严重疾病的质量与住院的英语能力有限的患者的沟通:一种混合方法研究
Laura M Holdsworth1, Samantha M R Kling1, Marcy Winget1
1Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
Palliative medicine reports
|September 8, 2025
概括
与英语水平有限 (LEP) 的住院患者进行严重疾病对话需要临床医生的认真参与和翻译的准备. 虽然严重疾病对话指南可以提供帮助,但需要特定的工作流程来确保LEP患者的高质量沟通.
科学领域:
- 医学沟通 医学沟通
- 健康 公平 卫生 公平
- 以患者为中心的护理
背景情况:
- "严重疾病对话指南"旨在改善护理讨论的目标.
- 对于英语水平有限的患者 (LEP) 的实施仍未得到充分研究.
- 这次评估的重点是住院的LEP患者和临床医生/口译员的观点.
研究的目的:
- 探索与住院LEP患者的严重疾病对话.
- 了解临床医生和口译员与指南的经验.
- 评估电子医疗记录 (EMR) 文档差异,以提高质量.
主要方法:
- 进行了并行混合方法评估.
- 对观察结果和对口译员,OT,RDS和医生的采访进行主题分析.
- 英语熟练和LEP患者之间的EMR文档比较.
主要成果:
- 六个主题出现了关于严重疾病的沟通和指导使用与LEP患者.
- 翻译和临床医生都发现严重疾病的沟通是独一无二的.
- 两组之间没有观察到EMR记录率的显著差异.
结论:
- 与LEP患者的沟通质量可能因临床医生的参与和口译员的准备而有所不同.
- 该指南可以增强沟通,但需要对LEP患者提供支持的工作流.
- 优化LEP患者的严重疾病对话需要定制的实施策略.
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