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Characteristics of Cancer Hospitals with Written Language Access Policies
Alina Kung1, Diane G Li2, Jessica A Lavery2
1Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Journal of Immigrant and Minority Health
|September 22, 2022
Summary
Many cancer hospitals lack written policies for bilingual clinicians, impacting care for patients with limited English proficiency. Implementing these policies can improve communication and reduce cancer disparities.
Area of Science:
- Health Services Research
- Health Disparities
- Oncology
Background:
- Communication barriers negatively impact care for patients with limited English proficiency.
- Understanding language access policies in cancer care is crucial for addressing disparities.
Purpose of the Study:
- To assess the prevalence of written language access policies for bilingual clinicians in cancer hospitals.
- To identify characteristics associated with hospitals having such policies.
Main Methods:
- A cross-sectional survey of healthcare organizations was conducted.
- Survey data were matched with American Hospital Association and American Community Survey data.
- Multivariable logistic regression analyzed factors associated with written bilingual clinician policies.
Main Results:
- 42% of surveyed cancer hospitals lacked written policies on bilingual clinicians.
- Hospitals with available bilingual clinicians were more likely to have written policies.
- National Cancer Institute Community Oncology Research Program (NCORP) sites were less likely to have written policies.
Conclusions:
- A significant number of cancer hospitals lack policies for bilingual clinicians, potentially exacerbating disparities.
- Written policies are essential for accountability, improved communication, and error reduction in cancer care.
- Targeted interventions may be needed for NCORP sites to develop comprehensive language access policies.
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