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Related Experiment Videos

Patient satisfaction with different interpreting methods: a randomized controlled trial.

Francesca Gany1, Jennifer Leng, Ephraim Shapiro

  • 1Center for Immigrant Health, Department of Medicine, New York University School of Medicine, 550 First Avenue, OBV, CD-401, New York, NY, USA. fg12@nyu.edu

Journal of General Internal Medicine
|November 28, 2007
PubMed
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Remote simultaneous medical interpreting (RSMI) improved patient satisfaction and privacy for limited-English-proficient (LEP) patients. RSMI is a valuable tool for addressing healthcare language barriers.

Area of Science:

  • Health Services Research
  • Medical Communication
  • Patient Experience

Background:

  • Increasing foreign-born populations in the U.S. lead to more limited-English-proficient (LEP) patients.
  • Language barriers impact healthcare access and quality for LEP individuals.
  • Innovative interpreting solutions are needed to bridge communication gaps.

Purpose of the Study:

  • To evaluate the impact of remote simultaneous medical interpreting (RSMI) versus usual and customary (U&C) interpreting on patient satisfaction.
  • To assess patient perceptions of physician communication and care quality based on the interpreting method used.
  • To determine if RSMI enhances patient privacy compared to U&C interpreting.

Main Methods:

  • A randomized controlled trial involving 1,276 English-, Spanish-, Mandarin-, and Cantonese-speaking patients at a NYC municipal hospital.

Related Experiment Videos

  • Language-discordant patients were randomized to RSMI or U&C interpreting.
  • Patient satisfaction and demographic questionnaires were administered to all participants.

    • Main Results:

    • Patients randomized to RSMI reported higher satisfaction with physician respect (71% vs. 64%) and perceived privacy protection (51% vs. 38%) compared to U&C.
    • Exposure to RSMI was significantly associated with increased overall satisfaction with physician communication and care.
    • Both interpreting groups reported lower satisfaction and comprehension than language-concordant encounters.

    Conclusions:

    • Remote simultaneous medical interpreting (RSMI) can enhance patient satisfaction and privacy for LEP individuals.
    • RSMI is a valuable component of a comprehensive strategy to overcome healthcare language barriers.
    • While effective, RSMI does not replace the need for language-concordant providers.