促进紧急部门公平的发展 针对西班牙语家庭的解雇通讯
Gisella Valderrama1,2, Hannah Carron1,2, Andy Schwieter3
1Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
实施西班牙语出院视频改善了西班牙语家庭在急诊部 (ED) 的沟通公平. 这一举措增强了信息传递,减少了沟通差距,确保了更好的医疗保健体验.
科学领域:
- 卫生沟通健康沟通
- 健康 公平 卫生 公平
- 紧急医疗 紧急医疗
背景情况:
- 西班牙语患者在医疗机构面临沟通障碍,特别是在急诊室 (ED).
- 对西班牙语家庭来说,出院说明往往是不够的,导致健康差异.
- 家庭经验数据突出了与西班牙语人口存在的沟通差距.
研究的目的:
- 优化ED中西班牙语家庭的公平沟通.
- 为共同的ED条件实施语言一致的放电教程视频.
- 为了提高对口译员的认识,需要减轻健康差异.
主要方法:
- 一个多学科团队开发了干预措施,以改善与西班牙语家庭的沟通.
- 国际疾病分类第十次修订 (ICD-10) 代码被用于建立出院视频相关性的基线.
- 关键指标包括沟通得分,出院视频利用率,72小时的回访时间和停留时间 (LOS).
主要成果:
- 接受充分信息的西班牙语家庭的百分比从56%增加到70.6%,使公平差距从10%提高到-3%.
- 英语家庭的满意度保持稳定,为66.7%.
- 排放视频订单率从0%上升到27.6%,回访或LOS没有显著变化.
结论:
- 一种多方面的方法,包括对语言障碍的认识和有效的沟通工具,增强了沟通公平.
- 标准化,易于理解和语言一致的出院说明改善了医疗保健沟通.
- 加强对识别语言障碍的重视对于促进临床环境中的健康公平至关重要.
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