title: Effect of language barriers on follow-up appointments after an emergency department visit.
abstract: OBJECTIVE
  To determine whether patients who encountered language barriers during an emergency department visit were less likely to be referred for a follow-up appointment and less likely to complete a recommended appointment.
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Public hospital emergency department.
  
  
  METHODS
  English- and Spanish-speaking patients (N = 714) presenting with nonemergent medical problems.
  
  
  RESULTS
  Patients were interviewed to determine sociodemographic information, health status, whether an interpreter was used, and whether an interpreter should have been used. The dependent variables were referral for a follow-up appointment after the emergency department visit and appointment compliance, as determined by chart review and the hospital information system. The proportion of patients who received a follow-up appointment was 83% for those without language barriers, 75% for those who communicated through an interpreter, and 76% for those who said an interpreter should have been used but was not (P =. 05). In multivariate analysis, the adjusted odds ratio for not receiving a follow-up appointment was 1.92 (95% confidence interval [CI], 1.11 to 3.33) for patients who had an interpreter and 1.79 (95% CI, 1.00 to 3.23) for patients who said an interpreter should have been used (compared with patients without language barriers). Appointment compliance rates were similar for patients who communicated through an interpreter, those who said an interpreter should have been used but was not, and those without language barriers (60%, 54%, and 64%, respectively; P =.78).
  
  
  CONCLUSIONS
  Language barriers may decrease the likelihood that a patient is given a follow-up appointment after an emergency department visit. However, patients who experienced language barriers were equally likely to comply with follow-up appointments.
authors.affiliation: Case-Western Reserve University School of Medicine, Cleveland, Ohio, USA.
authors.forename: J
authors.initials: J
authors.lastname: Sarver
authors.forename: D W
authors.initials: DW
authors.lastname: Baker
mesh_terms: D000293:Adolescent; D000328:Adult; D001071:Appointments and Schedules; D003266:Continuity of Patient Care; D004636:Emergency Service, Hospital; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007802:Language; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010349:Patient Compliance; D012017:Referral and Consultation