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Inpatient care experiences differ by preferred language within racial/ethnic groups

OBJECTIVE: To describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups. DATA SOURCE: 2014‐2015 HCAHPS survey data. STUDY DESIGN: We compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, a...

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Autores principales: Quigley, Denise D., Elliott, Marc N., Hambarsoomian, Katrin, Wilson‐Frederick, Shondelle M., Lehrman, William G., Agniel, Denis, Ng, Judy H., Goldstein, Elizabeth H., Giordano, Laura A., Martino, Steven C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341216/
https://www.ncbi.nlm.nih.gov/pubmed/30613960
http://dx.doi.org/10.1111/1475-6773.13105
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author Quigley, Denise D.
Elliott, Marc N.
Hambarsoomian, Katrin
Wilson‐Frederick, Shondelle M.
Lehrman, William G.
Agniel, Denis
Ng, Judy H.
Goldstein, Elizabeth H.
Giordano, Laura A.
Martino, Steven C.
author_facet Quigley, Denise D.
Elliott, Marc N.
Hambarsoomian, Katrin
Wilson‐Frederick, Shondelle M.
Lehrman, William G.
Agniel, Denis
Ng, Judy H.
Goldstein, Elizabeth H.
Giordano, Laura A.
Martino, Steven C.
author_sort Quigley, Denise D.
collection PubMed
description OBJECTIVE: To describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups. DATA SOURCE: 2014‐2015 HCAHPS survey data. STUDY DESIGN: We compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, and Other) within applicable subsets of five racial/ethnic groups (Hispanics, Asian/Pacific Islanders, American Indian/Alaska Natives, Blacks, and Whites). We measured patient‐mix adjusted overall, between‐ and within‐hospital differences in patient experience by language, using linear regression. DATA COLLECTION METHODS: Surveys from 5 480 308 patients discharged from 4517 hospitals 2014‐2015. PRINCIPAL FINDINGS: Within each racial/ethnic group, mean reported experiences for non‐English‐preferring patients were almost always worse than their English‐preferring counterparts. Language differences were largest and most consistent for Care Coordination. Within‐hospital differences by language were often larger than between‐hospital differences and were largest for Care Coordination. Where between‐hospital differences existed, non‐English‐preferring patients usually attended hospitals whose average patient experience scores for all patients were lower than the average scores for the hospitals of their English‐preferring counterparts. CONCLUSIONS: Efforts should be made to increase access to better hospitals for language minorities and improve care coordination and other facets of patient experience in hospitals with high proportions of non‐English‐preferring patients, focusing on cultural competence and language‐appropriate services.
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spelling pubmed-63412162020-02-01 Inpatient care experiences differ by preferred language within racial/ethnic groups Quigley, Denise D. Elliott, Marc N. Hambarsoomian, Katrin Wilson‐Frederick, Shondelle M. Lehrman, William G. Agniel, Denis Ng, Judy H. Goldstein, Elizabeth H. Giordano, Laura A. Martino, Steven C. Health Serv Res Health Equity OBJECTIVE: To describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups. DATA SOURCE: 2014‐2015 HCAHPS survey data. STUDY DESIGN: We compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, and Other) within applicable subsets of five racial/ethnic groups (Hispanics, Asian/Pacific Islanders, American Indian/Alaska Natives, Blacks, and Whites). We measured patient‐mix adjusted overall, between‐ and within‐hospital differences in patient experience by language, using linear regression. DATA COLLECTION METHODS: Surveys from 5 480 308 patients discharged from 4517 hospitals 2014‐2015. PRINCIPAL FINDINGS: Within each racial/ethnic group, mean reported experiences for non‐English‐preferring patients were almost always worse than their English‐preferring counterparts. Language differences were largest and most consistent for Care Coordination. Within‐hospital differences by language were often larger than between‐hospital differences and were largest for Care Coordination. Where between‐hospital differences existed, non‐English‐preferring patients usually attended hospitals whose average patient experience scores for all patients were lower than the average scores for the hospitals of their English‐preferring counterparts. CONCLUSIONS: Efforts should be made to increase access to better hospitals for language minorities and improve care coordination and other facets of patient experience in hospitals with high proportions of non‐English‐preferring patients, focusing on cultural competence and language‐appropriate services. John Wiley and Sons Inc. 2019-01-06 2019-02 /pmc/articles/PMC6341216/ /pubmed/30613960 http://dx.doi.org/10.1111/1475-6773.13105 Text en © 2019 The Authors. Health Services Research published by Wiley Periodicals, Inc. on behalf of Health Research and Educational Trust This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Health Equity
Quigley, Denise D.
Elliott, Marc N.
Hambarsoomian, Katrin
Wilson‐Frederick, Shondelle M.
Lehrman, William G.
Agniel, Denis
Ng, Judy H.
Goldstein, Elizabeth H.
Giordano, Laura A.
Martino, Steven C.
Inpatient care experiences differ by preferred language within racial/ethnic groups
title Inpatient care experiences differ by preferred language within racial/ethnic groups
title_full Inpatient care experiences differ by preferred language within racial/ethnic groups
title_fullStr Inpatient care experiences differ by preferred language within racial/ethnic groups
title_full_unstemmed Inpatient care experiences differ by preferred language within racial/ethnic groups
title_short Inpatient care experiences differ by preferred language within racial/ethnic groups
title_sort inpatient care experiences differ by preferred language within racial/ethnic groups
topic Health Equity
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341216/
https://www.ncbi.nlm.nih.gov/pubmed/30613960
http://dx.doi.org/10.1111/1475-6773.13105
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