AI Article Synopsis
- Section 1557, implemented in 2016, required qualified language interpreters to be used in healthcare settings to aid non-English primary language speakers (n-EPL).
- Researchers analyzed surgical outcomes from 2013 to 2020 using a large dataset, comparing n-EPL patients to English primary language speakers (EPL) in Maryland and New Jersey.
- Surprisingly, after Section 1557 was implemented, n-EPL patients did not see improvements; instead, they experienced higher mortality rates and post-operative complications compared to before the law, indicating the policy may not have achieved its intended effects.
Article Abstract
Background: In 2016, Section 1557 mandated use of qualified language interpreter services. We examined the effect of Section 1557 on surgical outcomes.
Methods: Utilizing the Healthcare Cost and Utilization Project State Inpatient Database (2013-2020), we performed a difference-in-differences analysis of adult surgical patients (Maryland, New Jersey). The exposure was implementation of Section 1557 (pre-period: 2013-2015; post-period: 2017-2020). The treatment group was non-English primary language speakers (n-EPL). The comparison group was English primary language speakers (EPL). Outcomes included length-of-stay, postoperative complications, mortality, discharge disposition, and readmissions.
Results: Among 2,298,584 patients, 198,385 (8.6%) were n-EPL. After implementation of Section 1557, n-EPL saw no difference in readmission rates but did experience significantly higher rates of mortality (+0.43%, p = 0.049) and non-routine discharges (+1.81%, p = 0.031) in Maryland, and higher rates of post-operative complications (+0.31%, p = 0.001) in both states, compared to pre-Section 1557.
Conclusions: Contrary to our hypothesis, Section 1557 did not improve surgical outcomes for n-EPL.
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| http://dx.doi.org/10.1016/j.amjsurg.2023.10.018 | DOI Listing |
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