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Background: Research considering the impact of language on health care utilization is limited. We conducted a population-based study to: (1) investigate the association between residents’ preferred language and hospital-based health care utilization; and (2) determine whether this association is modified by dementia, a condition which can exacerbate communication barriers. Methods: We used administrative databases to establish a retrospective cohort study of home care recipients...
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Background Patients who live in minority language situations are generally more likely to experience poor health outcomes, including harmful events. The delivery of healthcare services in a language-concordant environment has been shown to mitigate the risk of poor health outcomes related to chronic disease management in primary care. However, data assessing the impact of language-concordance on the risk of in-hospital harm are lacking. We conducted a population-based study to determine...
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Background Hospitalizations carry considerable risks for frail, elderly patients; this is especially true for patients with dementia, who are more likely to experience delirium, falls, functional decline, iatrogenic complications, and infections when compared to their peers without dementia. Since up to two thirds of patients in long-term care (LTC) facilities have dementia, there is interest in identifying factors associated with transitions from LTC facilities to hospitals. The purpose of...
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Objective Research examining the impact of language barriers on patient safety is limited. We conducted a population-based study to determine whether patients whose primary language is not English are more likely to experience harm when admitted to hospitals in Ontario, Canada. Methods We used linked administrative health records to establish a retrospective cohort of home care recipients (from 2010 to 2015) who were subsequently admitted to hospital. Patient language (obtained from home...
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Background: When patients and physicians speak the same language, it may improve the quality and safety of care delivered. We sought to determine whether patient–physician language concordance is associated with in-hospital and postdischarge outcomes among home care recipients who were admitted to hospital. Methods: We conducted a population-based study of a retrospective cohort of 189 690 home care recipients who were admitted to hospital in Ontario, Canada, between 2010 and 2018. We...
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Abundant research shows that linguistic barriers can have a negative impact on access to and quality of health care, as well as a patient's health outcomes.1–3 Establishing a culturally appropriate environment, by providing care to nursing home residents in their preferred language, is key in providing good-quality long-term care (LTC) services.4,5 French is one of Canada's 2 official languages. In Ontario, Canada, studies using population-based data have shown that Francophones have a lower...
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Introduction As the world’s linguistic diversity continues to increase at an unprecedented rate, a growing proportion of patients will be at risk of experiencing language barriers in primary care settings. We sought to examine whether patient–family physician language concordance in a primary care setting is associated with lower rates of hospital-based healthcare utilisation and mortality. Methods We conducted a population-based retrospective cohort study of 497 227 home care recipients...
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Objectives This study compared quality indicators across linguistic groups and sought to determine whether disparities are influenced by resident-facility language discordance in long-term care. Design Population-based retrospective cohort study using linked databases. Setting and Participants Retrospective cohort of newly admitted residents of long-term care facilities in Ontario, Canada, between 2010 and 2016 (N=47,727). Individual residents' information was obtained from the Resident...
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Thème
Domaine d’intervention ou d’étude
Groupe(s) linguistique(s) minoritaire(s)
Population concernée
- Population générale (3)
- Population aînée (5)
Pays
- Canada (8)
Province ou territoire canadien
- Ontario (8)
Année de publication
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Entre 2000 et 2025
(8)
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Entre 2010 et 2019
(1)
- 2019 (1)
- Entre 2020 et 2025 (7)
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Entre 2010 et 2019
(1)