The Effect of Language Concordance on Health Care Relationship Trust Scores
Affiliation
The University of Arizona College of Medicine - PhoenixIssue Date
2023Keywords
Language concordancePublic Health, Prevention and Primary Care
Spanish Speakers
limited English proficiency (LEP)
Patient-Physician Relationship
interpersonal trust
Scholarly Project
Metadata
Show full item recordPublisher
The University of Arizona.Description
A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.Abstract
Objective: To determine if Spanish-speaking patients who receive health care from language concordant providers report higher Health Care Relationship (HCR) Trust scores when compared to professional or ad hoc interpreters. Methods: Prospective survey in Family and Internal Medicine clinics in Phoenix, Arizona administered between October 2020 and February 2021. 214 participants were recruited with 176 surveys completed. The primary outcome was total mean HCR trust score compared among language concordant, professional interpreter, and ad hoc interpreter groups. Results: The mean score (48.73) for the language concordant group was significantly higher than the ad hoc interpreter group (mean 45.53, p = 0.009). The professional interpreter group (mean 48.27) also had higher scores than the ad hoc interpreter group (p = 0.01). Individual questions varied. Conclusions: Patients with language concordant care or professional interpreters demonstrated higher trust in their physician than those who used ad hoc interpreters.Type
ThesisPoster
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