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Navigating language barriers under difficult circumstances.

Yael Schenker1, Bernard Lo, Katharine M Ettinger

  • 1University of California, San Francisco, California 94143, USA.

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|August 20, 2008
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Summary
This summary is machine-generated.

Physicians face challenges caring for patients with limited English proficiency due to language barriers. A new framework helps clinicians decide when to use interpreters, improving care quality for diverse patient populations.

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Area of Science:

  • Medical Communication
  • Health Equity
  • Linguistics in Healthcare

Background:

  • Growing U.S. population with limited English proficiency (LEP).
  • Physicians frequently encounter LEP patients with inadequate language services.
  • Limited research on clinical decision-making for language barriers.

Observation:

  • Physicians grapple with choices regarding language services for LEP patients.
  • A conceptual framework is proposed to guide these decisions.
  • Common questions about language services in clinical practice are addressed.

Findings:

  • Four key factors guide interpreter use: clinical situation, language gap severity, resource availability, and patient preference.
  • Guidance is provided on selecting appropriate interpreters.
  • Strategies are offered for situations lacking professional interpreters.

Implications:

  • This framework aids clinicians in navigating complex language service decisions.
  • Improved quality of care for patients with limited English proficiency is achievable.
  • Enhances communication and patient safety across language barriers.