Hospital MedicineThe Patient Passport Program: An Intervention to Improve Patient–Provider Communication for Hospitalized Minority Children and Their Families
Section snippets
Patient Passport Program
This was a qualitative evaluation of a patient–provider communication project to enhance communication between minority (nonwhite) families and their medical providers in the inpatient setting. The Passport Program included a customized paper-based Passport book and an additional set of family-centered medical rounds during the hospital day with medical providers for the patient/family. The personalized patient Passport summarized patient-specific demographic and clinical data as a source of
Passport Program Participants
In phase 1 (Spanish-speaking families), 10 Passport Program and 10 usual-care families were enrolled. In phase 2 (minority English-speaking families), 10 Passport Program and 10 usual-care families were enrolled. Overall, when combining both phases of this project, for the Passport Program, 60% of the patients were boys, and the mean age of the hospitalized child was 9.7 years (range, 0.16–19 years), while 50% of usual-care patients were boys, and mean age was 5.9 years (range, 0.08–17 years).
Discussion
The Passport Program was designed as a patient–provider communication program to address the specific needs of communication-vulnerable populations, specifically Spanish-speaking as well as English-speaking minority families, by enhancing communication to improve patient-centered and culturally competent care. This need for improved communication was recognized to be particularly important around knowing the medical care team and understanding the patient's care plan and test results. Improved
Acknowledgments
Presented in part at the American Public Health Association annual meeting, San Francisco, Calif, October 27–31, 2012. This work was supported by the Blue Cross Blue Shield Foundation of Massachusetts by a Pathways to Cultural Competence grant. Blue Cross Blue Shield Foundation had no role in the study design, data analysis, or manuscript preparation.
References (22)
- et al.
Leveraging quality improvement to achieve equity in health care
Jt Comm J Qual Patient Saf
(2010) US Census Bureau projections show a slower growing, older, more diverse nation a half century from now
(December 12, 2012)- et al.
The impact of interpreters on parents' experiences with ambulatory care for their children
Med Care Res Rev
(2006) - et al.
Cultural Competency and Quality of Care: Obtaining the Patient's Perspective
(2006) National Healthcare Disparities Report, 2010
(2014)Technical report—racial and ethnic disparities in the health and health care of children
Pediatrics
(2010)- et al.
Transforming clinical practice to eliminate racial-ethnic disparities in healthcare
J Gen Intern Med
(2008) - et al.
Racial and ethnic disparities in pediatric experiences of family-centered care
Med Care
(2010) - et al.
Patient–physician relationships and racial disparities in the quality of health care
Am J Public Health
(2003) - et al.
Racial/ethnic discrimination in health care: impact on perceived quality of care
J Gen Intern Med
(2010)
The relationship between perceived discrimination and patient experiences with health care
Med Care
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2024, Journal of Pediatric NursingSpanish speaking, limited English proficient parents whose children are hospitalized: An integrative review
2020, Journal of Pediatric NursingCitation Excerpt :Family-centered rounds provided an opportunity for patient, provider, and nurse communication and family engagement (Walker-Vischer et al., 2015; Zurca et al., 2017). One innovative project was the Patient Passport Program (Lee et al., 2016). Parents whose children were hospitalized on medical/surgical units received a passport book to record questions and comments and use as a reference during interpreter assisted, physician-nurse rounds.
Conflict of Interest: The authors declare that they have no conflict of interest.