Assessing the influence of patient language preference on 30 day hospital readmission risk from home health care: A retrospective analysis.

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Publisher: Elsevier B.V.
Document Type: Report
Length: 591 words

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Keywords Language barrier; Readmission; Home care; Limited English proficiency; Immigrant health Abstract Background In home health care, language barriers are understudied. Language barriers between patients and providers are known to affect a variety of patient outcomes. How a patient's language preference influences hospital readmission risk from home health care has yet to be determined. Objective To determine if home care patients' language preference is associated with their risk for hospital readmission from home health care within 30 days of hospital discharge. Design Retrospective cross-sectional study of hospital readmissions from an urban home health care agency's administrative records and the national electronic home health care record for the United States, captured between 2010 and 2015. Setting New York City, New York, USA. Participants The dataset comprised 90,221 post-hospitalization patients and 6.5 million home health care visits. Methods First, a Chi-square test was used to determine if there were significant differences in crude readmission rates based on language group. Inverse probability of treatment weighting was used to adjust for significant differences in known hospital readmission risk factors between to examine all-cause hospital readmission during a home health care stay. The final matched sample included 87,561 patients with a language preference of English, Spanish, Russian, Chinese, or Korean. English-speaking patients were considered the comparison group to the non-English speaking patients. A Marginal Structural Model was applied to estimate the impact of non-English language preference against English language preference on rehospitalization. The results of the marginal structural model were expressed as an odds ratio of likelihood of readmission to the hospital from home health care. Results Home health patients with a non-English language preference had a higher hospital readmission risk than English-speaking patients. Crude readmission rate for the limited English proficiency patients was 20.4% (95% CI, 19.9--21.0%) overall compared to 18.5% (95% CI, 18.7--19.2%) for English speakers (p Conclusions People with a non-English language preference have a higher readmission rate from home health care. Hospital and home healthcare agencies may need specialized care coordination services to reduce readmission risk for these patients. Tweetable abstract: A new US-based study finds that home care patients with language barriers are at higher risk for hospital readmission. Author Affiliation: (a) Director, Florence S. Downs PhD Program, Rory Meyers College of Nursing, Research Associate Professor, Department of General Internal Medicine, Grossman School of Medicine, New York University, 433 First Avenue, 6th floor, New York, NY 10010, United States (b) Rory Meyers College of Nursing, New York University, United States (c) Wegman's School of Nursing, St. John Fischer College, Rochester, NY, United States (d) Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY 10017, United States (e) Maine Medical Center Research Institute, MaineHealth, Scarborough, ME 04047, United States (f) Department of Population Health, Division of General Internal Medicine, Grossman School of Medicine, New York University, New York, NY 10010, United States * Corresponding author. Article History: Received 22 July 2020; Revised 16 September 2021; Accepted 20 September 2021 Byline: Allison Squires [] (a,*), Chenjuan Ma, PhD [] (b), Sarah Miner, PhD, RN [] (c), Penny Feldman, PhD [] (d), Elizabeth A. Jacobs, MD, MPP [] (e), Simon A. Jones, PhD [] (f)

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Gale Document Number: GALE|A686459878