Bernier Rachel, Halpin Erin, Staffa Steven J, Benson Lindsey, DiNardo James A, Nasr Viviane G
Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, MA, USA.
Department of Urology, Boston Children's Hospital, Boston, MA, USA.
Paediatr Anaesth. 2018 May;28(5):415-420. doi: 10.1111/pan.13363. Epub 2018 Mar 30.
Considering the recent increase in medical care provided to patients from foreign countries and the diversity of languages spoken by families living within the United States, it is important to determine whether non-English-speaking patients have access to participate in clinical research from which they may benefit.
We aimed to determine the number of non-English-speaking patients presenting to Boston Children's Hospital for medical care between 2011 and 2016, the number of clinical research protocols active within the Department of Anesthesiology, Critical Care and Pain Medicine approved to enroll non-English-speaking patients, as well as the number of both non-English- and English-speaking patients approached and enrolled in these studies. Furthermore, we attempted to determine barriers that may have prevented non-English-speaking patients from inclusion in clinical research.
We conducted a retrospective review of various data sources during a 5-year period. Data included the number of non-English-speaking patients presenting to Boston Children's Hospital for care as well as the number of English- and non-English-speaking patients approached for studies at the Department of Anesthesiology each year. Additionally, we reviewed data from the IRB which included the justification that research teams provided when opting to exclude non-English-speaking participants. In addition, we attempted to determine the barriers that may have prevented these patients from inclusion in research protocols.
We found that the number of non-English-speaking patients presenting to Boston Children's Hospital increased over time. However, the number of studies approved to enroll non-English-speaking patients within the Department of Anesthesiology and the rate of enrollment of these patients did not increase at the same rate.
In order to increase the number of non-English-speaking patients approached to participate in research, we must improve cultural awareness and provide investigators with resources for interpreter and translation services.
鉴于近期为外国患者提供的医疗服务有所增加，以及美国境内家庭所使用语言的多样性，确定非英语患者是否有机会参与可能使他们受益的临床研究非常重要。
我们旨在确定2011年至2016年间前往波士顿儿童医院就医的非英语患者数量、麻醉、重症监护与疼痛医学科批准纳入非英语患者的现行临床研究方案数量，以及接触并纳入这些研究的非英语和英语患者数量。此外，我们试图确定可能阻碍非英语患者纳入临床研究的障碍。
我们对5年期间的各种数据源进行了回顾性审查。数据包括前往波士顿儿童医院就医的非英语患者数量，以及每年在麻醉科接触参与研究的英语和非英语患者数量。此外，我们审查了来自机构审查委员会的数据，其中包括研究团队在选择排除非英语参与者时提供的理由。此外，我们试图确定可能阻碍这些患者纳入研究方案的障碍。
我们发现，前往波士顿儿童医院就医的非英语患者数量随时间增加。然而，麻醉科批准纳入非英语患者的研究数量以及这些患者的纳入率并未以相同速度增加。
为了增加接触参与研究的非英语患者数量，我们必须提高文化意识，并为研究人员提供口译和笔译服务资源。
