Let’s Not Contribute to Disparities: The Best Methods for Teaching Clinicians How to Overcome Language Barriers to Health Care
- 30 March 2010
- journal article
- perspectives
- Published by Springer Science and Business Media LLC in Journal of General Internal Medicine
- Vol. 25 (S2), 189-193
- https://doi.org/10.1007/s11606-009-1201-8
Abstract
Clinicians should be educated about how language barriers contribute to disparities for patients with limited English proficiency (LEP). However, educators must avoid developing educational interventions that increase health disparities for LEP patients. For example, studies suggest that teaching “Medical Spanish” or related courses may actually contribute to health care disparities if clinicians begin using these non-English language skills inappropriately with patients. We discuss the risks and benefits of teaching specific cultural competence skills and make evidence-based recommendations for the teaching content and methods for educational interventions focused on overcoming language barriers in health care. At minimum, we suggest such interventions include: (1) the role of language barriers in health disparities, (2) means of overcoming language barriers, (3) how to work with interpreters, (4) identifying and fixing problems in interpreted encounters, and (5) appropriate and safe use of one’s own limited non-English language skills.Keywords
This publication has 34 references indexed in Scilit:
- The importance of teaching clinicians when and how to work with interpretersPatient Education and Counseling, 2010
- Getting By: Underuse of Interpreters by Resident PhysiciansJournal of General Internal Medicine, 2008
- A Longitudinal Medical Spanish Program at One US Medical SchoolJournal of General Internal Medicine, 2008
- The Impact of Language Barriers on Documentation of Informed Consent at a Hospital with On-Site Interpreter ServicesJournal of General Internal Medicine, 2007
- Primary Language and Receipt of Recommended Health Care Among Hispanics in the United StatesJournal of General Internal Medicine, 2007
- Language proficiency and adverse events in US hospitals: a pilot studyInternational Journal for Quality in Health Care, 2007
- Do Professional Interpreters Improve Clinical Care for Patients with Limited English Proficiency? A Systematic Review of the LiteratureHealth Services Research, 2006
- Effects of limited English proficiency and physician language on health care comprehensionJournal of General Internal Medicine, 2005
- Maternal-child immigrant health training: changing knowledge and attitudes to improve health care deliveryPatient Education and Counseling, 1996
- Teaching Spanish to Emergency Medicine ResidentsAcademic Emergency Medicine, 1995