Limited English proficient Hmong- and Spanish-speaking patients’ perceptions of the quality of interpreter services

Lor, Maichou; Xiong, Phia; Schwei, Rebecca J.; Bowers, Barbara J.; Jacobs, Elizabeth A.

doi:10.1016/j.ijnurstu.2015.03.019

Cited by 29 publications

(21 citation statements)

References 31 publications

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“…Consistent with suggestions from other studies, simply providing LEP patients with language concordant or medical interpreter services may not completely address patients’ healthcare communication needs (Green et al, 2005; Lor, Xiong, Schwei, Bowers, & Jacobs, 2015). Thus, our findings suggest that providing ethnic- and language-concordant healthcare alone be necessary, but not sufficient to address the health communication barriers experienced by the majority of older Chinese immigrants with low health literacy.…”

Section: Discussionsupporting

confidence: 75%

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

et al. 2016

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Older Chinese immigrants are a growing population in the United States who experience multiple healthcare communication barriers such as limited English proficiency and low health literacy. Each of these obstacles has been associated with poor health outcomes but less is known about their effects in combination. This study examined the association between healthcare communication barriers and self-rated health among older Chinese immigrants. Cross-sectional survey data were obtained from 705 Chinese American immigrants ages 50-75 living in San Francisco, California. Communication barriers examined included spoken English proficiency, medical interpreter needs, and health literacy in written health information. The study sample (81% females, mean age = 62) included 67% who spoke English poorly or not at all, 34% who reported needing a medical interpreter, and 37% who reported “often” or “always” needing assistance to read health information. Two-thirds (66%) reported poor self-rated health; many reported having access to racial-concordant (74%) and language-concordant (86%) healthcare services. Both poor spoken English proficiency and low health literacy were associated with poor self-rated health, independent of other significant correlates (unemployment, chronic health conditions, and having a primary doctor who was ethnic Chinese). Results revealed that spoken English proficiency and print health literacy are independent communication barriers that directly associated with the health status among elderly Chinese American immigrants. Access to racial- or language-concordant health care services did not appear to resolve these barriers. These findings underscore the importance of addressing both spoken and written healthcare communication needs among older Chinese American immigrants.

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Section: Discussionsupporting

confidence: 75%

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

et al. 2016

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“…There are factors beyond language that may lead to misunderstandings, factors such as health beliefs, concepts of disease and constraints in the expression of health and illness in different cultures [22]. Even though the interpreters' language knowledge has a central role in consultation, professional interpreters should be able to interpret the cultural and emotional aspects in consultation, as well as the language [23]. The importance of qualified professional interpreters regarding patient satisfaction and health outcome for refugees was also indicated by previous studies [22].…”

Section: Discussionmentioning

confidence: 99%

Communication with Health Care Services-Experiences of Kurdish Refugees in Scandinavian Countries

Fatahi¹,

Krupić²

2016

Int J Community Fam Med

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Background: According to recent statistics, the number of people who had fled their own home by 2015 was 59.5 million. In this context, the number of people who need a third person as a language link in communication with health care services has increased dramatically. This issue has led to a major challenge to healthcare providers to fulfill immigrants' needs in communication with health care services in resettlement countries. Aim: To study Kurdish refugees' experiences concerning communication with health care services in resettlement countries. Methods: Focus group interviews carried out with five groups of Kurdish refugees (N=21). The group interviews were transcribed, interpreted, analyzed and the text was categorized according to the content analysis method. Results: A number of difficulties regarding communication with health care services with the use of an interpreter, as well as with immigrants' independent communication, were highlighted by the present study. Participants' dissatisfaction with interpreters, and their competence in communication through an interpreter were reasons why some of them avoided using an interpreter although their language knowledge was limited. The other group finally had to use interpreters following their exaggeration of their language ability, meanwhile the third group waited until their language skills were good enough for independent communication. Conclusion: A number of difficulties concerning the Kurdish refugees' communication with health care services in Scandinavian countries were revealed by the present study. Interpreters' linguistic incompetence, their relatives' impartially and lack of language knowledge in communication through interpreters were problems mentioned by participants. Dissatisfaction with professional interpreters' competence, exaggeration of their own language ability by some of the participants and sufficient language knowledge were motives for Kurdish refugees' tendency to make independent communication with health care services.

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“…The medical interpreters should be educated in the aspects of socio-cultural and professional standards such as medical and technical terms to ensure perfect care and provide a safe treatment for patients (Hull, 2016). In general, patients measure interpreters' quality according to the ability and efficiency of interpreters to provide verbatim explanation, cultural explanation, and emotional explanation during the medical encounters (Lor et al, 2016).…”

Section: Quality Of Interpretersmentioning

confidence: 99%

Effect of Personnel Care Quality of Private Healthcare Providers on Arab Patients’ Satisfaction a nd Word of Mouth Communication: An Empirical Research in India

Al-Daoar*¹,

Munusamy²

2019

IJEAT

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Personnel quality in service industry is a significant factor as it interacts directly with customers. Thus, the understanding of personnel quality is an important aspect for strategies’ development and implementation to enhance the service delivery process. In the healthcare and medical tourism industries, personnel quality such as quality of doctors, nurses, administrative staff and interpreters play a major role in delivering good service to patients. Generally, there are studies relating to quality of service based on selected dimensions and its effects on patients’ satisfaction and word-of-mouth. However, studies focusing on personnel quality and its impact on the satisfaction and word-of-mouth of patients are still scarce. Hence, the present research aims to measure perspectives of Arab patients concerning the personnel quality of health care providers, satisfaction and word-of-mouth of patients in Indian private hospitals. To achieve this aim, a required data was collected from 335 Arab patients though valid and reliable structural questionnaire. Appropriate statistical methods including Structural Equation Modeling (SEM) were applied in the present research to analyze the collected data and to examine the proposed model and hypotheses. Based on the analysis, it was found that the dimensions of doctors’ quality and nurses’ quality were significant, whereas the dimensions of administrative staffs’ quality and interpreters’ quality were not significant to predict the satisfaction and word-of-mouth of Arab patient. Thus, the results of this research can assist private healthcare providers to take appropriate policy decisions.

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Limited English proficient Hmong- and Spanish-speaking patients’ perceptions of the quality of interpreter services

Cited by 29 publications

References 31 publications

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

Healthcare Communication Barriers and Self-Rated Health in Older Chinese American Immigrants

Communication with Health Care Services-Experiences of Kurdish Refugees in Scandinavian Countries

Effect of Personnel Care Quality of Private Healthcare Providers on Arab Patients’ Satisfaction a nd Word of Mouth Communication: An Empirical Research in India

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