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Caregiver-Reported Quality of Pediatric Primary Care Language Services
Lauren Yu1, Olivia Migliori2, Kelsey Schweiberger2
1University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Pediatrics
|July 12, 2026
Summary
Caregivers using languages other than English (LOEs) received excellent spoken interpreter services during pediatric visits but lacked written materials and consistent spoken support at all touchpoints. Improving language access is crucial for equitable pediatric primary care.
Area of Science:
- Health Services Research
- Linguistic Access in Healthcare
- Pediatric Primary Care
Background:
- Caregivers using languages other than English (LOEs) face health disparities.
- Limited understanding exists regarding their experiences with spoken and written language services in pediatric primary care settings.
Purpose of the Study:
- To explore the experiences of caregivers who use LOEs with language services during pediatric primary care visits.
- To identify areas for improvement in language access for diverse patient populations.
Main Methods:
- Cross-sectional study conducted in 3 pediatric primary care clinics.
- Interviews with 111 caregivers using 21 different LOEs, conducted within 2 weeks of their child's visit.
- Data collected via structured, interpreter-assisted interviews and analyzed using descriptive statistics and thematic analysis.
Main Results:
- Most participants (85%) received language-concordant spoken services from clinicians, but fewer received them during scheduling (56%), rooming (39%), or nursing interactions (45%).
- Less than a quarter of caregivers received language-concordant written materials.
- High satisfaction was reported with interpreter and bilingual clinician quality.
Conclusions:
- While direct clinical communication was high-quality, gaps exist in language services at other visit touchpoints.
- Implementation of comprehensive language services before, during, and after visits is recommended to ensure equitable care.
- Addressing these gaps can mitigate health disparities for LOE-using caregivers.
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