对外科手术患者的语言服务供应商遵守的试点研究,英语能力有限
J Walker Rosenthal1, Emna Bakillah2, Rachael C Acker1
1Department of Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA; Center for Surgery and Health Economics, Department of Surgery, Philadelphia, PA, USA.
American journal of surgery
|June 24, 2025
概括
对于英语水平有限的患者,专业医疗口译服务未得到充分利用. 目前的数据显示,服务使用与手术结果之间没有显著的关联,这表明需要进一步研究.
科学领域:
- 医疗保健政策 医疗保健政策
- 患者倡导 患者倡导
- 手术成果研究的研究结果.
背景情况:
- "负担得起的医疗保健法"第1557条规定,为LEP患者提供语言服务.
- 坚持率和对手术结果的影响仍然不清楚.
研究的目的:
- 为了确定1557条款对接受胆囊切除术的LEP患者的政策遵守.
- 调查政策遵守与关键手术结果之间的关联.
主要方法:
- 对接受胆囊切除术的230名LEP患者进行了回顾性试点研究.
- 分析电子医疗记录,用于翻译服务的使用和文档.
- 回归分析以评估合规性和逗留时间,ED访问,再录取和后续行动之间的联系.
主要成果:
- 62.2%的患者使用了口译服务;30%的患者有语言一致的文档.
- 没有发现翻译使用/文档与逗留时间,ED访问,再录取或后续检查之间有显著的关联.
结论:
- 在这个LEP患者队列中,语言口译服务的使用率不足.
- 需要进一步调查,以确定在关键决策期间提供服务的障碍.
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