The role of race, ethnicity, and language in care transitions

• Published in: The American journal of managed care 2021-07, Vol.27 (7), p.e221-e225
• Main Authors: Barreto, Esteban A, Guzikowski, Sophia, Michael, Carie, Carter, Jocelyn, Betancourt, Joseph R, Tull, Andrea, Tan-McGrory, Aswita, Donelan, Karen
• Format: Article
• Language: English
• Subjects: Health administration
• ISSN: 1088-0224; 1936-2692
• DOI: 10.37765/ajmc.2021.88705

OBJECTIVESTo identify areas where transition from hospital to community could be improved, with a special focus on racial, ethnic, and language differences. STUDY DESIGNA cross-sectional survey administered by postal mail and bilingual telephone interviewers. METHODSPatients were randomly selected within strata by race, ethnicity, and language proficiency. A total of 224 patients (response rate: 63.5%) who had recently experienced a hospital stay completed the survey. RESULTSOverall, 1 in 4 patients were alone at discharge. More than half of patients with limited English proficiency reported lack of access to medical interpreters and translated materials. We noted significant differences by race, ethnicity, and language in technology access and in patient-reported worries in the posthospital period. Hispanic or Latino patients and patients with limited English proficiency were less likely to report access to a computer and less likely to access the Patient Gateway portal. Black or African American patients were also less likely to use the Patient Gateway portal. Asian patients were more likely to be worried about getting home health services. CONCLUSIONSOur findings highlight the enhanced difficulties that diverse patients may experience when transitioning from hospital to community-based settings. When considering how to best address the complex needs of diverse populations, interventions must be sensitive to the presence or absence of others, potential digital divides, and medical interpretation.