Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up

被引：73
作者：
Judith Bernstein
Edward Bernstein
Ami Dave
Eric Hardt
Thea James
Judith Linden
Patricia Mitchell
Tokiko Oishi
Clara Safi
机构：
[1] Boston University School of Public Health,Department of Emergency Medicine
[2] Boston University School of Medicine,Department of Internal Medicine
[3] Boston University School of Medicine,undefined
来源：
Journal of Immigrant Health | 2002年 / 4卷 / 4期
关键词：
translating; communication barriers; language; emergency services;
D O I：
10.1023/A:1020125425820
中图分类号：
学科分类号：
摘要：
The study was conducted to investigate the impact of an Interpreter Service on intensity of Emergency Department (ED) services, utilization, and charges. This study describes the effects of language barriers on health care service delivery for the index ED visit and a subsequent 90-day period. In all 26,573 ED records from July to November, 1999, resulted in a data set of 500 patients with similar demographic characteristics, chief complaint, acuity, and admission rate. Noninterpreted patients (NIPs) who did not speak English had the shortest ED stay (LOS) and the fewest tests, IVs and medications; English-speaking patients had the most ED services, LOS, and charges. Subsequent clinic utilization was lowest for NIPs. Among discharged patients, return ED visit and ED visit charges were lowest for interpreted patients (IPs). Use of trained interpreters was associated with increased intensity of ED services, reduced ED return rate, increased clinic utilization, and lower 30-day charges, without any simultaneous increase in LOS or cost of visit.
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页码：171 / 176
页数：5
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