Abstract
Objective
To compare emergency department care experiences of Spanish-speaking, limited-English-proficient
(SSLEP) and English-proficient (EP) parents and to assess how SSLEP care experiences
vary by parent-perceived interpretation accuracy.
Methods
The National Research Corporation Picker Institute's Family Experience Survey (FES)
was administered from November 26, 2010, to July 17, 2011, to 478 EP and 152 SSLEP
parents. Problem scores for 3 FES dimensions were calculated: information/education,
partnership with clinicians, and access/coordination of care. Adjusted associations
between language proficiency (SSLEP vs EP) and dimension problem scores were examined
by multivariate Poisson regression. Unadjusted Poisson regression analysis was used
to examine the association between perceived interpretation accuracy and FES problem
scores for SSLEP parents who received interpretation.
Results
SSLEP parents had a higher risk of reporting problems with access/coordination of
care compared to EP parents (risk ratio 1.6, 95% confidence interval 1.2, 2.1). There
were no differences in reported care experiences related to information/education
or partnership with clinicians. Among SSLEP parents who received professional interpretation,
those reporting poor accuracy had a higher risk of also reporting problems with information/education
(risk ratio 2.1, 95% confidence interval 1.2, 3.6).
Conclusions
In a pediatric emergency department with around-the-clock access to professional interpretation,
SSLEP parents report poorer experiences than EP parents with access/coordination of
care, including perceived wait times. Their experiences with provision of information/education
and partnership with clinicians approximate those of EP parents. However, SSLEP parents
who perceive poor interpretation accuracy report more problems understanding information
provided about their child's illness and care.
Keywords
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Article Info
Publication History
Published online: September 05, 2014
Accepted:
June 28,
2014
Received:
March 25,
2014
Footnotes
The authors declare that they have no conflict of interest.
Identification
Copyright
© 2015 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
