Marcus Erin N, Koru-Sengul Tulay, Miao Feng, Yepes Monica, Sanders Lee
Division of General Internal Medicine and Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, 1611 NW 12th Ave., Suite 356, Miami, FL, 33101, USA,
J Immigr Minor Health. 2014 Jun;16(3):401-8. doi: 10.1007/s10903-012-9771-7.
Research suggests that women with Limited English Proficiency (LEP) and ethnic minority women are at increased risk of being inadequately informed of their mammogram result. The purpose of this study is to explore breast imaging centers' communication practices and assess how these centers accommodate women with low literacy and LEP. A 35-question survey was distributed to a national association of more than 700 breast health centers. Descriptive analysis of the overall sample and Fisher's exact or Chi squared testing to distinguish differences between subgroups were performed. Respondents from 206 centers completed questionnaires. 29% of respondents stated that more than a quarter of their patients were black, 27% of respondents stated that more than a quarter of their patients were Hispanic/Latina, and 13% of respondents stated that more than a quarter of their patients had LEP. Overall, 18% of respondents reported they do not routinely telephone patients with results, 15% do not have multilingual staff or translators available to answer questions, and 69% send result letters in English only. Of note, 69% use patient navigators. Centers reported systemic strengths and barriers to clear communication of mammography results. Our findings are consistent with past investigations identifying a general need to improve the communication of breast imaging results and suggesting that result notification letters alone are inadequate in ensuring that every woman understands her personal results and follow-up plan.
研究表明，英语水平有限（LEP）的女性和少数族裔女性在充分了解其乳房X光检查结果方面面临更高风险。本研究的目的是探讨乳腺影像中心的沟通做法，并评估这些中心如何为文化程度低和英语水平有限的女性提供便利。一项包含35个问题的调查问卷被分发给一个拥有700多家乳腺健康中心的全国性协会。对整个样本进行描述性分析，并进行费舍尔精确检验或卡方检验以区分亚组之间的差异。来自206个中心的受访者完成了问卷调查。29%的受访者表示，超过四分之一的患者是黑人；27%的受访者表示，超过四分之一的患者是西班牙裔/拉丁裔；13%的受访者表示，超过四分之一的患者英语水平有限。总体而言，18%的受访者报告称他们不会定期给患者打电话告知检查结果，15%的受访者表示没有多语言工作人员或翻译来回答问题，69%的受访者仅用英语发送检查结果信件。值得注意的是，69%的中心使用患者导航员。各中心报告了在清晰传达乳房X光检查结果方面的系统优势和障碍。我们的研究结果与过去的调查一致，这些调查确定了普遍需要改进乳腺影像结果的沟通，并表明仅靠结果通知信不足以确保每位女性都能理解自己的个人检查结果和后续计划。
