Journal
LARYNGOSCOPE
Volume 131, Issue 7, Pages E2393-E2401Publisher
WILEY
DOI: 10.1002/lary.29387
Keywords
Health policy; health services; healthcare disparities; healthcare quality assessments
Funding
- National Institute on Deafness and Other Communication Disorders via the University of Washington Otolaryngology Research Training Program
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Language barriers may impact family experience in healthcare quality. Spanish-speaking families were more likely to rate their provider highly but less likely to provide the highest rating on many individual aspects of care compared to English-speaking families.
Objectives/Hypothesis Language barriers may impact family experience, which is a key measure of healthcare quality. We compared family satisfaction between Spanish-speaking families (SSF) and English-speaking families (ESF) in pediatric otolaryngology. Study Design Retrospective cohort study. Methods Responses from the Family Experience Survey (FES), a hospital quality benchmarking survey, were analyzed from 2017 to 2019 at one academic pediatric otolaryngology practice. Question responses were compared between SSF versus ESF using mixed effect logistic regression models, adjusting for patient age, medical complexity, and insurance. Results A total of 4,964 FES survey responses were included (14% SSF). In multivariate analysis adjusting for age, medical complexity, and insurance, SSF were 1.7 times more likely than ESF to rate their provider with the highest rating (i.e. 9-10/10; 95% confidence interval [CI] 1.24-2.22). However, SSF were less likely than ESF to provide the highest rating on many individual aspects of care, including whether providers explained things intelligibly (odds ratio [OR] 0.43, 95% CI 0.25-0.74), listened carefully (OR 0.36, 95% CI 0.28-0.47), knew their medical child's history (OR 0.53, 95% CI 0.44-0.64), provided understandable information (OR 0.36, 95% CI 0.16-0.83), spent sufficient time with them (OR 0.38, 95% CI 0.31-0.48), allowed them to discuss their questions (OR 0.57, 95% CI 0.47-0.70), or had enough input in their children's' care (OR 0.46, 95% CI 0.26-0.80). Conclusions In a large cohort of pediatric otolaryngology patients, SSF rated many individual aspects of their child's care less positively compared to ESF, despite rating their provider highly. Further research is needed to explore the reasons for these differences and how they can be improved. Level of Evidence 4 Laryngoscope, 2021
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