隐藏的差异:语言如何影响患者获得癌症护理的机会
Debbie W Chen1, Mousumi Banerjee2, Xin He3
1Division of Metabolism, Endocrinology, and Diabetes, University of Michigan, Ann Arbor, Michigan.
Journal of the National Comprehensive Cancer Network : JNCCN
|September 6, 2023
概括
英语水平有限的患者在获得癌症护理方面面临重大障碍. 与英语说话者相比,非英语说话者接受下一步护理的可能性较低,突出了语言差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 卫生沟通健康沟通
背景情况:
- 有限英语水平 (LEP) 患者是癌症差异研究中研究不足的人群.
- 语言失调会对患者护理质量产生负面影响.
- 偏好的口语对癌症治疗机会的影响还不太清楚.
研究的目的:
- 根据患者喜欢的口语,调查在获得癌症治疗方面的差异.
- 对医院系统提供下一步癌症护理的能力进行审计,对非英语发言者进行审计.
主要方法:
- 一项审计研究涉及12个州的144家医院.
- 训练有素的调查人员扮演英语,西班牙语和普通话患者.
- 标准化脚本用于查询结肠,肺和甲状腺癌的护理.
主要成果:
- 只有52.9%的所有模拟患者呼叫结果提供了下一步的护理.
- 与英语使用者 (93.5%) 相比,非英语使用者的接下来步骤 (普通话:27.5%,西班牙语:37.7%) 的可能性要低得多.
- 多变量分析显示,口语和医院教学状态与接收下一步措施有显著的关联.
结论:
- 在非英语患者获得癌症护理方面存在显著的语言差异.
- 系统层面的沟通障碍需要有针对性的干预.
- 解决语言障碍对于公平的癌症护理提供至关重要.
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