Descriptive analysis of interpreter service mode costs & usage in Northwestern Wisconsin pre and peri COVID-19

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Publicat a:BMC Health Services Research vol. 25 (2025), p. 1
Autor principal: Casey, Elena N
Altres autors: Fitzgerald, Erin, Rackers, Hannah S, Bates, Derek, Fox, Kelson, Bygd, Mary
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Springer Nature B.V.
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022 |a 1472-6963 
024 7 |a 10.1186/s12913-025-12248-0  |2 doi 
035 |a 3165505060 
045 2 |b d20250101  |b d20251231 
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100 1 |a Casey, Elena N 
245 1 |a Descriptive analysis of interpreter service mode costs & usage in Northwestern Wisconsin pre and peri COVID-19 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundInterpreter service mode (in person, audio, or video) can impact patient experiences and engagement in the healthcare system, but clinics must balance quality with costs and volume to deliver services. Videoconferencing and telephone services provide lower cost options, effective where on site interpreters are scarce, or patients with limited English proficiency (LEP) and/or interpreters are unable to visit healthcare centers. The COVID 19 pandemic generated these conditions in Northwest Wisconsin (NWWI). The objectives of our study were to describe visit characteristics for interpreter services pre and peri COVID-19 and how interpreter visits and costs differed by modality and language pre and peri COVID-19 at Mayo Clinic Health System (MCHS) Eau Claire and Menomonie, Wisconsin (WI).MethodsWe analyzed medical records and billing data from MCHS Eau Claire and Menomonie that included interpretation visit characteristics and aggregate costs. We performed descriptive analysis of visit characteristics and aggregate costs (dependent variables: cost, duration, language, modality, payer type, department, patient age, and patient biological sex) from June-December 2019, 2020 (independent variables). We used Pearson’s chi-square and t tests to test for significant differences in visit characteristics between time periods.ResultsSignificant differences were found in distribution of all visit characteristics (language, p-value < .001; biological sex, p-value .011; mode, p-value < .001; payer type, p-value < .001; department, p-value < .001; age, p-value .016; visit duration in hours, p-value < .001) between 2019 and 2020 windows. Total costs of all interpretation modes increased between 2019 (in person, $188,109; audio, $15,734; video $15,881) and 2020 (in person, $388,500; audio, $44,376; video, $34,245) despite similar visit counts for both years (2019, 3750 visits; 2020, 3425 visits). Differences between years are consistent with COVID-19 protocols, department usage by language, and patient age.ConclusionsOur results show similar counts in the number of overall visits and increase in interpreter service costs in all modes, positively reflecting upon the availability of multimodal language resources. 
610 4 |a Mayo Clinic 
651 4 |a Mexico 
651 4 |a Wisconsin 
651 4 |a United States--US 
651 4 |a Central America 
653 |a Health care access 
653 |a Sign language 
653 |a Costs 
653 |a Communication 
653 |a Immigrants 
653 |a Pandemics 
653 |a Multilingualism 
653 |a Hmong people 
653 |a Interpreters 
653 |a Medical errors 
653 |a Health services 
653 |a Patient satisfaction 
653 |a COVID-19 
700 1 |a Fitzgerald, Erin 
700 1 |a Rackers, Hannah S 
700 1 |a Bates, Derek 
700 1 |a Fox, Kelson 
700 1 |a Bygd, Mary 
773 0 |t BMC Health Services Research  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3165505060/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3165505060/fulltext/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3165505060/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch