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Patient Educ Couns. 2011 Aug;84(2):223-8. doi: 10.1016/j.pec.2010.07.009. Epub 2010 Aug 3.

Language barriers and patient-centered breast cancer care.

Author information

  • 1Department of Medicine, University of California at San Francisco, SanFrancisco, CA 94143-1732, USA. leah.karliner@ucsf.edu

Abstract

OBJECTIVE:

Provision of high quality patient-centered care is fundamental to eliminating healthcare disparities in breast cancer. We investigated physicians' experiences communicating with limited English proficient (LEP) breast cancer patients.

METHODS:

Survey of a random sample of California oncologists and surgeons.

RESULTS:

Of 301 respondents who reported treating LEP patients, 46% were oncologists, 75% male, 68% in private practice, and on average 33% of their patients had breast cancer. Only 40% reported at least sometimes using professional interpretation services. Although 75% felt they were usually able to communicate effectively with LEP patients, more than half reported difficulty discussing treatment options and prognosis, and 56% acknowledged having less-patient-centered treatment discussions with LEP breast cancer patients. In multivariate analysis, use of professional interpreters was associated with 53% lower odds of reporting less-patient-centered treatment discussions (OR 0.47; 95% CI 0.26-0.85).

CONCLUSION:

California surgeons and oncologists caring for breast cancer patients report substantial communication challenges when faced with a language barrier. Although use of professional interpreters is associated with more patient-centered communication, there is a low rate of professional interpreter utilization.

PRACTICE IMPLICATIONS:

Future research and policy should focus on increasing access to and reimbursement for professional interpreter services.

Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

PMID:
20685068
[PubMed - indexed for MEDLINE]
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