Jonathan S. Lee|Anna María Nápoles|Sunita Mutha|Eliseo J. Pérez?Stable|Steven E. Gregorich|Jennifer Livaudais?Toman|Leah Karliner
Hospital discharge preparedness for patients with limited English proficiency: A mixed methods study of bedside interpreter-phones
University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|National Institute on Minority Health and Health Disparities|Office of the Director|National Institutes of Health|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco
assess effects bedside interpreterphone intervention hospital discharge preparedness among patients limited english proficiency lep mixedmethods study compared patientreported discharge preparedness knowledge medications followup appointments among 189 chinese spanishspeakers n 94 n 95 bedside interpreterphone implementation examined nurse residentphysician interpreterphone utilization focus groups prepost discharge preparedness care transitions measure mean 772 vs 785 p 062 patientreported knowledge followup appointments discharge medication administration side effects differ significantly prepost knowledge medication purpose increased bivariate 88 vs 97 p 002 propensity score adjusted analyses aor adjusted odds ratio 449 95 ci 109184 nurses physicians reported using interpreterphones infrequently discharge communication preferring inperson interpreters complex discharges direct communication family routine discharges postimplementation patients reported continued use adhoc family interpreters 43 interpretation 22 implementation bedside interpreterphone systems intervention consistently improve patientreported measures discharge preparedness possibly due limited uptake discharges hospital systems must better understand clinician preferences discharge communication successfully increase professional interpretation shift culture away using family members interpreters