1 Division of General Internal Medicine and Primary Care and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California, USA 2 Beth Israel Deaconess Medical Center, Division of General Medicine and Primary Care, Harvard Medical School, Boston, Massachusetts, USA.
Patient. 2009 Jun 1;2(2):113-20. doi: 10.2165/01312067-200902020-00007.
: Among patients with limited English-language proficiency (LEP), provider-patient language discordance is related to lower patient satisfaction. However, little is known about how language barriers are associated with specific patient experiences, and how these experiences in turn may influence patient satisfaction.
: To evaluate the degree of health education and the quality of interpersonal care that occurs during patient visits, and their associations with patient satisfaction, in LEP Asian American patients.
: A cross-sectional mail survey was conducted in 2746 LEP Chinese and Vietnamese patients aged ≥18 years from 11 community health centers in eight US cities. We examined self-reported healthcare experiences of LEP patients who had visits to a language concordant (speaks the patient's language) or discordant (does not speak the patient's language) provider over the previous month. Multivariable logistic regressions were conducted to examine the associations between interpersonal care, discussions of health-related behaviors, and patient satisfaction.
: Discussions of health-related behaviors and the quality of interpersonal care received were independent predictors of patient satisfaction (p < 0.001). For language-discordant visits without access to an interpreter, patients who received poor-quality interpersonal care were more likely to be dissatisfied with the visit (adjusted odds ratio [AOR] 2.44; 95% CI 1.67, 3.57) and with the provider (AOR 4.43; 95% CI 1.71, 11.48) [both p < 0.01].
: Improving the quality of interpersonal care and the degree of health-related discussions may result in greater satisfaction among LEP patients. The quality of the provider's interpersonal care is especially important to patient satisfaction. Interpreter services may alleviate some disparities in care.
在英语水平有限（LEP）的患者中，医患语言交流障碍与患者满意度较低有关。然而，人们对语言障碍如何与特定的患者体验相关，以及这些体验如何反过来影响患者满意度知之甚少。
评估在英语水平有限的亚裔美国患者中，就诊期间接受健康教育和人际关怀的程度，及其与患者满意度的关系。
在 8 个美国城市的 11 个社区卫生中心，对 2746 名年龄≥18 岁、英语水平有限的中国和越南裔患者进行了横断面邮寄调查。我们调查了在过去一个月内，与语言一致（讲患者的语言）或不一致（不讲患者的语言）的提供者就诊的 LEP 患者的自我报告医疗保健体验。采用多变量逻辑回归分析探讨人际关怀、健康相关行为讨论与患者满意度之间的关系。
健康相关行为讨论和接受的人际关怀质量是患者满意度的独立预测因素（p<0.001）。对于没有口译员的语言交流障碍就诊，如果患者接受的人际关怀质量较差，他们更有可能对就诊（调整后的优势比 [AOR] 2.44；95%CI 1.67，3.57）和对提供者（AOR 4.43；95%CI 1.71，11.48）不满意（均 p<0.01）。
提高人际关怀质量和健康相关讨论程度可能会提高 LEP 患者的满意度。提供者人际关怀的质量对患者满意度尤为重要。口译服务可能会减轻一些护理方面的差异。
