Concordant and Spanish-speaking families more strongly agreed that discordance worsens quality of care (beta=-0.46, p=0.01)
Source
Jaramillo (2016). The Hispanic Clinic for Pediatric Surgery: A model to improve parent-provider communication for Hispanic pediatric surgery patients. Journal of Pediatric Surgery.
Description #
In the OLS survey model, agreement that quality of care is worsened by language discordance ("QOC worsened by lang discordance") was significantly predicted by both language concordance (β = −0.46, p = 0.01) and the patient speaking Spanish (β = 1.04, p < 0.001) (Table 5). Both concordant and Spanish-speaking families more strongly endorsed the view that discordant care degrades quality.
"QOC worsened by lang discordance −0.46 0.01 1.04 < 0.001" (Jaramillo, 2016, p. 674, Table 5)
Methods Context #
What? #ⓘ
The observable: the participant's 5-point Likert rating on the "quality of care worsened by language discordance" survey item.
"Participants indicated their level of agreement with a series of 15 questions using a 5-point Likert scale from 1 (strongly disagree/very negative/never) to 5 (strongly agree/very positive/always)." (Jaramillo, 2016, p. 672)
How? #ⓘ
A surgery-specific post-visit satisfaction survey analyzed by OLS regression using language concordance and patient's language as explanatory variables. The concordant-Spanish arm received care via A-0013ArtifactA-0013Initial AI draftThe Hispanic Clinic for Pediatric SurgeryA dedicated language-concordant outpatient clinic model at Lucile Packard Children's Hospital (Stanford) in which Spanish-speaking LEP families of pediatric surgery patients are cared for directly by a fluent Spanish-spe….
"Regression modeling was used to determine the factors associated with survey results using language concordance and patient's language as explanatory variables." (Jaramillo, 2016, p. 672)
Who? #ⓘ
The 156-family cohort of pediatric surgery patients at a single academic children's hospital, surveyed after their visit.
"A total of 156 families were enrolled including 57 concordant-English, 52 LEP concordant-Spanish and 47 LEP discordant families." (Jaramillo, 2016, p. 672)
Other Notes #
Values are read directly from Table 5, row "QOC worsened by lang discordance": language concordance −0.46 (p = 0.01), patient's language 1.04 (p < 0.001). This survey item has no dedicated sentence in the Results text.