Document Detail

Effect of awareness of language law on language access in the health care setting.
MedLine Citation:
PMID:  16808766     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Federal law obligates health care providers receiving federal funding to ensure language access to limited English-proficient (LEP) individuals who cannot communicate with their provider.
OBJECTIVE: To determine whether LEP individual awareness of this law improved language access through interpreter utilization.
DESIGN, SETTING, AND PARTICIPANTS: In June 2003, a telephone survey of 1,200 Californians was conducted in 11 non-English languages.
MEASUREMENTS: The survey included items on English proficiency, awareness of language law, health care utilization, and communication methods. Language access was defined as having a provider who speaks the individual's language (language-concordant) or utilizing an interpreter.
RESULTS: There were 1,000 LEP participants, of whom 371 (37%) were aware of the language law. Four hundred and ninety-one (49%) of LEP participants had a language-concordant provider. Of the remaining 509 LEP participants without a language-concordant provider, 111 (22%) reported interpreter utilization in the health care setting. After controlling for age, gender, education, income, insurance status, years in the United States, health care utilization, and level of English proficiency, awareness of law was not associated with interpreter utilization (odds ratio [OR] 0.66; 95% confidence interval [CI] 0.38, 1.17; P=.16), but was associated with having a language-concordant provider (OR 1.64; 95% CI 1.19, 2.26; P=.003).
CONCLUSION: Awareness of language law is not sufficient to resolve language barriers for LEP individuals. Provider and organization level barriers to language access must be addressed.
Vanessa Grubbs; Alice Hm Chen; Andrew B Bindman; Eric Vittinghoff; Alicia Fernandez
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  21     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-06-30     Completed Date:  2006-09-12     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  683-8     Citation Subset:  IM    
Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, CA 94110, USA.
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MeSH Terms
Health Knowledge, Attitudes, Practice
Legislation, Medical*
Physician-Patient Relations*
San Francisco
Grant Support
D55 HP 05165-01-00//PHS HHS; K23 832401//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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