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Elizabeth A Jacobs - One of the best experts on this subject based on the ideXlab platform.
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Limited English proficient Hmong- and Spanish-speaking patients’ perceptions of the quality of Interpreter Services
International journal of nursing studies, 2015Co-Authors: Maichou Lor, Phia Xiong, Rebecca J. Schwei, Barbara J. Bowers, Elizabeth A JacobsAbstract:Abstract Background Language barriers are a large and growing problem for patients in the US and around the world. Interpreter Services are a standard solution for addressing language barriers and most research has focused on utilization of Interpreter Services and their effect on health outcomes for patients who do not speak the same language as their healthcare providers including nurses. However, there is limited research on patients' perceptions of these Interpreter Services. Objective To examine Hmong- and Spanish-speaking patients' perceptions of Interpreter Service quality in the context of receiving cancer preventive Services. Methods Twenty limited English proficient Hmong ( n =10) and Spanish-speaking participants ( n =10) ranging in age from 33 to 75 years were interviewed by two bilingual researchers in a Midwestern state. Interviews were audio taped, transcribed verbatim, and translated into English. Analysis was done using conventional content analysis. Results The two groups shared perceptions about the quality of Interpreter Services as variable along three dimensions. Specifically, both groups evaluated quality of Interpreters based on the Interpreters' ability to provide: (a) literal interpretation, (b) cultural interpretation, and (c) emotional interpretation during the health care encounter. The groups differed, however, on how they described the consequences of poor interpretation quality. Hmong participants described how poor quality interpretation could lead to: (a) poor interpersonal relationships among patients, providers, and Interpreters, (b) inability of patients to follow through with treatment plans, and (c) emotional distress for patients. Conclusions Our study highlights the fact that patients are discerning consumers of Interpreter Services; and could be effective partners in efforts to reform and enhance Interpreter Services.
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The Impact of an Enhanced Interpreter Service Intervention on Hospital Costs and Patient Satisfaction
Journal of General Internal Medicine, 2007Co-Authors: Elizabeth A Jacobs, Laura S Sadowski, Paul J RathouzAbstract:BACKGROUND Many health care providers do not provide adequate language access Services for their patients who are limited English-speaking because they view the costs of these Services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access Services.
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The impact of an enhanced Interpreter Service intervention on hospital costs and patient satisfaction.
Journal of general internal medicine, 2007Co-Authors: Elizabeth A Jacobs, Laura S Sadowski, Paul J RathouzAbstract:Many health care providers do not provide adequate language access Services for their patients who are limited English-speaking because they view the costs of these Services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access Services. To investigate how language barriers and the provision of enhanced Interpreter Services impact the costs of a hospital stay. Prospective intervention study. Public hospital inpatient medicine Service. Three hundred twenty-three adult inpatients: 124 Spanish-speakers whose physicians had access to the enhanced Interpreter intervention, 99 Spanish-speakers whose physicians only had access to usual Interpreter Services, and 100 English-speakers matched to Spanish-speaking participants on age, gender, and admission firm. Patient satisfaction, hospital length of stay, number of inpatient consultations and radiology tests conducted in the hospital, adherence with follow-up appointments, use of emergency department (ED) Services and hospitalizations in the 3 months after discharge, and the costs associated with provision of the intervention and any resulting change in health care utilization. The enhanced Interpreter Service intervention did not significantly impact any of the measured outcomes or their associated costs. The cost of the enhanced Interpreter Service was $234 per Spanish-speaking intervention patient and represented 1.5% of the average hospital cost. Having a Spanish-speaking attending physician significantly increased Spanish-speaking patient satisfaction with physician, overall hospital experience, and reduced ED visits, thereby reducing costs by $92 per Spanish-speaking patient over the study period. The enhanced Interpreter Service intervention did not significantly increase or decrease hospital costs. Physician-patient language concordance reduced return ED visit and costs. Health care providers need to examine all the cost implications of different language access Services before they deem them too costly.
Paul J Rathouz - One of the best experts on this subject based on the ideXlab platform.
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The Impact of an Enhanced Interpreter Service Intervention on Hospital Costs and Patient Satisfaction
Journal of General Internal Medicine, 2007Co-Authors: Elizabeth A Jacobs, Laura S Sadowski, Paul J RathouzAbstract:BACKGROUND Many health care providers do not provide adequate language access Services for their patients who are limited English-speaking because they view the costs of these Services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access Services.
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The impact of an enhanced Interpreter Service intervention on hospital costs and patient satisfaction.
Journal of general internal medicine, 2007Co-Authors: Elizabeth A Jacobs, Laura S Sadowski, Paul J RathouzAbstract:Many health care providers do not provide adequate language access Services for their patients who are limited English-speaking because they view the costs of these Services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access Services. To investigate how language barriers and the provision of enhanced Interpreter Services impact the costs of a hospital stay. Prospective intervention study. Public hospital inpatient medicine Service. Three hundred twenty-three adult inpatients: 124 Spanish-speakers whose physicians had access to the enhanced Interpreter intervention, 99 Spanish-speakers whose physicians only had access to usual Interpreter Services, and 100 English-speakers matched to Spanish-speaking participants on age, gender, and admission firm. Patient satisfaction, hospital length of stay, number of inpatient consultations and radiology tests conducted in the hospital, adherence with follow-up appointments, use of emergency department (ED) Services and hospitalizations in the 3 months after discharge, and the costs associated with provision of the intervention and any resulting change in health care utilization. The enhanced Interpreter Service intervention did not significantly impact any of the measured outcomes or their associated costs. The cost of the enhanced Interpreter Service was $234 per Spanish-speaking intervention patient and represented 1.5% of the average hospital cost. Having a Spanish-speaking attending physician significantly increased Spanish-speaking patient satisfaction with physician, overall hospital experience, and reduced ED visits, thereby reducing costs by $92 per Spanish-speaking patient over the study period. The enhanced Interpreter Service intervention did not significantly increase or decrease hospital costs. Physician-patient language concordance reduced return ED visit and costs. Health care providers need to examine all the cost implications of different language access Services before they deem them too costly.
Coral Steffey - One of the best experts on this subject based on the ideXlab platform.
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Interpreter preferences among pediatric patients and residents: Informing future directions for advancing patient-centered care for Spanish-speaking patients
Pediatrics, 2018Co-Authors: R. Drew Gardner, Coral SteffeyAbstract:Background: Language barriers continue to obstruct high quality healthcare, lessen satisfaction, and diminish understanding of health conditions. Interpreter Services, both professional and via telephone, attempt to mitigate these deleterious effects. However, patient and physician preference for the modality of professional Interpreter Services has not be described in a pediatric outpatient clinic. Purpose: The goal of this study was to identify the type of Interpreter Service preferred by Spanish-speaking patients and their care-providing pediatric residents in an outpatient general pediatrics setting. Methods: Twenty-eight consecutive Spanish-speaking parents of pediatric patients …
Laura S Sadowski - One of the best experts on this subject based on the ideXlab platform.
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The Impact of an Enhanced Interpreter Service Intervention on Hospital Costs and Patient Satisfaction
Journal of General Internal Medicine, 2007Co-Authors: Elizabeth A Jacobs, Laura S Sadowski, Paul J RathouzAbstract:BACKGROUND Many health care providers do not provide adequate language access Services for their patients who are limited English-speaking because they view the costs of these Services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access Services.
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The impact of an enhanced Interpreter Service intervention on hospital costs and patient satisfaction.
Journal of general internal medicine, 2007Co-Authors: Elizabeth A Jacobs, Laura S Sadowski, Paul J RathouzAbstract:Many health care providers do not provide adequate language access Services for their patients who are limited English-speaking because they view the costs of these Services as prohibitive. However, little is known about the costs they might bear because of unaddressed language barriers or the costs of providing language access Services. To investigate how language barriers and the provision of enhanced Interpreter Services impact the costs of a hospital stay. Prospective intervention study. Public hospital inpatient medicine Service. Three hundred twenty-three adult inpatients: 124 Spanish-speakers whose physicians had access to the enhanced Interpreter intervention, 99 Spanish-speakers whose physicians only had access to usual Interpreter Services, and 100 English-speakers matched to Spanish-speaking participants on age, gender, and admission firm. Patient satisfaction, hospital length of stay, number of inpatient consultations and radiology tests conducted in the hospital, adherence with follow-up appointments, use of emergency department (ED) Services and hospitalizations in the 3 months after discharge, and the costs associated with provision of the intervention and any resulting change in health care utilization. The enhanced Interpreter Service intervention did not significantly impact any of the measured outcomes or their associated costs. The cost of the enhanced Interpreter Service was $234 per Spanish-speaking intervention patient and represented 1.5% of the average hospital cost. Having a Spanish-speaking attending physician significantly increased Spanish-speaking patient satisfaction with physician, overall hospital experience, and reduced ED visits, thereby reducing costs by $92 per Spanish-speaking patient over the study period. The enhanced Interpreter Service intervention did not significantly increase or decrease hospital costs. Physician-patient language concordance reduced return ED visit and costs. Health care providers need to examine all the cost implications of different language access Services before they deem them too costly.
R. Drew Gardner - One of the best experts on this subject based on the ideXlab platform.
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Interpreter preferences among pediatric patients and residents: Informing future directions for advancing patient-centered care for Spanish-speaking patients
Pediatrics, 2018Co-Authors: R. Drew Gardner, Coral SteffeyAbstract:Background: Language barriers continue to obstruct high quality healthcare, lessen satisfaction, and diminish understanding of health conditions. Interpreter Services, both professional and via telephone, attempt to mitigate these deleterious effects. However, patient and physician preference for the modality of professional Interpreter Services has not be described in a pediatric outpatient clinic. Purpose: The goal of this study was to identify the type of Interpreter Service preferred by Spanish-speaking patients and their care-providing pediatric residents in an outpatient general pediatrics setting. Methods: Twenty-eight consecutive Spanish-speaking parents of pediatric patients …
