描述性分析西北威斯康星州翻译服务模式成本和使用在COVID-19前和后的描述性分析
Elena N Casey1, Erin Fitzgerald2, Hannah S Rackers3
1University of Wisconsin-Eau Claire, Eau Claire, Wisconsin, USA. caseyen@uwec.edu.
BMC health services research
|January 17, 2025
概括
尽管访问次数相似,但所有模式的口译服务成本都增加了. 这凸显了医疗保健中对可访问的语言服务的日益增长的需求,特别是在COVID-19大流行期间.
科学领域:
- 医疗保健管理的管理
- 医学翻译 医学翻译
- 公共卫生 公共卫生
背景情况:
- 翻译服务模式 (面对面,音频,视频) 影响患者体验和医疗保健参与度.
- 远程口译服务提供了成本效益高的解决方案,当面对面的口译员无法使用或对于英语水平有限的患者 (LEP).
- 随着COVID-19大流行,威斯康星州西北地区需要更多地依赖远程口译服务.
研究的目的:
- 在COVID-19大流行之前和期间描述翻译服务的访问特征.
- 分析翻译访问和成本的差异,按模式和语言分别进行.
- 评估威斯康星州欧克莱尔和梅诺米的梅奥诊所卫生系统 (MCHS) 的口译服务利用率和费用.
主要方法:
- 从MCHS Eau Claire和Menomonie (2019年6月至12月和2020年) 分析医疗记录和计费数据.
- 访问特征和总成本的描述性分析,包括语言,模式,付款人类型,部门,患者年龄和性别.
- 统计测试 (皮尔森的千方形,t测试) 以确定大流行前期和大流行前期的显著差异.
主要成果:
- 在2019年和2020年之间的所有访问特征中观察到显著的差异,与COVID-19协议保持一致.
- 所有口译模式的总成本从2019年到2020年大幅增加,尽管总体访问次数相似.
- 面对面的口译费用从188,109美元上升到388,500美元,音频费用从15,734美元上升到44,376美元,视频费用从15,881美元上升到34,245美元.
结论:
- 整体口译服务访问次数在2019年和2020年之间保持一致.
- 在所有模式中观察到翻译服务成本的显著增加.
- 这些发现强调了多式联络语言资源在医疗保健环境中的可用性和利用的积极影响.
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