Department of Family Medicine, Michigan State University, 15 Michigan St NE, Grand Rapids, MI, 49503, USA.
Spectrum Health Family Medicine Residency Center, 25 Michigan St NE Suite 5100, Grand Rapids, MI, 49503, USA.
BMC Res Notes. 2024 Jan 4;17(1):15. doi: 10.1186/s13104-023-06675-7.
With the growing immigrant communities in the western world, there is an urgent need to address language barriers to care, and health disparities as a whole. Studies on limited English proficiency patients (LEP) have focused on patient perspectives of office visits, however little is known about health care provider perspectives of medical visits using interpretive services. We aimed to develop a pragmatic brief questionnaire for assessing providers' views of the quality of communication in outpatient visits with patients with LEP. The questionnaire was validated in a cross-sectional study (n = 99) using principal component analyses (PCA) with oblimin rotation. Internal consistency was analyzed using Cronbach's alpha.
Based on theory and literature, a seven-item scale was developed that captures two relevant concepts: (1) Provider - patient interaction during the consultation and (2) perceived quality of translation. The questionnaire was used to assess 99 LEP consultations and demonstrated good feasibility in a clinical setting. PCA revealed the two theory-based components with good factor loadings and internal consistency of α = 0.77. These preliminary results indicate that the questionnaire provides medical professionals with a validated tool to evaluate LEP patient encounters. Further confirmatory validation of the Provider-assessed Quality of Consultations with Language Interpretation (PQC-LI) in larger samples is warranted.
随着西方世界移民群体的不断壮大，迫切需要解决医疗保健方面的语言障碍和整体健康差距问题。关于英语水平有限的患者（LEP）的研究主要集中在患者对就诊的看法上，但对于使用口译服务的医疗就诊中医疗服务提供者的看法知之甚少。我们旨在开发一种实用的简短问卷，以评估提供者对门诊就诊中 LEP 患者沟通质量的看法。该问卷在一项横断面研究（n=99）中使用 oblimin 旋转的主成分分析（PCA）进行了验证。内部一致性采用 Cronbach 的 alpha 进行分析。
基于理论和文献，开发了一个包含七个项目的量表，该量表包含两个相关概念：（1）咨询期间的提供者-患者互动，以及（2）感知翻译质量。该问卷用于评估 99 例 LEP 就诊，在临床环境中具有良好的可行性。PCA 显示了两个基于理论的成分，具有良好的因子负荷和内部一致性 α=0.77。这些初步结果表明，该问卷为医疗专业人员提供了一种经过验证的工具，用于评估 LEP 患者的就诊情况。需要进一步在更大的样本中对使用语言翻译的提供者评估的咨询质量（PQC-LI）进行确认性验证。
