Evidence map›Paper›PMID 30613960›Full record

ArticleHealth services research2019

Inpatient care experiences differ by preferred language within racial/ethnic groups.

Denise D Quigley, Marc N Elliott, Katrin Hambarsoomian, Shondelle M Wilson-Frederick, William G Lehrman, Denis Agniel, Judy H Ng, Elizabeth H Goldstein, Laura A Giordano, Steven C Martino

Abstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Denise D QuigleyRAND Corporation, Santa Monica, California.ORCID 0000-0002-3815-908X
Marc N ElliottRAND Corporation, Santa Monica, California.ORCID 0000-0002-7147-5535
Katrin HambarsoomianRAND Corporation, Santa Monica, California.
Shondelle M Wilson-FrederickCenters for Medicare & Medicaid Services, Office of Minority Health, Baltimore, Maryland.
William G LehrmanCenters for Medicare & Medicaid Services, Baltimore, Maryland.
Denis AgnielRAND Corporation, Santa Monica, California.
Judy H NgNational Committee for Quality Assurance, Washington, District of Columbia.
Elizabeth H GoldsteinCenters for Medicare & Medicaid Services, Baltimore, Maryland.
Laura A GiordanoHealth Services Advisory Group, Phoenix, Arizona.
Steven C MartinoRAND Corporation, Pittsburgh, Pennsylvania.ORCID 0000-0002-1514-4133

Funding

Centers for Medicare and Medicaid Services HHSM-500-2016-00097G
6 · The paper itself

Abstract

objectiveTo describe differences in patient experiences of hospital care by preferred language within racial/ethnic groups. DATA SOURCE: 2014-2015 HCAHPS survey data. STUDY

designWe compared six composite measures for seven languages (English, Spanish, Russian, Portuguese, Chinese, Vietnamese, and Other) within applicable subsets of five racial/ethnic groups (Hispanics, Asian/Pacific Islanders, American Indian/Alaska Natives, Blacks, and Whites). We measured patient-mix adjusted overall, between- and within-hospital differences in patient experience by language, using linear regression. DATA COLLECTION

methodsSurveys from 5 480 308 patients discharged from 4517 hospitals 2014-2015. PRINCIPAL

findingsWithin each racial/ethnic group, mean reported experiences for non-English-preferring patients were almost always worse than their English-preferring counterparts. Language differences were largest and most consistent for Care Coordination. Within-hospital differences by language were often larger than between-hospital differences and were largest for Care Coordination. Where between-hospital differences existed, non-English-preferring patients usually attended hospitals whose average patient experience scores for all patients were lower than the average scores for the hospitals of their English-preferring counterparts.

conclusionsEfforts should be made to increase access to better hospitals for language minorities and improve care coordination and other facets of patient experience in hospitals with high proportions of non-English-preferring patients, focusing on cultural competence and language-appropriate services.

Indexed as

Communication BarriersCultural CompetencyAdolescentAdultAgedEthnicityFemaleHealth Care SurveysHealth EquityHospitalizationHumansInpatientsLanguageMaleMiddle AgedMinority Groupspatient assessmentquality of care (measurement)survey research

Identifiers

PMID30613960
PMCPMC6341216

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.