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Access to Orthopedic Care for Deaf Patients With Distal Radius Fractures
Sophia Sarang Shin Yin1, Arezo Ahmadi1, Yew Song Cheng1
1University of California, San Francisco, USA.
Hand (New York, N.Y.)
|February 3, 2026
Summary
Deaf patients face longer orthopedic appointment wait times than hearing patients, particularly with physicians. While many offices offer interpreters, some rely on family members, potentially impacting care quality.
Area of Science:
- Orthopedic Surgery
- Health Services Research
- Patient Access to Care
Background:
- Orthopedic care access is crucial for optimal patient outcomes.
- Communication barriers can impede healthcare delivery for deaf individuals.
- Evaluating disparities in orthopedic appointment scheduling is essential.
Purpose of the Study:
- To assess if deaf patients encounter barriers in accessing orthopedic care compared to hearing patients.
- To analyze differences in appointment wait times, denial rates, and interpreter availability.
Main Methods:
- 132 US orthopedic offices were contacted for fictitious patient appointments.
- Appointments were requested for both hearing and deaf patients (using American Sign Language).
- Key metrics included time to appointment and interpreter availability.
Main Results:
- Deaf patients experienced significantly longer wait times for physician appointments (4.96 vs. 3.32 days).
- Overall wait times did not differ significantly when including all provider types (4.43 vs. 3.38 days).
- Most offices offered interpreters, with academic practices more likely to provide ASL interpretation.
Conclusions:
- Deaf patients face statistically significant, though not always clinically significant, delays for orthopedic appointments with physicians.
- Reliance on ad hoc interpreters, including family members, remains a concern.
- Further improvements are needed to ensure equitable access to orthopedic care for deaf patients.
Keywords:
ad hoc interpretersappointment timedeaf patientsdistal radius fracturehealth equityhealth outcomesinterpretersign languagetime to appointmentMore Related Videos
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