Abstract:
Introduction:Almost 40% of the 63 million Americans who speak a language other than English have limited English proficiency (LEP). This communication barrier can result in poor quality care and potentially adverse health outcomes. Of particular interest is that the greatest proportion of LEP adults are aged >65 years and will face barriers and delays in accessing high-quality care. Age cohort variation of LEP burden has not been widely addressed. Culturally and linguistically appropriate hospital care delivery can mitigate these barriers. Methods:In order to test whether culturally competent services reduced length-of-stay (LOS), we linked organizational cultural competence surveys across two-states (CA+FL) for comparison across Medicare acute care LOS. Using the 2013 American Hospital Association Database, and Hospital Compare Data from CMS (N=184), we compared hospital structure with culturally and linguistically appropriate services related to improved care delivery for LEP populations and aging LEP populations. We utilized Kruskal-Wallis to test group differences and a negative binomial regression to model median LOS. All analyses were conducted using SAS 9.4 (Cary, NC). Results:Median LOS across all hospitals was 4.7 days (mean 5.7, standard deviation 6.3). Most hospitals were not-for-profit (46.7%), small (<150 beds, 54.4%), Joint Commission accredited (67.9%), and in urban areas. We found shorter median LOS when hospital units identified cultural or language needs at admission (Wald χ23.82, P=.0506). Hospitals' identification of these needs at discharge had no impact on LOS. Hospitals that accommodated patient cultural or ethnic dietary needs also reported lower median LOS (Wald χ2 12.93, P=.0003). Structurally, public hospitals, accredited hospitals, and hospitals that reported system membership were predictive of a lower median LOS. Discussion:Our findings demonstrate that patient outcomes are responsive to culturally and linguistically appropriate services. Further, our findings suggest understanding of culturally competent care in hospitals is lacking. A larger and multi-level sample across the United States could yield a greater understanding of the role of culturally and linguistically appropriate care for a rapidly growing population of diverse older adults.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Schiaffino MK,Ruiz M,Yakuta M,Contreras A,Akhavan S,Prince B,Weech-Maldonado Rdoi
10.18865/ed.30.4.603subject
Has Abstractpub_date
2020-09-24 00:00:00pages
603-610issue
4eissn
1049-510Xissn
1945-0826pii
ed.30.4.603journal_volume
30pub_type
杂志文章abstract:Objective:The National Research Mentoring Network (NRMN) is a strategic partnership whose goals include remedying documented disparities by race and ethnicity in the awarding of National Institutes of Health research grants. Our objectives were to offer a profile of early-career investigators who applied to NRMN's Gran...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.S1.123
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abstract::Patients with chronic kidney disease (CKD) suffer from an increased prevalence of cardiovascular disease (CVD) risk factors, and a high rate of premature CV morbidity and mortality. The confluence of CV risk factors, in the context of cardio-metabolic perturbations that vary as renal function declines, complicates str...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:10.18865/ed.25.4.515
更新日期:2015-11-05 00:00:00
abstract::In order to gain a better understanding of diabetes-related health disparities, Nashville REACH 2010 conducted a community baseline survey on health status. A total of 3204 randomly selected African-American (AA) and Caucasian (C) residents of North Nashville, and a comparison sample of residents living in Nashville/D...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract:Objective:Immigrants, especially refugees, face unique barriers to accessing health care relative to native born Americans. In this study, we examined how immigration status, health, barriers to access, and knowledge of the health care system relate to the likelihood of having a regular health care provider. Methods:U...
journal_title:Ethnicity & disease
pub_type: 杂志文章
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更新日期:2019-04-18 00:00:00
abstract:OBJECTIVES:This study examines the prevalence of cardiovascular risk factors and chronic disease burden among African Americans compared to Caucasians in a population of higher socioeconomic status. DESIGN:The current study is a cross-sectional, secondary data analysis of the Cooper Center Longitudinal Study. SETTING...
journal_title:Ethnicity & disease
pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:This study examined geographic variation in incidence rates for two cancers common in US Hispanic women and considered some potential explanations, by using data from several high-quality cancer registries. METHODS:Age-standardized incidence rates (ASIRs) per 100,000 Hispanic women per year were analyzed for...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:To use data from the longitudinal Strong Heart Study (SHS) to determine the level of awareness about risk factors for heart disease among 13 populations of American Indians in Arizona, Oklahoma, and South/ North Dakota. The aim of this study is to assess awareness of nine major risk factors for heart disease ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2006-07-01 00:00:00
abstract::In spite of all the technical advances and resources dedicated to the treatment of endstage renal disease (ESRD), it is still a growing problem all over the world. To address this issue adequately, it is crucial to detect chronic kidney disease patients early and optimize their care. However, a lack of awareness and a...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract::The population of South Africa is nearly 40 million and is growing at the rate of 2.5% per year. The population is 76.2% black, 13.3% white, 8.6% "mixed," and 2.6% Asian. The life expectancy (between 1985 and 1990) for whites was 69 years for males and 77 years for females; and for blacks, life expectancy was 61 years...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1998-10-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
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journal_title:Ethnicity & disease
pub_type: 杂志文章
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journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
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更新日期:2017-11-09 00:00:00
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journal_title:Ethnicity & disease
pub_type: 评论,社论
doi:
更新日期:2003-10-01 00:00:00
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journal_title:Ethnicity & disease
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doi:
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journal_title:Ethnicity & disease
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doi:
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journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:
更新日期:2008-04-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章
doi:
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journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
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更新日期:2001-04-01 00:00:00
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journal_title:Ethnicity & disease
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更新日期:2005-10-01 00:00:00
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journal_title:Ethnicity & disease
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更新日期:2006-07-01 00:00:00
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journal_title:Ethnicity & disease
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更新日期:2007-04-01 00:00:00
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journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:1993-10-01 00:00:00
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journal_title:Ethnicity & disease
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