语言问题:跨非英语语言子组和医院的手术再入院的变化
Brittany M Dacier1, Jesus Mejia2, Alyssa N Jones3
1Center for Surgery and Public Health, Department of Surgery, Mass General Brigham, Boston, MA, USA; Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
American journal of surgery
|February 11, 2026
概括
从语言服务医院 (LSH) 出院的英语能力有限 (LEP) 患者的再入院率较低. 这凸显了医院语言服务对于改善手术结果和减少健康差异的重要性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 外科手术的结果
背景情况:
- 有限英语水平 (LEP) 的患者经历了更糟糕的外科手术结果.
- 医院在提供语言访问服务的能力方面存在很大差异.
- 有效的语言服务对于公平的医疗保健服务至关重要.
研究的目的:
- 为了比较LEP成年手术患者的7天再入院率.
- 该研究根据医院的语言服务状态 (LSH与非LSH) 分层结果.
- 分析包括分语言群的分层:西班牙语,普通非英语非西班牙语 (NENS) 和罕见的NENS语言.
主要方法:
- 使用新泽西州住院患者数据库进行分析.
- 包括34,342名成年手术患者从医院出院.
- 语言服务医院 (LSH) 与非LSH医院之间的再录取率的比较.
主要成果:
- 从LSH出院的患者的再入院率为2.5%,而非LSH的患者的再入院率为5.0%.
- 来自LSH的LEP患者在西班牙语 (aOR 0.46),普通NENS (aOR 0.49) 和罕见NENS (aOR 0.50) 语言群体中恢复入院的几率降低.
- 这些发现表明,LSH对各种LEP人群具有显著的益处.
结论:
- 语言服务医院 (LSH) 的出院与LEP手术患者的再入院几率较低有关.
- 似乎LSH更有能力管理LEP患者的护理,这可能会减少再入院.
- 对于普通和罕见的NENS语言,差异仍然存在,这凸显了除西班牙语之外需要扩大语言资源的需要.
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