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Language Accommodations for Limited English Proficient Patients in Rural Health Care.

Ai-Vi Tran1, Kenneth P Roberts2

  • 1Elson S. Floyd College of Medicine, Washington State University, Spokane, WA, USA.

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Summary

Rural healthcare facilities in Washington State serve limited English proficient (LEP) patients, offering oral interpretation but facing barriers to comprehensive language access, including translated vital documents.

Keywords:
InterpreterLanguage barrierLimited English proficiencyRural health

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Area of Science:

  • Healthcare Access
  • Linguistic Health Equity
  • Rural Health Services

Background:

  • Over 25 million Americans are limited English proficient (LEP), with many residing in rural areas.
  • Effective healthcare delivery for LEP populations necessitates adequate language accommodations.
  • Ensuring equitable access to health services for diverse linguistic groups is a public health priority.

Purpose of the Study:

  • To assess the demand for language services in rural Washington State healthcare facilities.
  • To identify the modalities of interpretation and translation services utilized.
  • To understand the barriers encountered in providing language access to LEP patients.

Main Methods:

  • An online questionnaire was distributed to 42 rural healthcare facilities in Washington State.
  • The survey collected data on language service demand, interpretation methods, translated documentation, and barriers.
  • Response rate was 35.7% (15 out of 42 facilities).

Main Results:

  • Daily encounters with patients speaking Spanish, Russian, Vietnamese, Japanese, Ukrainian, and Mam were reported.
  • Telephonic and virtual remote interpreter services were the most common modalities.
  • Not all facilities had vital documents translated, and nearly all reported challenges in providing language access.

Conclusions:

  • Rural facilities in Washington State encounter LEP patients and provide oral interpretation, generally meeting service requirements.
  • Despite offering services, facilities face significant barriers to fully implementing language access, particularly with translated vital documents.
  • Addressing these barriers is crucial for improving healthcare quality and equity for rural LEP populations.