Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY, 10029, USA.
Department of Global Health, Elmhurst Hospital Center, Elmhurst, NY, USA.
J Immigr Minor Health. 2022 Dec;24(6):1543-1549. doi: 10.1007/s10903-022-01353-5. Epub 2022 Mar 29.
We studied South Asian immigrant patients who did not return to Elmhurst Hospital Center (EHC) after emergent cardiac catheterization in order to propose interventions to improve follow up care. We identified 74 eligible patients, interviewed 30 about follow up practices, and analyzed findings. Most patients are Bangladeshi and 77% preferred a foreign language. Some were visiting the US during the admission without intent to follow up. Half were dissatisfied with EHC providers, complications, and inadequate care at follow up appointments. Some patients were unaware of scheduled appointments or the necessity of follow up. Most follow with private providers due to language accessibility, availability, and proximity. We found that language barriers contribute to loss to follow up and the true loss to follow up rate is lower than reported at EHC. This can inform practices at hospitals with immigrant populations, minimize resource waste, and improve quality of care.
我们研究了在紧急心脏导管插入术后没有返回埃尔姆赫斯特医院中心（EHC）的南亚移民患者，以便提出改善随访护理的干预措施。我们确定了 74 名符合条件的患者，对 30 名患者进行了随访实践的访谈，并对调查结果进行了分析。大多数患者是孟加拉国人，77%的人更喜欢使用外语。有些患者在住院期间访问美国，没有打算进行随访。一半的患者对 EHC 提供的服务、并发症和随访预约时的护理不满意。一些患者不知道预约时间或随访的必要性。由于语言的可及性、可用性和接近性，大多数患者选择私人提供者进行随访。我们发现，语言障碍是导致失访的原因之一，而且 EHC 报告的失访率实际上低于真实的失访率。这可以为具有移民人口的医院提供实践指导，最大限度地减少资源浪费，并提高护理质量。
