Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Gen Intern Med. 2007 Nov;22 Suppl 2:324-30.

Providing high-quality care for limited English proficient patients: the importance of language concordance and interpreter use.

Author information

  • 1Division of General Internal Medicine and Primary Care and the Center for Health Policy Research, University of California, Irvine School of Medicine, Research, 111 Academy, Suite 220, Irvine, CA, USA. Qhngo@uci.edu

Abstract

BACKGROUND:

Provider-patient language discordance is related to worse quality care for limited English proficient (LEP) patients who speak Spanish. However, little is known about language barriers among LEP Asian-American patients.

OBJECTIVE:

We examined the effects of language discordance on the degree of health education and the quality of interpersonal care that patients received, and examined its effect on patient satisfaction. We also evaluated how the presence/absence of a clinic interpreter affected these outcomes.

DESIGN:

Cross-sectional survey, response rate 74%.

PARTICIPANTS:

A total of 2,746 Chinese and Vietnamese patients receiving care at 11 health centers in 8 cities.

MEASUREMENTS:

Provider-patient language concordance, health education received, quality of interpersonal care, patient ratings of providers, and the presence/absence of a clinic interpreter. Regression analyses were used to adjust for potential confounding.

RESULTS:

Patients with language-discordant providers reported receiving less health education (beta = 0.17, p < 0.05) compared to those with language-concordant providers. This effect was mitigated with the use of a clinic interpreter. Patients with language-discordant providers also reported worse interpersonal care (beta = 0.28, p < 0.05), and were more likely to give low ratings to their providers (odds ratio [OR] = 1.61; CI = 0.97-2.67). Using a clinic interpreter did not mitigate these effects and in fact exacerbated disparities in patients' perceptions of their providers.

CONCLUSION:

Language barriers are associated with less health education, worse interpersonal care, and lower patient satisfaction. Having access to a clinic interpreter can facilitate the transmission of health education. However, in terms of patients' ratings of their providers and the quality of interpersonal care, having an interpreter present does not serve as a substitute for language concordance between patient and provider.

PMID:
17957419
[PubMed - indexed for MEDLINE]
PMCID:
PMC2078537
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Springer Icon for PubMed Central
    Loading ...
    Write to the Help Desk