Abstract
Over 25 million individuals living in America are limited English proficient, many of whom live in rural communities. Adequate language accommodations are critical to providing effective healthcare for these populations. An online questionnaire was delivered to 42 rural facilities in Washington State. It included questions about their demand for language services, modalities of interpretation, translated documentation and barriers to providing accommodations. Fifteen of 42 (35.7%) responded. Spanish, Russian, Vietnamese, Japanese, Ukrainian and Mam were encountered daily. Telephonic and virtual remote interpreter services were the most widely available. Not all facilities had vital documents translated to frequently encountered languages. Challenges to providing language access were reported by nearly all participants. The rural facilities surveyed all encountered LEP patient populations and offered oral interpretation. Overall, these facilities were meeting requirements for providing language accommodation services. Even so, many facilities reported experiencing barriers to providing these services.
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References
Zeigler K, Camarota SA. 67.3 million in the United States spoke a foreign Language at Home in 2018. Center for Immigration Studies. Published online 2019. https://cis.org/Report/673-Million-United-States-Spoke-Foreign-Language-Home-2018. Accessed 24 Jan 2022.
Improving access to services for persons with limited English proficiency. Ex. Ord. No. 13166, 2000, 65 F.R. 50121, Title VI Statute, 42 U.S.C §§ 2000d - 2000d-7.
Flores G, Laws MB, Mayo SJ, Zuckerman B, Abreu M, Medina L, Hardt EJ. Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics. 2003;111(1):6–14.
Manson A. Language concordance as a determinant of patient compliance and emergency room use in patients with asthma. Med Care. 1988;26(12):1119–28.
Schillinger D, Machtinger EL, Wang F, Palacios J, Rodriguez M, Bindman A. Language, literacy and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment. J Health Commun. 2006;11(8):811.
Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50(4):283–9.
Jacobs EA, Agger-Gupta N, Chen AH, Piotrowski A, Hardt EJ (eds). Language barriers in health care settings: Chen, Alice Hm. California Endowment. 2003. https://prowersmedical.com/wp-content/uploads/cal.endow_.bibliography.pdf.
Torres M, Parra-Medina D, Bellinger J, Johnson AO, Probst JC. Rural hospitals and Spanish-speaking patients with limited English proficiency. J Healthc Manag. 2008;53(2):107–20.
Bohm P, Paula Cupertino A. Accommodating limited English proficient Spanish speakers in rural hospitals. J Immigr Minor Health. 2015;17(4):1277–9.
Pandya C, McHugh M, Batalova J. Limited English proficient individuals in the United States: number, share, growth and linguistic diversity. Migration information source. 2011.
Geyman M, Schmitt AL, Leyrer S, Ford DG, Smith R, Adams M. Indigenous Guatemalan and Mexican workers in Washington State: living conditions and legal issues. M Law Rev. 2012;5(1):41–80.
Maxwell AE, Young S, Moe E, Bastani R, Wentzell E. Understanding factors that influence health care utilization among Mixtec and Zapotec women in a farmworker community in California. J Community Health. 2018;43(2):356–65.
SrS McGuire. Agency, initiative and obstacles to health among indigenous immigrant women from Oaxaca Mexico. Home Healthc Manag Pract. 2006;18(5):370–7.
-What is a vital document? HHS.gov. 2015. https://www.hhs.gov/civil-rights/for-individuals/faqs/what-is-a-vital-document/707/index.html. Accessed 8 Mar 2021.
Garcia-Castillo D, Fetters MD. Quality in medical translations: a review. J Healthc Poor Underserved. 2007;18(1):74–84.
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The Washington State University Human Research Protection Program determined that the study (No.18422-001) met criteria for Exempt Research under Exempt 45-CFR 46.104 (d) 2 (i).
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Tran, AV., Roberts, K.P. Language Accommodations for Limited English Proficient Patients in Rural Health Care. J Immigrant Minority Health 25, 674–679 (2023). https://doi.org/10.1007/s10903-022-01416-7
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DOI: https://doi.org/10.1007/s10903-022-01416-7