The impact of interpreters on parents' experiences with ambulatory care for their children

被引:45
作者
Morales, LS [1 ]
Elliott, M
Weech-Maldonado, R
机构
[1] Univ Calif Los Angeles, Los Angeles, CA 90024 USA
[2] RAND Corp, Santa Monica, CA 90407 USA
[3] Univ Florida, Gainesville, FL 32611 USA
关键词
Hispanic; Asian/Pacific Islander; disparities; interpreter; limited English language proficiency; CAHPS((R));
D O I
10.1177/1077558705283125
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Health plan members who did not need an interpreter in the past 6 months were compared with those who needed one and always, usually, sometimes, or never got one. In multivariate analyses, Hispanic and Asian/Pacific Islanders (API) members who needed interpreters and usually, sometimes, or never used one reported significantly worse (p < .05) provider and office staff communication, access to care, and health plan customer service compared with members who did not need interpreters. Hispanic and API members who needed and always used an interpreter reported similar or significantly better (p < .05) provider and office staff communication, access to care, and health plan customer service than members that did not need interpreters. Use of interpreters reduced White-Hispanic disparities in reports of care by up to 28 percent and White-API disparities by as much as 21 percent. Increasing use of interpreters could reduce racial/ethnic disparities and improve health plan performance.
引用
收藏
页码:110 / 128
页数:19
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