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Israel Journal of Health Policy Research

, 3:24

Health care equityQuality of care in Israel and beyond


BackgroundCultural and language discordance between patients and providers constitutes a significant challenge to provision of quality healthcare. This study aims to evaluate minority patients’ discharge from hospital to community care, specifically examining the relationship between patient–provider language concordance and the quality of transitional care.

MethodsThis was a multi-method prospective study of care transitions of 92 patients: native Hebrew, Russian or Arabic speakers, with a pre-discharge questionnaire and structured observations examining discharge preparation from a large Israeli teaching hospital. Two weeks post-discharge patients were surveyed by phone, on the transition from hospital to community care the Care Transition Measure CTM-15, 0–100 scale and on the primary-care post-discharge visit.

ResultsOverall, ratings on the CTM indicated fair quality of the transition process scores of 51.8 to 58.8. Patient–provider language concordance was present in 49% of minority patients’ discharge briefings. Language concordance was associated with higher CTM scores among minority groups 64.1 in language-concordant versus 49.8 in non-language-concordant discharges, P <0.001. Other aspects significantly associated with CTM scores: extent of discharge explanations P <0.05, quality of discharge briefing P <0.001, and post-discharge explanations by the primary care physician P <0.01.

ConclusionLanguage-concordant care, coupled with extensive discharge briefings and post-discharge explanations for ongoing care, are important contributors to the quality of care transitions of ethnic minority patients.

KeywordsTransitional care Language concordance Cultural differences Quality of care Minority patients  Download fulltext PDF

Autor: Nosaiba Rayan - Hanna Admi - Efrat Shadmi


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