Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up
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 al...
Gespeichert in:
| Veröffentlicht in: | Journal of immigrant and minority health 2002-10, Vol.4 (4), p.171 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 4 |
| container_start_page | 171 |
| container_title | Journal of immigrant and minority health |
| container_volume | 4 |
| creator | Bernstein, Judith Bernstein, Edward Dave, Ami Hardt, Eric James, Thea Linden, Judith Mitchell, Patricia Oishi, Tokiko Safi, Clara |
| description | 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. [PUBLICATION ABSTRACT] |
| format | Article |
| fullrecord | <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_journals_199499086</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>404868601</sourcerecordid><originalsourceid>FETCH-proquest_journals_1994990863</originalsourceid><addsrcrecordid>eNqNiz0LwjAYhIMoWD_-w4uzhaRaNa7aooOT7hLTt7ZSk5ikiv_eDOLscnfcPdchEUvTZcx4Qru_zJI-GTh3o3TOVgmNiDlZUSss4IBFLUUDe-XRGotBHdQKfIWQ3dFeUck3bNEI6--o_BqyskTpHWgFR7TPWqKbwrG9OHy0AYBNJcIrdEIVkOum0a-4NSPSK0XjcPz1IZnk2Wmzi43V4ef8-aZbq8J0ZpzPOaerxewv6AMvq0s8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>199499086</pqid></control><display><type>article</type><title>Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up</title><source>SpringerNature Journals</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>Bernstein, Judith ; Bernstein, Edward ; Dave, Ami ; Hardt, Eric ; James, Thea ; Linden, Judith ; Mitchell, Patricia ; Oishi, Tokiko ; Safi, Clara</creator><creatorcontrib>Bernstein, Judith ; Bernstein, Edward ; Dave, Ami ; Hardt, Eric ; James, Thea ; Linden, Judith ; Mitchell, Patricia ; Oishi, Tokiko ; Safi, Clara</creatorcontrib><description>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. [PUBLICATION ABSTRACT]</description><identifier>ISSN: 1557-1912</identifier><identifier>EISSN: 1557-1920</identifier><language>eng</language><publisher>New York: Springer Nature B.V</publisher><subject>Child Health ; Creoles ; Datasets ; Departments ; Emergency medical care ; Emergency medical services ; Emergency services ; Ethnicity ; Family (Sociological Unit) ; Gender Discrimination ; Guidelines ; Health care ; Health care delivery ; Health care expenditures ; Health services utilization ; Hospitals ; Internal Medicine ; Interpreters ; Language ; Limited English Speaking ; Maternal & child health ; Medical Services ; Medicine ; Non English Speaking ; Noncitizens ; Pain ; Patient satisfaction ; Patients ; Periodicals ; Public health ; Registration ; Studies</subject><ispartof>Journal of immigrant and minority health, 2002-10, Vol.4 (4), p.171</ispartof><rights>Copyright (c) 2002 Plenum Publishing Corporation</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,12850,27348,31003,33778</link.rule.ids></links><search><creatorcontrib>Bernstein, Judith</creatorcontrib><creatorcontrib>Bernstein, Edward</creatorcontrib><creatorcontrib>Dave, Ami</creatorcontrib><creatorcontrib>Hardt, Eric</creatorcontrib><creatorcontrib>James, Thea</creatorcontrib><creatorcontrib>Linden, Judith</creatorcontrib><creatorcontrib>Mitchell, Patricia</creatorcontrib><creatorcontrib>Oishi, Tokiko</creatorcontrib><creatorcontrib>Safi, Clara</creatorcontrib><title>Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up</title><title>Journal of immigrant and minority health</title><description>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. [PUBLICATION ABSTRACT]</description><subject>Child Health</subject><subject>Creoles</subject><subject>Datasets</subject><subject>Departments</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency services</subject><subject>Ethnicity</subject><subject>Family (Sociological Unit)</subject><subject>Gender Discrimination</subject><subject>Guidelines</subject><subject>Health care</subject><subject>Health care delivery</subject><subject>Health care expenditures</subject><subject>Health services utilization</subject><subject>Hospitals</subject><subject>Internal Medicine</subject><subject>Interpreters</subject><subject>Language</subject><subject>Limited English Speaking</subject><subject>Maternal & child health</subject><subject>Medical Services</subject><subject>Medicine</subject><subject>Non English Speaking</subject><subject>Noncitizens</subject><subject>Pain</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Periodicals</subject><subject>Public health</subject><subject>Registration</subject><subject>Studies</subject><issn>1557-1912</issn><issn>1557-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>LD-</sourceid><sourceid>LD.</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNqNiz0LwjAYhIMoWD_-w4uzhaRaNa7aooOT7hLTt7ZSk5ikiv_eDOLscnfcPdchEUvTZcx4Qru_zJI-GTh3o3TOVgmNiDlZUSss4IBFLUUDe-XRGotBHdQKfIWQ3dFeUck3bNEI6--o_BqyskTpHWgFR7TPWqKbwrG9OHy0AYBNJcIrdEIVkOum0a-4NSPSK0XjcPz1IZnk2Wmzi43V4ef8-aZbq8J0ZpzPOaerxewv6AMvq0s8</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Bernstein, Judith</creator><creator>Bernstein, Edward</creator><creator>Dave, Ami</creator><creator>Hardt, Eric</creator><creator>James, Thea</creator><creator>Linden, Judith</creator><creator>Mitchell, Patricia</creator><creator>Oishi, Tokiko</creator><creator>Safi, Clara</creator><general>Springer Nature B.V</general><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7T2</scope><scope>7U4</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>LD-</scope><scope>LD.</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>WZK</scope></search><sort><creationdate>20021001</creationdate><title>Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up</title><author>Bernstein, Judith ; Bernstein, Edward ; Dave, Ami ; Hardt, Eric ; James, Thea ; Linden, Judith ; Mitchell, Patricia ; Oishi, Tokiko ; Safi, Clara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_1994990863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Child Health</topic><topic>Creoles</topic><topic>Datasets</topic><topic>Departments</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency services</topic><topic>Ethnicity</topic><topic>Family (Sociological Unit)</topic><topic>Gender Discrimination</topic><topic>Guidelines</topic><topic>Health care</topic><topic>Health care delivery</topic><topic>Health care expenditures</topic><topic>Health services utilization</topic><topic>Hospitals</topic><topic>Internal Medicine</topic><topic>Interpreters</topic><topic>Language</topic><topic>Limited English Speaking</topic><topic>Maternal & child health</topic><topic>Medical Services</topic><topic>Medicine</topic><topic>Non English Speaking</topic><topic>Noncitizens</topic><topic>Pain</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Periodicals</topic><topic>Public health</topic><topic>Registration</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bernstein, Judith</creatorcontrib><creatorcontrib>Bernstein, Edward</creatorcontrib><creatorcontrib>Dave, Ami</creatorcontrib><creatorcontrib>Hardt, Eric</creatorcontrib><creatorcontrib>James, Thea</creatorcontrib><creatorcontrib>Linden, Judith</creatorcontrib><creatorcontrib>Mitchell, Patricia</creatorcontrib><creatorcontrib>Oishi, Tokiko</creatorcontrib><creatorcontrib>Safi, Clara</creatorcontrib><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Sociological Abstracts</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>Ethnic NewsWatch</collection><collection>Ethnic NewsWatch (Alumni)</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>Sociological Abstracts (Ovid)</collection><jtitle>Journal of immigrant and minority health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bernstein, Judith</au><au>Bernstein, Edward</au><au>Dave, Ami</au><au>Hardt, Eric</au><au>James, Thea</au><au>Linden, Judith</au><au>Mitchell, Patricia</au><au>Oishi, Tokiko</au><au>Safi, Clara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up</atitle><jtitle>Journal of immigrant and minority health</jtitle><date>2002-10-01</date><risdate>2002</risdate><volume>4</volume><issue>4</issue><spage>171</spage><pages>171-</pages><issn>1557-1912</issn><eissn>1557-1920</eissn><abstract>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. [PUBLICATION ABSTRACT]</abstract><cop>New York</cop><pub>Springer Nature B.V</pub></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1557-1912 |
| ispartof | Journal of immigrant and minority health, 2002-10, Vol.4 (4), p.171 |
| issn | 1557-1912 1557-1920 |
| language | eng |
| recordid | cdi_proquest_journals_199499086 |
| source | SpringerNature Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Child Health Creoles Datasets Departments Emergency medical care Emergency medical services Emergency services Ethnicity Family (Sociological Unit) Gender Discrimination Guidelines Health care Health care delivery Health care expenditures Health services utilization Hospitals Internal Medicine Interpreters Language Limited English Speaking Maternal & child health Medical Services Medicine Non English Speaking Noncitizens Pain Patient satisfaction Patients Periodicals Public health Registration Studies |
| title | Trained Medical Interpreters in the Emergency Department: Effects on Services, Subsequent Charges, and Follow-up |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-17T01%3A26%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Trained%20Medical%20Interpreters%20in%20the%20Emergency%20Department:%20Effects%20on%20Services,%20Subsequent%20Charges,%20and%20Follow-up&rft.jtitle=Journal%20of%20immigrant%20and%20minority%20health&rft.au=Bernstein,%20Judith&rft.date=2002-10-01&rft.volume=4&rft.issue=4&rft.spage=171&rft.pages=171-&rft.issn=1557-1912&rft.eissn=1557-1920&rft_id=info:doi/&rft_dat=%3Cproquest%3E404868601%3C/proquest%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=199499086&rft_id=info:pmid/&rfr_iscdi=true |