patient satisfaction (p < 0.001). For language-discordant visits without access to an interpreter, patients who received poor-quality interpersonal care were more likely to be dissatisfied with the visit (adjusted odds ratio [AOR] 2.44; 95% CI 1.67, 3.57) and with the provider (AOR 4.43; 95% CI 1.71, 11.48) [both p < 0.01]. CONCLUSIONS: : Improving the quality of interpersonal care and the degree of health-related discussions may result in greater satisfaction among LEP patients. The quality of the provider's interpersonal care is especially important to patient satisfaction. Interpreter services may alleviate some disparities in care.
Authors: Joel S Weissman; Joseph Betancourt; Eric G Campbell; Elyse R Park; Minah Kim; Brian Clarridge; David Blumenthal; Karen C Lee; Angela W Maina Journal: JAMA Date: 2005-09-07 Impact factor: 56.272
Authors: Romana Hasnain-Wynia; David W Baker; David Nerenz; Joe Feinglass; Anne C Beal; Mary Beth Landrum; Raj Behal; Joel S Weissman Journal: Arch Intern Med Date: 2007-06-25
Authors: Quyen Ngo-Metzger; Michael P Massagli; Brian R Clarridge; Michael Manocchia; Roger B Davis; Lisa I Iezzoni; Russell S Phillips Journal: J Gen Intern Med Date: 2003-01 Impact factor: 5.128