title: Effect of Spanish interpretation method on patient satisfaction in an urban walk-in clinic.
abstract: OBJECTIVE
  To examine the effect of Spanish interpretation method on satisfaction with care.
  
  
  METHODS
  Self-administered post-visit questionnaire.
  
  
  METHODS
  Urban, university-affiliated walk-in clinic.
  
  
  METHODS
  Adult, English- and Spanish-speaking patients presenting for acute care of non-emergent medical problems.
  
  
  RESULTS
  Satisfaction with overall clinic visit and with 7 provider characteristics was evaluated by multiple logistic regression, controlling for age, gender, ethnicity, education, insurance status, having a routine source of medical care, and baseline health. "Language-concordant" patients, defined as Spanish-speaking patients seen by Spanish-speaking providers and English-speaking patients, and patients using AT&T telephone interpreters reported identical overall visit satisfaction (77%; P = .57), while those using family or ad hoc interpreters were significantly less satisfied (54% and 49%; P < .01 and P = .007, respectively). AT&T interpreter use and language concordance also yielded similar satisfaction rates for provider characteristics (P > .2 for all values). Compared to language-concordant patients, patients who had family members interpret were less satisfied with provider listening (62% vs 85%; P = .003), discussion of sensitive issues (60% vs 76%; P = .02), and manner (62% vs 89%; P = .005). Patients who used ad hoc interpreters were less satisfied with provider skills (60% vs 83%; P = .02), manner (71% vs 89%; P = .02), listening (54% vs 85%; P = .002), explanations (57% vs 84%; P = .02), answers (57% vs 84%; P = .05), and support (63% vs 84%; P = .02).
  
  
  CONCLUSIONS
  Spanish-speaking patients using AT&T telephone interpretation are as satisfied with care as those seeing language-concordant providers, while patients using family or ad hoc interpreters are less satisfied. Clinics serving a large population of Spanish-speaking patients can enhance patient satisfaction by avoiding the use of untrained interpreters, such as family or ad hoc interpreters.
authors.affiliation: Division of General Internal Medicine, University of Colorado Health Sciences Center, Denver, Colo, USA.
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Lee
authors.forename: Holly A
authors.initials: HA
authors.lastname: Batal
authors.forename: Judith H
authors.initials: JH
authors.lastname: Maselli
authors.forename: Jean S
authors.initials: JS
authors.lastname: Kutner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D003120:Colorado; D003144:Communication Barriers; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007802:Language; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D014175:Translating