评估患者医院出院指示的质量和公平性
Kirsten Austad1,2, Joo Hyun Lee3, Howard Lanney3
1Department of Family Medicine, Boston Medical Center &, Boston University Chobanian and Avedisian School of Medicine, 850 Harrison Avenue, Boston, MA, 02118, USA. kaustad@bu.edu.
BMC health services research
|February 20, 2025
概括
非英语语言偏好 (NELP) 的患者以他们喜欢的语言收到的出院指令较少,这表明质量差异. 需要进一步的研究来解决医疗保健沟通中的这些差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
- 健康 公平 卫生 公平
背景情况:
- 书面的出院说明对于患者在住院后的理解和自我管理至关重要.
- 对非英语语言偏好 (NELP) 患者出院说明的质量存在有限的研究.
- 基于语言偏好,出院指导质量的潜在差异尚未得到充分理解.
研究的目的:
- 为了比较患者与英语语言偏好和NELP之间的医院出院说明的质量.
- 评估是否以患者喜欢的语言提供说明.
- 评估遵守推的内容领域和健康素养最佳实践.
主要方法:
- 分析了200个住院成年人医学出院记录,根据诊断和年龄将病例匹配到英语和NELP队列 (每组n=100).
- 评估指令的语言,字数和可读性 (年级级).
- 在六个领域的内容质量评级使用出院指令-住院病人的质量 (QDI-I) 尺度.
主要成果:
- 只有8%的NELP患者以他们喜欢的语言接受指令,而 100%的英语使用者 (p < 0.001).
- 整体质量得分相似 (71.1%与71.3%),但NELP患者在返回预防措施方面得分较低 (80.5%与88.8%,p=0.013).
- 两个小组的指令都是以八年级和九年级的阅读水平写成的.
结论:
- 对于患有NELP的患者来说,书面出院说明的质量存在差异.
- 对于NELP患者来说,返回预防措施的领域明显较差.
- 建议在更大的样本大小的卫生系统中进行复制,以探索非英语语言群体之间的差异.
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