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Health Serv Res. 2019 Feb;54 Suppl 1:263-274. doi: 10.1111/1475-6773.13105. Epub 2019 Jan 6.

Inpatient care experiences differ by preferred language within racial/ethnic groups.

Author information

1
RAND Corporation, Santa Monica, California.
2
Centers for Medicare & Medicaid Services, Office of Minority Health, Baltimore, Maryland.
3
Centers for Medicare & Medicaid Services, Baltimore, Maryland.
4
National Committee for Quality Assurance, Washington, District of Columbia.
5
Health Services Advisory Group, Phoenix, Arizona.
6
RAND Corporation, Pittsburgh, Pennsylvania.

Abstract

OBJECTIVE:

To describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups.

DATA SOURCE:

2014-2015 HCAHPS survey data.

STUDY DESIGN:

We compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, and Other) within applicable subsets of five racial/ethnic groups (Hispanics, Asian/Pacific Islanders, American Indian/Alaska Natives, Blacks, and Whites). We measured patient-mix adjusted overall, between- and within-hospital differences in patient experience by language, using linear regression.

DATA COLLECTION METHODS:

Surveys from 5 480 308 patients discharged from 4517 hospitals 2014-2015.

PRINCIPAL FINDINGS:

Within each racial/ethnic group, mean reported experiences for non-English-preferring patients were almost always worse than their English-preferring counterparts. Language differences were largest and most consistent for Care Coordination. Within-hospital differences by language were often larger than between-hospital differences and were largest for Care Coordination. Where between-hospital differences existed, non-English-preferring patients usually attended hospitals whose average patient experience scores for all patients were lower than the average scores for the hospitals of their English-preferring counterparts.

CONCLUSIONS:

Efforts should be made to increase access to better hospitals for language minorities and improve care coordination and other facets of patient experience in hospitals with high proportions of non-English-preferring patients, focusing on cultural competence and language-appropriate services.

KEYWORDS:

patient assessment; quality of care (measurement); survey research

PMID:
30613960
PMCID:
PMC6341216
DOI:
10.1111/1475-6773.13105
[Indexed for MEDLINE]
Free PMC Article

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