Luis Rivera MD , Haylie Butler BA , Kevin E. Salinas MD , Carrie Wade MLIS , Maria Bazan MD, MPH , Elysia Larson ScD, MPH , Rose L. Molina MD, MPH
{"title":"母语为西班牙语的患者在孕期护理期间的沟通偏好：范围界定综述。","authors":"Luis Rivera MD , Haylie Butler BA , Kevin E. Salinas MD , Carrie Wade MLIS , Maria Bazan MD, MPH , Elysia Larson ScD, MPH , Rose L. Molina MD, MPH","doi":"10.1016/j.whi.2023.08.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Qualified language service providers (QLSPs)—professional interpreters or multilingual clinicians certified to provide care in another language—are critical to ensuring meaningful language access for patients. Designing patient-centered systems for language access could improve quality of pregnancy care.</p></div><div><h3>Objective</h3><p>We synthesized and identified gaps in knowledge about communication preferences during pregnancy care among patients with Spanish primary language.</p></div><div><h3>Methods</h3><p>We performed a scoping review of original research studies published between 2000 and 2022 that assessed communication preferences in Spanish-speaking populations during pregnancy care. Studies underwent title, abstract, and full-text review by three investigators. Data were extracted for synthesis and thematic analysis.</p></div><div><h3>Results</h3><p>We retrieved 1,539 studies. After title/abstract screening, 36 studies underwent full-text review, and 13 of them met inclusion criteria. Two additional studies were included after reference tracing. This yielded a total of 15 studies comprising qualitative (<em>n</em> = 7), quantitative (<em>n</em> = 4), and mixed-methods (<em>n</em> = 4) studies. Three communication preference themes were identified: language access through QLSPs (<em>n</em> = 7); interpersonal dynamics and perceptions of quality of care (<em>n</em> = 9); and information provision and shared decision-making (<em>n</em><span><span> = 8). Although seven studies reported a strong patient preference to receive prenatal care from Spanish-speaking clinicians, none of the included studies assessed clinician </span>Spanish language proficiency or QLSP categorization.</span></p></div><div><h3>Conclusions</h3><p>Few studies have assessed communication preferences during pregnancy care among patients with primary Spanish language. Future studies to improve communication during pregnancy care for patients with primary Spanish language require intentional analysis of their communication preferences, including precision regarding language proficiency among clinicians.</p></div>","PeriodicalId":48039,"journal":{"name":"Womens Health Issues","volume":"34 2","pages":"Pages 164-171"},"PeriodicalIF":2.8000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Communication Preferences During Pregnancy Care Among Patients With Primary Spanish Language: A Scoping Review\",\"authors\":\"Luis Rivera MD , Haylie Butler BA , Kevin E. Salinas MD , Carrie Wade MLIS , Maria Bazan MD, MPH , Elysia Larson ScD, MPH , Rose L. Molina MD, MPH\",\"doi\":\"10.1016/j.whi.2023.08.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Qualified language service providers (QLSPs)—professional interpreters or multilingual clinicians certified to provide care in another language—are critical to ensuring meaningful language access for patients. Designing patient-centered systems for language access could improve quality of pregnancy care.</p></div><div><h3>Objective</h3><p>We synthesized and identified gaps in knowledge about communication preferences during pregnancy care among patients with Spanish primary language.</p></div><div><h3>Methods</h3><p>We performed a scoping review of original research studies published between 2000 and 2022 that assessed communication preferences in Spanish-speaking populations during pregnancy care. Studies underwent title, abstract, and full-text review by three investigators. Data were extracted for synthesis and thematic analysis.</p></div><div><h3>Results</h3><p>We retrieved 1,539 studies. After title/abstract screening, 36 studies underwent full-text review, and 13 of them met inclusion criteria. Two additional studies were included after reference tracing. This yielded a total of 15 studies comprising qualitative (<em>n</em> = 7), quantitative (<em>n</em> = 4), and mixed-methods (<em>n</em> = 4) studies. Three communication preference themes were identified: language access through QLSPs (<em>n</em> = 7); interpersonal dynamics and perceptions of quality of care (<em>n</em> = 9); and information provision and shared decision-making (<em>n</em><span><span> = 8). Although seven studies reported a strong patient preference to receive prenatal care from Spanish-speaking clinicians, none of the included studies assessed clinician </span>Spanish language proficiency or QLSP categorization.</span></p></div><div><h3>Conclusions</h3><p>Few studies have assessed communication preferences during pregnancy care among patients with primary Spanish language. Future studies to improve communication during pregnancy care for patients with primary Spanish language require intentional analysis of their communication preferences, including precision regarding language proficiency among clinicians.</p></div>\",\"PeriodicalId\":48039,\"journal\":{\"name\":\"Womens Health Issues\",\"volume\":\"34 2\",\"pages\":\"Pages 164-171\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2024-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Womens Health Issues\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S104938672300155X\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Womens Health Issues","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S104938672300155X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Communication Preferences During Pregnancy Care Among Patients With Primary Spanish Language: A Scoping Review
Background
Qualified language service providers (QLSPs)—professional interpreters or multilingual clinicians certified to provide care in another language—are critical to ensuring meaningful language access for patients. Designing patient-centered systems for language access could improve quality of pregnancy care.
Objective
We synthesized and identified gaps in knowledge about communication preferences during pregnancy care among patients with Spanish primary language.
Methods
We performed a scoping review of original research studies published between 2000 and 2022 that assessed communication preferences in Spanish-speaking populations during pregnancy care. Studies underwent title, abstract, and full-text review by three investigators. Data were extracted for synthesis and thematic analysis.
Results
We retrieved 1,539 studies. After title/abstract screening, 36 studies underwent full-text review, and 13 of them met inclusion criteria. Two additional studies were included after reference tracing. This yielded a total of 15 studies comprising qualitative (n = 7), quantitative (n = 4), and mixed-methods (n = 4) studies. Three communication preference themes were identified: language access through QLSPs (n = 7); interpersonal dynamics and perceptions of quality of care (n = 9); and information provision and shared decision-making (n = 8). Although seven studies reported a strong patient preference to receive prenatal care from Spanish-speaking clinicians, none of the included studies assessed clinician Spanish language proficiency or QLSP categorization.
Conclusions
Few studies have assessed communication preferences during pregnancy care among patients with primary Spanish language. Future studies to improve communication during pregnancy care for patients with primary Spanish language require intentional analysis of their communication preferences, including precision regarding language proficiency among clinicians.
期刊介绍：
Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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