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Transitions from hospital to community care: the role of patient–provider language concordance
BACKGROUND: Cultural and language discordance between patients and providers constitutes a significant challenge to provision of quality healthcare. This study aims to evaluate minority patients’ discharge from hospital to community care, specifically examining the relationship between patient–provi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4114088/ https://www.ncbi.nlm.nih.gov/pubmed/25075273 http://dx.doi.org/10.1186/2045-4015-3-24 |
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author | Rayan, Nosaiba Admi, Hanna Shadmi, Efrat |
author_facet | Rayan, Nosaiba Admi, Hanna Shadmi, Efrat |
author_sort | Rayan, Nosaiba |
collection | PubMed |
description | BACKGROUND: Cultural and language discordance between patients and providers constitutes a significant challenge to provision of quality healthcare. This study aims to evaluate minority patients’ discharge from hospital to community care, specifically examining the relationship between patient–provider language concordance and the quality of transitional care. METHODS: This was a multi-method prospective study of care transitions of 92 patients: native Hebrew, Russian or Arabic speakers, with a pre-discharge questionnaire and structured observations examining discharge preparation from a large Israeli teaching hospital. Two weeks post-discharge patients were surveyed by phone, on the transition from hospital to community care (the Care Transition Measure (CTM-15, 0–100 scale)) and on the primary-care post-discharge visit. RESULTS: Overall, ratings on the CTM indicated fair quality of the transition process (scores of 51.8 to 58.8). Patient–provider language concordance was present in 49% of minority patients’ discharge briefings. Language concordance was associated with higher CTM scores among minority groups (64.1 in language-concordant versus 49.8 in non-language-concordant discharges, P <0.001). Other aspects significantly associated with CTM scores: extent of discharge explanations (P <0.05), quality of discharge briefing (P <0.001), and post-discharge explanations by the primary care physician (P <0.01). CONCLUSION: Language-concordant care, coupled with extensive discharge briefings and post-discharge explanations for ongoing care, are important contributors to the quality of care transitions of ethnic minority patients. |
format | Online Article Text |
id | pubmed-4114088 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-41140882014-07-30 Transitions from hospital to community care: the role of patient–provider language concordance Rayan, Nosaiba Admi, Hanna Shadmi, Efrat Isr J Health Policy Res Original Research Article BACKGROUND: Cultural and language discordance between patients and providers constitutes a significant challenge to provision of quality healthcare. This study aims to evaluate minority patients’ discharge from hospital to community care, specifically examining the relationship between patient–provider language concordance and the quality of transitional care. METHODS: This was a multi-method prospective study of care transitions of 92 patients: native Hebrew, Russian or Arabic speakers, with a pre-discharge questionnaire and structured observations examining discharge preparation from a large Israeli teaching hospital. Two weeks post-discharge patients were surveyed by phone, on the transition from hospital to community care (the Care Transition Measure (CTM-15, 0–100 scale)) and on the primary-care post-discharge visit. RESULTS: Overall, ratings on the CTM indicated fair quality of the transition process (scores of 51.8 to 58.8). Patient–provider language concordance was present in 49% of minority patients’ discharge briefings. Language concordance was associated with higher CTM scores among minority groups (64.1 in language-concordant versus 49.8 in non-language-concordant discharges, P <0.001). Other aspects significantly associated with CTM scores: extent of discharge explanations (P <0.05), quality of discharge briefing (P <0.001), and post-discharge explanations by the primary care physician (P <0.01). CONCLUSION: Language-concordant care, coupled with extensive discharge briefings and post-discharge explanations for ongoing care, are important contributors to the quality of care transitions of ethnic minority patients. BioMed Central 2014-07-22 /pmc/articles/PMC4114088/ /pubmed/25075273 http://dx.doi.org/10.1186/2045-4015-3-24 Text en Copyright © 2014 Rayan et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Research Article Rayan, Nosaiba Admi, Hanna Shadmi, Efrat Transitions from hospital to community care: the role of patient–provider language concordance |
title | Transitions from hospital to community care: the role of patient–provider language concordance |
title_full | Transitions from hospital to community care: the role of patient–provider language concordance |
title_fullStr | Transitions from hospital to community care: the role of patient–provider language concordance |
title_full_unstemmed | Transitions from hospital to community care: the role of patient–provider language concordance |
title_short | Transitions from hospital to community care: the role of patient–provider language concordance |
title_sort | transitions from hospital to community care: the role of patient–provider language concordance |
topic | Original Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4114088/ https://www.ncbi.nlm.nih.gov/pubmed/25075273 http://dx.doi.org/10.1186/2045-4015-3-24 |
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