| Effect of awareness of language law on language access in the health care setting. | |
| | |
MedLine Citation:
|
PMID: 16808766 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Vanessa Grubbs; Alice Hm Chen; Andrew B Bindman; Eric Vittinghoff; Alicia Fernandez |
Related Documents
:
|
7440916 - Legislative aspects of pesticide regulations. 10289916 - It couldn't happen. health care? airlines? competition? deregulation? let's just put th... 1955686 - Federal advance directives legislation: potential effects on emergency medicine. 2166766 - A cumulative review of studies on travellers, their experience of illness and the impli... 22557976 - Metabolomic applications to decipher gut microbial metabolic influence in health and di... 16606476 - The value of monitoring outcomes should be measured by the appropriateness of the respo... |
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: 2009-11-18 |
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 |
Affiliation:
|
Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, CA 94110, USA. vgrubbs@medsfgh.ucsf.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Communication Health Knowledge, Attitudes, Practice Humans Language* Legislation, Medical* Physician-Patient Relations* San Francisco |
| Grant Support | |
ID/Acronym/Agency:
|
D55 HP 05165-01-00//PHS HHS; K23 832401//PHS HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Diagnosing and managing cutaneous pigmented lesions: primary care physicians versus dermatologists.
Next Document: Effect of implementing pain management standards.