Patient-centered care outcomes for patients in the emergency department with a non-English language preference: A scoping review

Rebecca J Schwei; Ly Hoang; Paije Wilson; Madelyne Z Greene; Maichou Lor; Manish N Shah; Michael S Pulia

doi:10.1016/j.pec.2023.107875

Patient-centered care outcomes for patients in the emergency department with a non-English language preference: A scoping review

Patient Educ Couns. 2023 Sep:114:107875. doi: 10.1016/j.pec.2023.107875. Epub 2023 Jun 28.

Authors

Rebecca J Schwei¹, Ly Hoang², Paije Wilson³, Madelyne Z Greene⁴, Maichou Lor⁴, Manish N Shah⁵, Michael S Pulia⁶

Affiliations

¹ 800 University Bay Drive, Suite 310, Madison, WI 53705, USA; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison School of Medicine and Public Health, Suite 310, Madison, WI 53705, USA. Electronic address: rschwei@medicine.wisc.edu.
² 800 University Bay Drive, Suite 310, Madison, WI 53705, USA; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison School of Medicine and Public Health, Suite 310, Madison, WI 53705, USA.
³ Ebling Library for the Health Sciences, University of Wisconsin Madison School of Medicine and Public Health, 750 Highland Ave, Madison, WI 53705, USA.
⁴ School of Nursing, University of Wisconsin-Madison, 701 Highland Ave, Madison, WI 53705, USA.
⁵ 800 University Bay Drive, Suite 310, Madison, WI 53705, USA; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison School of Medicine and Public Health, Suite 310, Madison, WI 53705, USA; Department of Medicine (Geriatrics and Gerontology), University of Wisconsin Madison School of Medicine and Public Health, 1685 Highland Ave, Madison, WI 53792, USA; Department of Population Health Sciences, University of Wisconsin Madison School of Medicine and Public Health, Warf Office Bldg, 610 Walnut St. #707, Madison, WI 53726, USA.
⁶ 800 University Bay Drive, Suite 310, Madison, WI 53705, USA; BerbeeWalsh Department of Emergency Medicine, University of Wisconsin Madison School of Medicine and Public Health, Suite 310, Madison, WI 53705, USA; Department of Industrial and Syste ms Engineering, College of Engineering, University of Wisconsin-Madison, 3107 Mechanical Engineering Building, 1513 University Ave, Madison, WI 53706, USA.

PMID: 37399665
DOI: 10.1016/j.pec.2023.107875

Abstract

Objective: This review highlights what is known about patient-centered care outcomes (PCCOs) for emergency department (ED) patients with non-English language preferences (NELP).

Methods: Four databases were searched and included article were written in English, presented primary evidence, published in a peer-reviewed journal, and reported PCCOs from the perspective of ED patients with NELP. PCCOs were defined using the Institute of Medicine definition, outcomes that evaluate respect and responsiveness to patient preferences, needs and values. Two reviewers assessed all articles, extracted data, and resolved discrepancies. PCCOs were grouped in categories (needs, preferences, and values) based on the definition's domains.

Results: Of the 6524 potentially eligible studies, 20 met inclusion criteria. Of these, 16 focused on needs; 4 on preferences and 8 on values. Within patient need, five studies found a large unmet need for language services. Within patient value, three found that language discordance negatively influenced perceptions of care.

Conclusions: Most studies in this review found that not speaking English negatively influenced perceptions of care and highlighted a large unmet need for language services in the ED.

Practice implications: More work needs to be done to characterize PCCOs in ED patients with NELP and develop interventions to improve care.

Keywords: Emergency department; Limited English proficient; Non-English language preference; Patient-centered care; Scoping review.

Publication types

Review
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, Non-U.S. Gov't

MeSH terms

Emergency Service, Hospital
Humans
Language*
Outcome Assessment, Health Care
Patient Preference*
Patient-Centered Care