Language Barriers Surrounding Medication Use among Older Latinos

Mutchler, Jan E.; Bacigalupe, Gonzalo; Coppin, Antonia K.; Gottlieb, Alison S.

doi:10.1007/s10823-006-9021-3

Cited by 42 publications

(45 citation statements)

References 25 publications

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“…35 In order to find solutions to pharmacy-related health disparities with Spanishspeaking Latinos, it is imperative to determine the perceptions of this population of patients. Problems with pharmacy communication services have been linked to the lack of professional interpretation 37 and translation services by pharmacists, 38 and the lack of these services has led to low levels of satisfaction in Spanish-speaking patients. 39 Sleath et al 35 found that abiding by certain cultural normative values, such as simpatía (kindness or politeness), personalismo (formal friendliness), and respeto (respect) were important to Latino patients.…”

Section: S) It Has Been Established That Americanmentioning

confidence: 99%

“…37 Other pharmacy related-problems stem from the lack of written translation services in Spanish and Spanish-speaking pharmacy employees. 38,84,133 Specifically, the inability of healthcare providers to listen to Spanish-speaking patients, answer questions, and provide explanations about prescription medications and medical tests has led to significant levels of dissatisfaction with medical providers.…”

Section: Section 6: Summary Of Relevant Literaturementioning

confidence: 99%

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Spanish-speaking patients’ satisfaction with clinical pharmacists’ communication skills and demonstration of cultural sensitivity

Kim-Romo

Barner

Brown

et al. 2014

Journal of the American Pharmacists Association

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Section: S) It Has Been Established That Americanmentioning

confidence: 99%

Section: Section 6: Summary Of Relevant Literaturementioning

confidence: 99%

Spanish-speaking patients’ satisfaction with clinical pharmacists’ communication skills and demonstration of cultural sensitivity

Kim-Romo

Barner

Brown

et al. 2014

Journal of the American Pharmacists Association

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“…These findings are further supported by a 2007 study of elderly Spanish-speaking patients in Boston, where patients felt that limited English proficiency decreased patient care. 4 Outcomes studies have reinforced these findings. A large systematic review of these studies found that lack of bilingual health care providers or trained medical interpreters has negative effects on patient outcomes, including poor adherence to medications, increased medication errors, unnecessary diagnostic tests, and poor follow up after hospitalization.…”

Section: Introductionmentioning

confidence: 89%

A Spanish Language Module in a First-Year Pharmaceutical Care Laboratory Course

Dinkins

Scolaro

2012

American Journal of Pharmaceutical Education

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Objective. To assess the impact of incorporating Spanish language lectures and activities in a required Pharmaceutical Care Laboratory course on first-year doctor of pharmacy (PharmD) students' perceptions of and comfort level with Spanish-speaking patients and basic knowledge of Spanish pharmacy terms. Design. The 6-week module consisted of attendance at a 1-hour lecture on medical Spanish and Hispanic culture, and completion of 4 small-group activities: drug and product information, patient information, counseling and side effects, and a written scenario that involved filling a prescription for and counseling a Spanish-speaking patient. Assessment. All students enrolled in the Pharmaceutical Care Laboratory course in fall 2008 (153) and fall 2009 (152) completed a pre-and post-intervention questionnaire (100% response rate). Less than 4% of students considered themselves fluent in Spanish prior to participating in the Spanish language module. Students agreed or strongly agreed that it was important for pharmacists to be able to translate common pharmacy label instructions from English to Spanish (89.8%) and Spanish to English (73.8%). Student-reported confidence in their ability to pronounce common pharmacy and medical terms in Spanish significantly increased, as did their ability to correctly interpret pharmacy label instructions. Conclusions. While incorporation of a Spanish language module in a first-year Pharmaceutical Care Laboratory course did not result in students achieving fluency in Spanish, it was a beneficial method of exposing students to Spanish language and culture.

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“…40 The use of professional interpreters is associated with improved clinical care and patient satisfaction more than is use of ad hoc interpreters, 41 but overall, the presence of a third person (i.e., an interpreter) in a confidential relationship changes things. It influences both transference and countertransference between individuals involved, with unavoidable consequences on a doctor-patient relationship.…”

Section: What Do We Do With Such a 'Model' Today?mentioning

confidence: 99%

Advancing Science, Clinical Care and Education: Shall we Update Engel’s Biopsychosocial Model to a Bio-Psycho-Socio-Cultural Model?

Hilty¹

2015

Psychol Cogn Sci Open J

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OVERVIEWPsychology and Cognitive Sciences attempts to lead, organize and contribute to the study of mind and intelligence, including memory, emotions, conceptual development and decision-making. It therefore draws on the fields of psychology, philosophy, neuroscience, mathematics, computer science and linguistics. The primary scope, accordingly, involves human behavior, cognition, emotions, and intelligence. As we move forward with this scope, we have the option to narrow or expand it, based on the evolution of the fields, readers' preferences, and in how much we want to entertain applications of this work. In the latter case, one potential secondary scope is how we apply this science to other areas of science, to training and education paradigms, or even clinical populations -this may occur via rich, contextualized narratives that capitalize on qualitative methodology to generate hypotheses that can be further explored. Natural extensions to this primary scope are bio and health informatics, but perhaps education and training of workforce and the next generation of scientists would be suitable, too. This editorial on the Biopsychosocial Model -an update suggested on it -shows the primary and potential secondary scopes of the Journal. MODELS, THEORIES AND APPROACHES: THE CASE OF THE BIOPSYCHOSOCIAL MODELEngel's article on the Biopsychosocial (BPS) Model in medicine 1 and the followup clinical application of the Model was rooted in the attempt to "educate a truly scientific physician … closer to reality". Its roots summarize a long movement over time related to the Flexner report on standards for medical education and practice.2,3 The Model also attempted to shift clinicians from a purely "Biomedical Model" to one that had more of a systems approach and included contributions from behavioural science, cognitive science, neurobiology, medical sociology and health psychology. 4,5 One of the limitations of the biomedical approach was separation of the mind from the body, with most focus on the latter. Those who posited psychosomatic medicine as an integrative approach linked the psyche (mind) and soma (body), but not in a comprehensive way.The systems theory of biology was used by Engel to move beyond a reductionist approach, in which the hierarchy represents and organized dynamic whole with distinctive properties and characteristics (e.g. cell). The figures depicted a continuum from biosphere to subatomic particle/molecule. The focus, accordingly, was the person and the two-person system (doctor and patient) not the disease. The case example of Mr. G. in a subsequent paper (Engel,

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Language Barriers Surrounding Medication Use among Older Latinos

Cited by 42 publications

References 25 publications

Spanish-speaking patients’ satisfaction with clinical pharmacists’ communication skills and demonstration of cultural sensitivity

Spanish-speaking patients’ satisfaction with clinical pharmacists’ communication skills and demonstration of cultural sensitivity

A Spanish Language Module in a First-Year Pharmaceutical Care Laboratory Course

Advancing Science, Clinical Care and Education: Shall we Update Engel’s Biopsychosocial Model to a Bio-Psycho-Socio-Cultural Model?

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