Table 2.
Paired analysis examining the impact of clinic group on post-implementation survey responses (data in this table are restricted to individuals who completed both pre-implementation and post-implementation surveys). (n = 18 Pilot Clinic Providers, n = 35 Usual Care Clinic Providers)
| Pre-implementation | Post-implementation | AORb (p value) | |
|---|---|---|---|
| Post-survey item: | n (%) agreea | n (%) agreea | |
| The clinic should be systematically assessing a patient’s language abilities and preferences |
PC: 17 (94%) UCC: 33 (94%) |
PC: 18 (100%) UCC: 35 (100%) |
NA |
| I have been satisfied with the quality of care I am providing to my patients who speak English less than very well |
PC: 8 (44%) UCC: 18 (51%) |
PC: 15 (83%) UCC: 17 (49%) |
12.66 (< 0.01) |
| I have been satisfied with the communication I have with my patients who speak English less than very well |
PC: 9 (50%) UCC: 18 (51%) |
PC: 15 (83%) UCC: 15 (43%) |
7.55 (<0.01) |
| I am confident that I have clearly understood my patients who speak English less than very well |
PC: 7 (39%) UCC: 14 (42%) |
PC: 8 (44%) UCC: 19 (54%) |
0.68 (0.51) |
| I am confident that my patients who speak English less than very well have understood my recommendations and instructions |
PC: 8 (44%) UCC: 10 (29%) |
PC: 8 (44%) UCC: 19 (54%) |
0.46 (0.26) |
| I am satisfied with the ease of accessing interpreters for my patients who speak English less than very well |
PC: 4 (22%) UCC: 6 (18%) |
PC: 2 (11%) UCC: 6 (17%) |
0.48 (0.43) |
| I feel as efficient with my patients who speak English less than very well as compared to my patients with full English fluency |
PC: 2 (11%) UCC: 2 (6%) |
PC: 0 (0%) UCC: 3 (9%) |
8.17 × 10−9 (1.00) |
| Post-survey item: | n (%) all/most of the time | n (%) all/most of the time | |
| How often are interpreters either present or on the phone for patients who speak English less than very well by the time you enter the room? |
PC: 0 (0%) UCC: 6 (18%) |
PC: 2 (11%) UCC: 8 (23%) |
0.58 (0.54) |
a
Includes responses of “Completely Agree” and “Somewhat Agree”
b
Odds of agreement (“Completely Agree” or “Somewhat Agree”) on post-implementation survey question based on being in a pilot clinic versus usual care clinic, adjusting for provider’s pre-implementation response to the same survey question