A Survey of North Carolina Safety‐Net Dental Clinics' Methods for Communicating with Patients of Limited English Proficiency (LEP)*

Hammersmith, Kimberly J.; Lee, Jessica Y.

doi:10.1111/j.1752-7325.2008.00105.x

Cited by 9 publications

(15 citation statements)

References 10 publications

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“…Moreover, only 12 states and the District of Columbia provide reimbursement through Medicaid for interpreter services 15 *. It is perhaps unsurprising given these inconsistencies that one‐third of North Carolina safety net dental providers were not aware of the legal mandate to provide access to LEP patients 8 *…”

Section: Discussionmentioning

confidence: 99%

“…Guidelines for The Joint Commission require hospital systems, which may include dental clinics, to provide interpreter services to all patients and families with limited English proficiency 7 *. However, enforcement of this legal obligation is inconsistent, many dental clinics do not offer access to formal interpreter services, and such services are even more uncommon in the private practice dental setting 8 * , 9 *. The aim of this study was to evaluate and report the availability of interpreter services to students treating patients in U.S. dental school clinics and the extent of instruction students receive in this area.…”

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confidence: 99%

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Access to Interpreter Services at U.S. Dental School Clinics

Simon

Hum

Nalliah

2016

Journal of Dental Education

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The number of Americans with limited English proiciency (LEP) is growing, and legal protections mandate that LEP individuals have equal access to health care services. The aim of this study was to determine the availability of interpretation services in U.S. dental school clinics and the kinds of instruction dental students are given regarding treatment of LEP patients. A survey was distributed to the academic deans of all U.S. dental schools; 35 completed the survey for a response rate of 58%.Respondents were asked to report on the number of LEP patients treated in their student clinics, the resources available to students working with LEP patients, and the extent of instruction offered. Descriptive statistics were calculated. The results indicated that the proportion of LEP patients treated at U.S. dental schools was perceived to be higher than that of the general population. The availability of interpreter services and the extent of student education about LEP individuals varied widely. Among the responding schools, the most common language spoken by LEP patients was Spanish, followed by Chinese (Mandarin and Cantonese) and Russian. Most of the responding dental schools reported offering fewer than two hours of instruction to their predoctoral students on treating LEP patients. Although almost 90% of the respondents indicated believing LEP patients received care equal in quality to that of non-LEP patients in their clinics, only 61.9% indicated that their students were adequately prepared to manage LEP patients following graduation. These indings suggest that dental schools should consider curricular innovations that will prepare students to work with LEP populations and improve the ability of LEP patients to receive care in the teaching clinic setting.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Access to Interpreter Services at U.S. Dental School Clinics

Simon

Hum

Nalliah

2016

Journal of Dental Education

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“…28,35–37 Patient perception of the time spent may be affected by the presence of interpreters, which can reduce both direct patient/provider interactions and informal social conversations. 24,38 Further study of how to optimize relationship quality while using an interpreter is needed.…”

Section: Discussionmentioning

confidence: 99%

Medical Home Disparities for Latino Children by Parental Language of Interview

DeCamp¹,

Choi²,

Davis³

2011

Journal of Health Care for the Poor and Underserved

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Examination of Latino children in aggregate ignores important subgroup differences due to the parents’ English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey of Children’s Health to determine medical home prevalence among Latino children, stratified by language of parental interview. Most Latino children with a Spanish-language parental interview had a usual source of care, but only one-quarter had a medical home. Striking medical home disparities persisted for Latino children with a Spanish-language interview, even after adjustment for potential confounders. Lack of a medical home was associated with disparities in the quality of care, more so than access disparities. Addressing health care disparities for Latino children requires particular attention to the unique needs of Latino children with parents who may experience language barriers during health care encounters.

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“…4 Unfortunately, not all safety net dental clinics recognize that in the United States, there is a legal obligation to care for persons with LEP. 5 For aging persons with LEP in the United States, access to dental care is a pressing concern given the relationship of biological aging with oral health decline. 6 Oral health is linked to behavioral and social factors, and persons from vulnerable communities are at higher risk of oral disease and tooth loss.…”

Section: Introductionmentioning

confidence: 99%

English language proficiency, complete tooth loss, and recent dental visits among older adults in the United States

2020

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Objectives: This study sought to provide population-based estimates of complete tooth loss and recent dental visits among older adults in the United States by English language proficiency. Methods: We conducted a cross-sectional analysis of the 2017 Medical Expenditure Panel Survey among participants ⩾50 years of age (n = 10,452, weighted to represent 111,895,290 persons). Five categories of language proficiency were created based on self-reported English language ability and language spoken at home (Spanish, Other). Results: The prevalence of complete tooth loss was higher among those with limited English proficiency (Spanish speaking: 13.7%; Other languages: 16.9%) than those proficient in English (Spanish speaking: 5.0%; Other languages: 6.0%, English only: 12.0%). Complete tooth loss was less common among participants for whom Spanish was their primary language, with limited English proficiency relative to English only (adjusted odds ratio: 0.56; 95% confidence interval: 0.42–0.76). Among those without complete tooth loss, dental visits in the past year were less common among participants with primary language other than English as compared to those who only speak English. Conclusions: Complete tooth loss varied by English language proficiency among adults aged ⩾50 years in the United States. Suboptimal adherence to annual dental visits was common, more so in those with complete tooth loss, and varied by English language proficiency.

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A Survey of North Carolina Safety‐Net Dental Clinics' Methods for Communicating with Patients of Limited English Proficiency (LEP)*

Abstract: OBJECTIVE-Dental providers are increasingly challenged in communicating with limited English proficiency (LEP) patients. Accordingly, the study's purpose was to examine methods of communicating with LEP patients in North Carolina (NC) safety-net dental clinics as perceived by dental staff.

Cited by 9 publications

References 10 publications

Access to Interpreter Services at U.S. Dental School Clinics

Access to Interpreter Services at U.S. Dental School Clinics

Medical Home Disparities for Latino Children by Parental Language of Interview

English language proficiency, complete tooth loss, and recent dental visits among older adults in the United States

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