Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Ou, Lixin; Chen, Jack; Hillman, Ken

doi:10.1186/1471-2458-10-182

Cited by 33 publications

(40 citation statements)

References 26 publications

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“…(Fassaert et al, 2010, Murray et al, 2010, Ou et al, 2010, Ponce et al, 2006, Poureslami et al, 2010, Puthussery et al, 2010, Sokal, 2010, Timmins, 2002) Research suggests that language barriers adversely affect patients in their access to health services (Jacobs et al, 2006, Pippins et al, 2007, Robert Wood Johnson Foundation, 2001); comprehension and adherence(Cheng et al, 2007, Jacobs et al, 2006); quality of care (Cohen et al, 2005, Diamond et al, 2009, Jacobs et al, 2003, Jacobs et al, 2006); and patient and provider satisfaction. (Arthur et al, 2014, Baker et al, 1996, Jacobs et al, 2006)…”

Section: Introductionmentioning

confidence: 99%

Changes in research on language barriers in health care since 2003: A cross-sectional review study

Schwei

Pozo

Agger-Gupta

et al. 2016

International Journal of Nursing Studies

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Background Understanding how to mitigate language barriers is becoming increasingly important for health care providers around the world. Language barriers adversely affect patients in their access to health services; comprehension and adherence; quality of care; and patient and provider satisfaction. In 2003, the United States (US) government made a major change in national policy guidance that significantly affected limited English proficient patients’ ability to access language services. Objective The objectives of this paper are to describe the state of the language barriers literature inside and outside the US since 2003 and to compare the research that was conducted before and after a national policy change occurred in the US. We hypothesize that language barrier research would increase inside and outside the US but that the increase in research would be larger inside the US in response to this national policy change. Methods We reviewed the research literature on language barriers in health care and conducted a cross sectional analysis by tabulating frequencies for geographic location, language group, methodology, research focus and specialty and compared the literature before and after 2003. Results Our sample included 136 studies prior to 2003 and 426 studies from 2003–2010. In the 2003–2010 time period there was a new interest in studying the providers’ perspective instead of or in addition to the patients’ perspective. The methods remained similar between periods with greater than 60% of studies being descriptive and 12% being interventions. Conclusions There was an increase in research on language barriers inside and outside the US and we believe this was larger due to the change in the national policy. We suggest that researchers worldwide should move away from simply documenting the existence of language barriers and should begin to focus their research on documenting how language concordant care influences patient outcomes, providing evidence for interventions that mitigate language barriers, and evaluating the cost effectiveness of providing language concordant care to patients with language barriers. We think this is possible if funding agencies around the world begin to request proposals for these types of research studies. Together, we can begin document meaningful ways to provide high quality health care to patients with language barriers.

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Section: Introductionmentioning

confidence: 99%

Changes in research on language barriers in health care since 2003: A cross-sectional review study

Schwei

Pozo

Agger-Gupta

et al. 2016

International Journal of Nursing Studies

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“…For example, a recent study by Ou et al [3] confirmed that patients who do not speak the local language were disadvantaged in their access to health services. Language barriers also result in unequal treatment.…”

Section: Introductionmentioning

confidence: 99%

What do language barriers cost? An exploratory study among asylum seekers in Switzerland

Bischoff

Denhaerynck

2010

BMC Health Serv Res

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BackgroundLanguage barriers have a major impact on both the quality and the costs of health care. While there is a growing body of evidence demonstrating the detrimental effects of language barriers on the quality of health care provision, less is known about their impact on costs. This purpose of this study was to investigate the association between language barriers and the costs of health care.MethodsThe data source was a representative set of asylum seekers whose health care was provided by a Swiss Health Maintenance Organisation (HMO). A cross-sectional survey was conducted: data was collected on all the asylum seekers' health care costs including consultations, diagnostic examinations, medical interventions, stays in the clinic, medication, and interpreter services. The data were analysed using path analysis.ResultsAsylum seekers showed higher health care costs if there were language barriers between them and the health professionals. Most of these increased costs were attributable to those patients who received interpreter services: they used more health care services and more material. However, these patients also had a lower number of visits to the HMO than patients who faced language barriers but did not receive interpreter services.ConclusionLanguage barriers impact health care costs. In line with the limited literature, the results of this study seem to show that interpreter services lead to more targeted health care, concentrating higher health care utilisation into a smaller number of visits. Although the initial costs are higher, it can be posited that the use of interpreter services prevents the escalation of long-term costs. A future study specially designed to examine this presumption is needed.

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“…The Ou et al . 's study used data from the Longitudinal Study of Australian Children and was limited only to infants . Correa‐Velez et al .…”

Section: Introductionmentioning

confidence: 99%

“…6,7 To date, a limited body of literature exists describing the role of language in utilisation of healthcare particularly ED care in Australia. 8,9 Ou and colleagues found that infants from a non-English-speaking background accessed significantly less of the most frequently used healthcare services compared with infants from an English-speaking background. 8 The Ou et al's study used data from the Longitudinal Study of Australian Children and was limited only to infants.…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Ou and colleagues found that infants from a non-English-speaking background accessed significantly less of the most frequently used healthcare services compared with infants from an English-speaking background. 8 The Ou et al's study used data from the Longitudinal Study of Australian Children and was limited only to infants. 8 Correa-Velez et al's study showed that use of hospital services among people born in refugee-source countries is not higher than that of the Australian-born population.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Language and utilisation of emergency care in Queensland

Mahmoud

Hou

Chu

et al. 2012

Emerg Medicine Australasia

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Health services utilisation disparities between English speaking and non-English speaking background Australian infants

Cited by 33 publications

References 26 publications

Changes in research on language barriers in health care since 2003: A cross-sectional review study

Changes in research on language barriers in health care since 2003: A cross-sectional review study

What do language barriers cost? An exploratory study among asylum seekers in Switzerland

Language and utilisation of emergency care in Queensland

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