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Patients speaking a language other than English (LOE) face disparities in emergency care. Professional interpretation is crucial for mitigating these communication barriers and ensuring equitable treatment for all patients.

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Area of Science:

  • Medical Communication
  • Health Equity
  • Emergency Medicine

Background:

  • Approximately 20% of US adults and children over 5 speak a language other than English (LOE) at home.
  • A significant portion of the LOE population reports limited English proficiency.
  • Pediatric emergency departments (EDs) are experiencing an increase in patients and caregivers with LOE, leading to potential communication challenges.

Purpose of the Study:

  • To inform emergency medicine providers about challenges in caring for patients with LOE.
  • To offer strategies for mitigating communication difficulties in the ED setting.
  • To outline best practices for collaborating with interpreters for patients with LOE.

Main Methods:

  • Review of existing research on language barriers in emergency care.
  • Analysis of disparities experienced by patients with LOE in the ED.
  • Synthesis of best practices for interpreter use in fast-paced medical environments.

Main Results:

  • Patients with LOE experience significant disparities in ED care, including under-triage and longer stays.
  • Miscommunication due to linguistic barriers can negatively impact patient outcomes.
  • Professional interpretation has been shown to effectively mitigate these disparities.

Conclusions:

  • Addressing linguistic barriers is essential for providing equitable and high-quality emergency care.
  • Effective communication strategies and interpreter collaboration are vital for improving care for patients with LOE.
  • Emergency medicine providers need specific guidance to navigate communication challenges with LOE patients and their caregivers.