ArticleJournal of the American College of Emergency Physicians open2025
Increased Time to Provider for Patients With a Non-English Language Preference: A Retrospective Cohort Study.
Article in Journal of the American College of Emergency Physicians open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
9 authors.
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Abstract
Objectives: We assessed time to provider (TTP) for patients with a non-English language preference (NELP) compared to patients with an English language preference (ELP) in the emergency department (ED). Methods: We conducted a retrospective cohort study of adults presenting between 2019 and 2023 to a large urban ED. We used a 2-step classification that first identified NELP from patients' reported language at registration, followed by identification in the narrative text of the triage note. We compared TTP among patients with a triage note-identified NELP, triage note-unidentified NELP, and ELP, including at night and during times of ED crowding. Results: Among 262,203 visits, 8227 were patients with a NELP, of which 3375 were triage note-identified NELP. The median TTP was 11 minutes for patients with an ELP (95% CI, 11-11), 15 minutes for triage note-identified NELP (14-16), and 13 minutes for triage note-unidentified NELP (12-14). During times of ED crowding, patients with an ELP had a median TTP of 12 minutes (95% CI, 12-12) compared with 21 minutes for patients with a triage note-identified NELP (17-27) and 17 minutes for those with a triage note-unidentified NELP (14-20). At nighttime, the median TTP was 19 minutes for patients with an ELP (95% CI, 19-19) compared with 28 minutes for triage note-identified NELP (25-32) and 25 minutes for triage note-unidentified NELP (22-28). Conclusion: Patients with a NELP experience longer TTP, especially those whose triage note identifies their language status. ED crowding and nighttime are associated with further increases in TTP among patients with a NELP.
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