How does language support (language ‘concordance’) affect healthcare outcomes?

Effects of interpretation services #

#languageConcordanceFactor/concordanceIntervention/interpretingServices

C-0006ClaimC-0006Initial AI draftInterpreting services reduce recurrence rates for patients with limited english proficiency #

There is fairly consistent empirical support for this at present.

For example, S-0016SourceS-0016Convenient Access to Professional Interpreters in the Hospital Decreases Readmission Rates and Estimated Hospital Expenditures for Patients With Limited English ProficiencyBackground: Twenty-five million people in the United States have limited English proficiency (LEP); this growing and aging population experiences worse outcomes when hospitalized. Federal requirements that hospitals prov… found that E-0001EvidenceE-0001Initial AI draftodds of 30-day readmission for the LEP compared with EP group was lower during the intervention period when professional interpreter services via telephone were available, but was roughly equivalent during pre-and post-intervention periods[!Screenshots of key figure/table and/or direct quotes from source that substantiate the evidence statement (e.g., reports of statistical tests, or key quotes from participants), with page numbers.] Adjusted ![](/attachm…

Similarly, S-0022SourceS-0022Professional language interpretation and inpatient length of stay and readmission ratesBackground: The population of persons seeking medical care is linguistically diverse in the United States. Language barriers can adversely affect a patient's ability to explain their symptoms. Among hospitalized patients… found that EVD - Patients receiving interpretation at admission and or discharge were less likely to be readmitted within 30 days compared to patients receiving no interpretation

C-0007ClaimC-0007Initial AI draftPatients with limited english proficiency have shorter hospital stays when interpreting services are used #

There is mixed support for this at present.

On the one hand, S-0022SourceS-0022Professional language interpretation and inpatient length of stay and readmission ratesBackground: The population of persons seeking medical care is linguistically diverse in the United States. Language barriers can adversely affect a patient's ability to explain their symptoms. Among hospitalized patients… found that EVD - LEP patients who did not receive professional interpretation had increased LOS of between 0.75 and 1.47 days, compared to patients who had an interpreter

On the other hand, S-0016SourceS-0016Convenient Access to Professional Interpreters in the Hospital Decreases Readmission Rates and Estimated Hospital Expenditures for Patients With Limited English ProficiencyBackground: Twenty-five million people in the United States have limited English proficiency (LEP); this growing and aging population experiences worse outcomes when hospitalized. Federal requirements that hospitals prov… found that E-0002EvidenceE-0002Initial AI draftThere was no significant association between access to professional interpreter services via telephone and length of stay for LEP patients[!Screenshots of key figure/table and/or direct quotes from source that substantiate the evidence statement (e.g., reports of statistical tests, or key quotes from participants), with page numbers.] Methods details (with…

C-0004ClaimC-0004Initial AI draftInterpreting services increase diagnosis accuracy for patients with limited english proficiency #

C-0011ClaimC-0011Initial AI draftWhen interpreting is used, patients with limited english proficiency are 40% more likely to adhere to their treatment #

C-0012ClaimC-0012Initial AI draftWhen interpreting is used, patients with limited english proficiency are 40% more likely to trust their physician #

C-0009ClaimC-0009Initial AI draftWhen accessing interpreting directly on their own, as opposed to waiting for a caregiver, patients with limited english proficiency demonstrate an increased sense of empowerment #

C-0010ClaimC-0010Initial AI draftWhen accessing interpreting directly on their own, as opposed to waiting for a caregiver, patients with limited english proficiency have less frequent “no shows” #