Skip to main content
Log in

The Impact of Provision of Professional Language Interpretation on Length of Stay and Readmission Rates in an Acute Care Hospital Setting

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

The provision of professional interpreting services (PIS) in the hospital setting can decrease clinically significant communication errors and improve clinical outcomes. The aim of this study was to investigate the differences in length of stay (LOS) and 30 day readmission rates associated with provision of PIS in the Emergency Department (ED) and inpatient wards. A retrospective audit at a tertiary referral adult hospital in Brisbane, Australia, identified all admissions of patients requiring an interpreter. Patients provided an interpreter in the Emergency Department had a mean (age-adjusted) LOS 22.4 h less than patients not provided an interpreter in ED (95% CI 10.9–33.9). For patients provided with an interpreter on the ward the mean LOS was longer, (IRR 2.2, 1.8–2.3, p < 0.0001). There was no association between interpreter provision in either ED or the inpatient ward and readmission rate. Provision of PIS in the Emergency Department to those patients who require it can significantly reduce hospital LOS.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005;62(3):255–99.

    Article  PubMed  Google Scholar 

  2. Flores G, Abreu M, Barone CP, Bachur R, Lin H. Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus Ad Hoc versus no interpreters. Ann Emerg Med. 2012;60(5):545–53.

    Article  PubMed  Google Scholar 

  3. Flores G, Laws B, Mayo SJ, Zuckerman B, Abreu M, Medina L, et al. Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics. 2003;111(1):6–14.

    Article  PubMed  Google Scholar 

  4. Karliner LS, Jacobs EA, Chen AH, Mutha S. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res. 2006;42(2):727–54.

    Article  Google Scholar 

  5. Kuo D, Fagan MJ. Satisfaction with methods of Spanish interpretation in an ambulatory care clinic. J Gen Intern Med. 1999;14:547–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Mahmoud I, Hou X-Y, Chu K, Clark M, Eley R. Satisfaction with emergency department service among non-English speaking background patients. Emerg Med Australas. 2014;26:256–61.

    Article  PubMed  Google Scholar 

  7. VanderWielen LM, Enurah AS, Rho HY, Nagarkatti-Gude DR, Michelsen-King P, Crossman SH, et al. Medical interpreters: improvements to address access, equity, and quality of care for limited-English-proficient patients. Acad Med. 2014;89(10):1324–7.

    Article  PubMed  Google Scholar 

  8. Mahmoud I, Hou X, Chu K, Clark M. Language affects length of stay in emergency departments in Queensland public hospitals. World J Emerg Med. 2013;4(1):5.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Juegens CP, Dabin B, French JK, Kritharides L, Hyun K, Kilian J, et al. English as a second language and outcomes of patients presenting with acute coronary syndromes: Results from the CONCORDANCE registry. Med J Aust. 2016;204(6):239.e1–7.

    Google Scholar 

  10. John-Baptiste A, Naglie G, Tomlinson G, Alibhai SMH, Etchells E, Cheung A, et al. The effect of English language proficiency on length of stay and in-hospital mortality. J Gen Intern Med. 2004;19(3):221–8.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Lindholm M, Hargraves JL, Ferguson WJ, Reed G. Professional language interpretation and inpatient length of stay and readmission rates. J Gen Intern Med. 2012;27(10):1294–9.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Jacobs E, Sadowski L, Rathouz PJ. The impact of an enhanced intepreter service intervention on hospital costs and patient satisfaction. J Gen Intern Med. 2007;22(S2):306–11.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lopez L, Rodriguez F, Huerta D, Soukup J, Hicks L. Use of interpreters by physicians for hospitalized limited English proficient patients and its impact on patient outcomes. J Gen Intern Med. 2015;30(6):783–9.

    Article  PubMed  PubMed Central  Google Scholar 

  14. IBM Corp. IBM SPSS Statistics for Windows, Version 22.0. Armonk: IBM Corp; 2013.

  15. Garret PW, Forero R, Dickson HG, Klinken WA. How are language barriers bridged in acute hospital care? The tale of two methods of data collection. Aust Health Rev. 2008;32(4):755–64.

    Article  Google Scholar 

  16. Gray B, HIlder J, Donaldson H. Why do we not use trained interpreters for all patients with limited English proficiency? Is there a place for using family members? Aust J Prim Health. 2011;17:240–9.

    Article  PubMed  Google Scholar 

  17. Bonacruz KG, Cooper C. Barriers to the use of interperters in emergency room paediatric consultations. J Paediatr Child Health. 2003;39(4):259–63.

    Article  Google Scholar 

  18. Baker DW, Parker RM, Williams MV, Coates WC, Pitkin K. Use and effectiveness of interpreters in an emergency department. JAMA. 1996;275(10):783–8.

    Article  CAS  PubMed  Google Scholar 

  19. Ginde AA, Clark S, Camargo CA. Language barriers among patients in Boston emergency departments: Use of medical interpreters after passage of interpreter legislation. J Immigr Minor Health. 2009;11(6):527–30.

    Article  PubMed  Google Scholar 

  20. Lemen P. Interpreter use in an inner city accident and emergency department. J Accid Emerg Med. 1997;14(2):98–100.

    Article  Google Scholar 

  21. Beckman HB, Markakis KM. The doctor–patient relationship and malpractice. Arch Intern Med. 1994;154:1365–70.

    Article  CAS  PubMed  Google Scholar 

  22. Chan YF, Alagappan K, Rella J, Bentley S, Soto-Greene M, Martin ML. Interpreter Services in Emergency Medicine. J Emerg Med. 2010;38(2):133–9.

    Article  PubMed  Google Scholar 

  23. Li S, Pearson D, Escott S. Language barriers within primary care consultations: an increasing challenge needing new solutions. Educ Prim Care. 2010;21:385–91.

    Article  PubMed  Google Scholar 

  24. Ramirez D, Engel KG, Tang TS. Language interpreter utilization in the emergency department setting: A clinical review. J Health Care Poor Underserved. 2008;19(2):352–62.

    Article  PubMed  Google Scholar 

  25. Bischoff A, Denhaerynck K. What do language barriers cost? An exploratory study among asylum seekers in Switzerland. BMC Health Serv Res. 2010;10:248.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Diamond LC, Schenker Y, Curry L, Bradley EH, Fernandez A. Getting by: underuse of interpreters by resident physicians. J Gen Intern Med. 2008;24(2):256–62.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Klein GO, Kajbjer K. eHealth tools for patients and professionals in a multicultural world. Med Inform United Healthy Eur. 2009:297–301.

  28. Lion KC, Ebel BE, Rafton S, Zhou C, Hencz P, Magnione-Smith R. Evaluation of quality improvement intervention to increase use of telephonic interpretation. Pediatrics. 2016;135(3):e709-e16.

    Google Scholar 

Download references

Acknowledgements

This research was supported by an internal Mater Foundation Grant.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Phillip Good.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Abbato, S., Greer, R., Ryan, J. et al. The Impact of Provision of Professional Language Interpretation on Length of Stay and Readmission Rates in an Acute Care Hospital Setting. J Immigrant Minority Health 21, 965–970 (2019). https://doi.org/10.1007/s10903-018-0830-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-018-0830-6

Keywords

Navigation