Is There an Association Between Cross‐Cultural Care Training and Hospital Length of Stay?

1University of Michigan, Ann Arbor, MI
2University of Michigan Medical School, Ann Arbor, MI

Meeting: Hospital Medicine 2014, March 24-27, Las Vegas, Nev.

Abstract number: 18

Background:

Cross‐cultural care focuses on the ability to communicate effectively and provide quality health care to diverse patients. Studies have shown that cross‐cultural care issues may detract from the delivery of high quality health care to hospitalized patients. Our objective was to explore the association between physicians’ perception of cross‐cultural care issues effect on hospital length of stay (LOS) and their report of benefit from cross‐cultural care training.

Methods:

A survey was sent to 239 attending and 162 resident physicians (N= 401) of the Internal Medicine (IM) and Medicine‐Pediatrics (MP) residency programs at an academic hospital from March 2013 to June 2013. Respondents were asked how often have cross‐cultural care issues, including language barriers, resulted in increased LOS. For our multivariate logistic regression analysis, the responses were dichotomized to never/rarely vs. sometimes/often. Independent variables included physician (e.g. attending or resident) and minority status, gender, and report of benefit from cross‐cultural care training (e.g. respondents were asked if they’d benefit from training).

Results:

A total of 154 surveys were collected (38% response rate); 46.4% were attending and 53.6% were resident physicians. Demographic characteristics of survey respondents were compared with data from the Department of Medicine and IM/MP residency programs from which the sample was drawn; no significant differences were seen. A majority of physicians, 55.1%, cited that cross‐cultural care issues significantly affected LOS. Also, 69.6% of physicians indicated that they’d benefit from cross‐cultural training. This trend was seen when respondents were grouped by physician and minority status, and gender (Table 1). After adjusting for demographic and physician characteristics, respondents who expressed the benefit of training were more likely to indicate that increased LOS secondary to cross‐cultural care issues occurred sometimes or often compared to never or rarely, OR 2.75 95%CI 1.18‐6.42 (Table 2).

Conclusions:

Physician perception that cross‐cultural care issues adversely impact LOS was positively associated with physician report of personal benefit from cross‐cultural care training. The factors that lead physicians to link cross‐cultural care issues with increased LOS need to be further elucidated. Furthermore, recognition of the benefit of cross‐cultural care training may be an important first step in improving the delivery of care to diverse hospitalized patient populations.

To cite this abstract:

Kimbrough‐Sugick J, Ward D, Admon A, Rittschof J, Lukela M. Is There an Association Between Cross‐Cultural Care Training and Hospital Length of Stay?. Abstract published at Hospital Medicine 2014, March 24-27, Las Vegas, Nev. Abstract 18. Journal of Hospital Medicine. 2014; 9 (suppl 2). https://www.shmabstracts.com/abstract/is-there-an-association-between-crosscultural-care-training-and-hospital-length-of-stay/. Accessed September 19, 2019.

« Back to Hospital Medicine 2014, March 24-27, Las Vegas, Nev.