tailieunhanh - Improving Access to Language Services in Health Care: A Look at National and State Efforts

Although Title VI of the Civil Rights Act of 1964 always has required that entities receiv- ing federal funds provide language services to those with LEP, the law has not often been enforced in health care settings (Jacobs et al. 2006). However, awareness of the need to provide language services in health care has increased in recent years, with activity in language services spanning policy, research, and practice settings. The country’s changing demographics—with an increasing number of foreign-born Americans and a growing number of immigrants moving to areas that traditionally have lacked large minority populations—has driven some of this activity (Youdelman. | POLICY BRIEF Improving Access to Language Services in Health Care A Look at National and State Efforts April 2009 Melanie Au Erin Fries Taylor Marsha Gold MATHEMATICA Policy Research Inc. P O L I C Y B R I E F P O L I C Y B R I E F Improving Access to Language Services in Health Care A Look at National and State Efforts Interest in providing access to language services in health care has increased in the past several years. This is particularly evident in recent state legislation that emphasizes health plan responsibility in promoting language services. This brief assesses emerging national efforts and profiles work in three leading states California Minnesota and New York to highlight challenges successes and implications for future policy and activities related to language services. The experiences of these states impart lessons to others looking to provide language services and ultimately improve health care for patients with limited English proficiency. The Issues at a Glance More than 23 million Americans have limited English proficiency. More than 23 million Americans have limited English proficiency LEP which complicates their ability to obtain quality health care Youdelman 2008 Flores et al. 2008 . Language barriers in the health care setting can lead to problems such as delay or denial of services issues with medication management and underutilization of preventive services Green et al. 2005 Jacobs et al. 2004 Gandhi et al. 2000 . Difficulty in communication also may limit clinicians ability to understand patient symptoms and effectively provide treatment Karliner et al. 2004 . Moreover existing research suggests the quality of communication between patients and providers is strongly associated with providers ability to deliver better and safer care for LEP patients Ponce et al. 2006 . Language services such as translation and interpretation can facilitate this communication and thus improve health care quality the patient experience adherence to .

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