限定的英语水平患者的出院干预:一个范围审查
Melanie Anaya1,2, William Law3,4, Hannah L Montoya3,4
1The Warren Alpert Medical School, Brown University, 222 Richmond Street, Providence, RI, 02903, USA. melanie_anaya@brown.edu.
Journal of racial and ethnic health disparities
|April 19, 2024
概括
对于英语水平有限的患者 (LEP) 的出院说明仍然不符合标准. 虽然一些干预措施改善了患者的满意度,但其他干预措施却没有,这凸显了需要更好的方法和社区投入的需要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者沟通 患者沟通
- 健康 公平 卫生 公平
背景情况:
- 联邦法律规定,对英语能力有限 (LEP) 患者进行语言一致的护理.
- 与英语同行相比,LEP患者通常会收到低于最佳的医院出院说明.
- 改善出院沟通对于LEP患者的治疗结果至关重要.
研究的目的:
- 系统地审查旨在加强LEP个人免费指令的干预措施.
- 确定共同的干预策略及其有效性.
主要方法:
- 对来自美国的学术和灰色文献进行了范围审查.
- 搜索包括PubMed,Embase和CINAHL,它们遵循PRISMA-ScR指南.
- 从最初的3330个识别记录中,包括了19项研究.
主要成果:
- 干预包括书面材料,教育,综合方法和视听方法.
- 在干预类型,结果措施和报告结果方面存在显著的异质性.
- 在大多数测量患者满意度的研究中,患者满意度有所改善;其他结果显示混合或负面结果.
结论:
- 目前的干预措施显示,除了患者对LEP出院说明的满意度之外,其成功程度有限.
- 更严格的研究方法是必不可少的.
- 社区参与对于为LEP患者开发有效的未来干预措施至关重要.
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