Healthcare Communication Problems with Linguistic Minorities

Healthcare Communication Problems with Linguistic Minorities Dissatisfaction with Healthcare Communication in the Second Language By Gabriel Émile Édouard Nicolet (Swiss, 1856-1921) [Public domain], via Wikimedia CommonsEffective communication between healthcare providers and their patients is an important factor in patient satisfaction. Global patient satisfaction with healthcare has been found to be lower among patients who have more provider-patient communication problems (Charles, Goldsmith, Chambers, Haynes, Gauld, 1996). The most commonly reported problems involve failures on the part of providers to communicate when communication is expected, such as failing to explain what the provider is intending to do while examining a patient, keeping the patient in the dark about daily routines, and failing to communicate adequately during discharge planning. Dissatisfaction with Healthcare Communication in the Second Language Global dissatisfaction with healthcare becomes more acute, however, when the provider and patient cannot effectively communicate in each other’s language. In a study of 26 international medical graduates enrolled in an Internal Medicine residency program at Wayne State University, a significant correlation was found between language proficiency and patient satisfaction (Eggly, Musial, Smulowitz, 1999). In another study, Spanish-speaking patients in San Francisco were also found to be less satisfied with the care they received from non-Spanish speaking physicians (Fernandez et al., 2004), and in the North-eastern United States, a variety of non-English speaking patients reported less satisfaction than their English-speaking counterparts with emergency room care, courtesy and respect, and with discharge instructions (Carrasquillo, Orav, Brennan, Burstin, 1999). Comparisons made between members of the same linguistic minority group also showed a correlation between language proficie ncy and satisfaction levels. For example, low-English-proficiency Korean patients over the age of 60 in the U.S. were less likely to be satisfied with the healthcare service they received than Koreans with higher levels of proficiency (Jang, Kim, Chiriboga, 2005). Indeed, not speaking the language of the patient adds to a patient’s suffering. One emergency department study found that Spanish-speaking Hispanic patients were half as likely to receive analgesia in the treatment of their long bone fractures as their English-speaking counterparts (Todd, Samaroo, Hoffman, 1993). Worse still, a failure to anticipate communication problems and accommodate low-language proficiency clientele can turn fatal, as was recently illustrated in a news story of an Albanian immigrant who killed himself, thinking his wife had been diagnosed with AIDS when hospital staff told him his wifes blood type was A-positive (The Canadian Press, 2007). Improving Healthcare Access for Linguistic Minorities One obvious solution to increasing healthcare access to linguistic minorities is to use interpreters. Whereas the use of hospital-trained interpreters in pediatric emergency departments was found to increase parents’ satisfaction with their physicians and nurses (Garcia, Roy et al., 2006), in primary care medical interviews a reliance upon interpreters is somewhat more problematic. Aranguri, Davidson, and Ramirez (2006) observed that during regular doctors’ appointments with Hispanic patients about half of the words exchanged between doctor and patient were missing from interpreters’ translations. All small talk, known to increase patients’ emotional engagement in their treatments and their doctors’ ability to get a comprehensive patient history, was eliminated. Patients’ questions, an important indication of patients’ engagement with their own care, were also significantly reduced when an interpreter was used. To reduce the heavy reliance on interpreters in healthcare, Zambrana et al. (2004) recommend hiring more minority, linguistically competent, and culturally competent healthcare providers in managed care networks. They argue that having healthcare providers that speak the same language as their patients will lead to lowered costs, greater healthcare access, better health outcomes, patient satisfaction, and patient compliance. There is evidence to support this claim. One study investigating patient outcomes found that asthma patients cared for by doctors who spoke their language were more likely to take their medication and less likely to miss office appointments or make resource-intensive emergency room visits than patients with doctors who did not speak their language (Manson, 1988). Another study found that patients whose doctors spoke their language asked more questions and had a better recall of their doctor’s recommendations (Seijo, Girmez, Freidenberg, 1991). A Resource Medical Professionals Learning English The Virtual Writing Tutor grammar checker is equipped with a number of pronunciation tools, including a text-to-speech engine that can help medical professionals refine their pronunciation in English. To practice the questions needed to perform a  medical history interview, the Virtual Writing Tutor provides a Flash-based simulation of a medical history interview with an English-speaking diabetic man. To help medical professionals become better aware of their medical English and to develop their medical vocabulary, the Virtual Writing Tutor also has a vocabulary checker. References Aranguri, C., Davidson, B., Ramirez, R. (2006). Patterns of Communication through Interpreters:   A Detailed Sociolinguistic Analysis.  Journal of General Internal Medicine,  21(6), 623â€"629. Carrasquillo, O., Orav, E. J., Brennan, T. A., Burstin, H. R. (1999). Impact of language barriers on patient satisfaction in an emergency department.  Journal of General Internal Medicine,  14(2),   82â€"87. Charles, C., Goldsmith, L. J., Chambers, L., Haynes, R. B., Gauld, M. (1996). Provider-Patient Communication Among Elderly and Nonelderly Patients in Canadian Hospitals: A National Survey.  Health Communication,  8(3), 281. Eggly, S., Musial, J., Smulowitz, J. (1999). Research and Discussion Note The Relationship between English Language Proficiency and Success as a Medical Resident.  English for Specific  Purposes,  18(2), 201â€"208. Fernandez, A., Schillinger, D., Grumbach, K., Rosenthal, A., Stewart, A. L., Wang, F., Perez-Stable, E. J. (2004). Physician language ability and cultural competence an exploratory study of communication with Spanish-speaking patients.  Journal of General Internal Medicine,  19(2), 167â€"174. Jang, Y., Kim, G., Chiriboga, D. A. (2005). Health, healthcare utilization, and satisfaction with service: barriers and facilitators for older Korean Americans.  J Am Geriatr Soc,  53(9), 1613â€"7. Manson, A. (1988). Language Concordance as a Determinant of Patient Compliance and Emergency Room Use in Patients with Asthma.  Medical Care,  26(12), 1119â€"1128. Seijo, R., Girmez, H., Freidenberg, J. (1991). Language as a communication barrier in medical care for Latino patients.  Hisp J Behav Sci,  13(363). The Canadian Press. (2007, December 11). Caregivers must be open to cultural differences,  commission told. Retrieved January 2, 2008, from http://www.cbc.ca/canada/montreal/story/2007/12/11/qc-bouchardtaylor.html Todd, K. H., Samaroo, N., Hoffman, J. R. (1993). Ethnicity as a risk factor for inadequate emergency department analgesia.  JAMA,  269(12), 1537â€"1539. Zambrana, R. E., Molnar, C., Munoz, H. B., Lopez, D. S. (2004). Cultural competency as it intersects with racial/ethnic, linguistic, and class disparities in managed healthcare organizations.  Am J Manag Care,  10 Spec No, SP37â€"44. Please follow and like us:

?? The Back-To-School Checklist Heres Everything your Child Needs

?? The Back-To-School Checklist Here’s Everything your Child Needs The Back-To-School Checklist: Here’s Everything your Child Needs The next school year is almost upon us, and for you that means one thing: The dreaded back-to-school shopping list.We decided that we’d try and take the stress out of shopping and provide you with a list of everything your child needs for their return to school.There probably isn’t as much as you think, and it doesn’t have to cost you the world either.This list means you can quickly buy everything you need and then relax with a cuppa. Sound good? Then let’s take a look… ShirtsTrousersSkirtsDressesJumpersTightsShoesSocks T-shirtsShortsSkirtsSocksTrainersSwimming trunks / costumeGoggles Pencil caseHandwriting pensPencilsColoured pencilsCalculatorEraserRulerGlue stickHighlightersMaths set (protractor, setsquare, compass) School bag We polled some of our readers and asked what their favourite lunchboxes were, to bring you our recommended options!Tula - Deep Ocean Kids Backpack This deep ocean scene is one of many different designs offered by Tula. Designed to be comfy, easy to use and offer lots of storage space, the Tula backpack offers the perfect option for back to school: Get yours today athttps://tulababy.co.uk/collections/kids-backpack/products/deep-ocean-tula-kids-backpackLittle Picture Company -Personalised Clever Fox Mini Backpack We featured this backpack in 2017 and we're pleased to say the clever fox mini backpack is still one of our absolute favourites!This fabulous personalised mini rucksack is an ideal size for little hands to manage. Get yours today from:https://www.thelittlepicturecompany.co.uk/products/boys-personalised-clever-fox-mini-rucksackLittle Life - Kids Unicorn Backpack The design of the little life unicorn backpack speaks for itself, perfect for any aspiring princess!With a spacious 6 litre capacity, this backpack is ideal for children aged 3 and up,The chest strap ensures it stays secure and you can reach out quickly to your child with the large sturdy grab handle. Get yours today at:https://www.littlelife.com/products/kids-daysacks/big-unicornLunchboxes We polled some of our readers and asked what their favourite lunchboxes were, to bring you our recommended options!Miko the Panda Lunch bag For only £3.95, Miko the Panda is sure to put a smile on your child's face every lunchtime. Miko is kind to the planet as he is completely made from recycled plastic bottles. Miko will keep your food fresh with his insulated foil lining and can fold flat for easy storage. Get yours today from Rex London: https://www.rexlondon.com/miko-panda-lunch-bagThe Elephant Box The Orginal Elephant Box is big and beautiful! it's deep enough to pack a full hearty and healthy meal, fridge and freezer friendly for keeping lunch fresh. Completely made from stainless steel the elephant box won't stain or carry odours from yesterdays lunch, easy to clean, dishwasher friendly, it's simple and strong design will stand up to any punishment! Get yours today from: https://elephantbox.co.uk/products/elephant-boxOn The Farm Kids Lunch Bag by Sophie Allport The on the farm lunch bag would suit any aspiring young farmer! Made from polyester; it's easy to wipe clean and fully insulated to keep food fresh and cool! The easy-carry handle and zip closure make transport to and from school a doddle. If tractors aren't your child's thing, Sophie Allport has dozens of different designs to suit everyone! Get yours here today:https://www.sophieallport.com/collections/kids-lunch-bags/products/on-the-farm-lunch-bagPanda Packaging - Bamboo Lunch Box A truly eco-friendly option, the panda packaging bamboo lunch box is made from sustainable materials with the goal of reducing plastic pollution. Its sleek and simple design means it's easy to clean, lightweight and durable.Get yours today at:https://www.wearthlondon.com/bamboo-lunch-boxTyrrell Katz - Lunchboxes Available in a range of colourful prints, with sweet (and informative) illustrations to appeal to every small-child obsession from dinosaurs to unicorns. Its dishwasher, freezer and microwave friendly making this a super practical and fun optionGet yours today at Tyrrel Katz:https://tyrrellkatz.co.uk/kids-lunch/lunch-boxesWater bottleSnacksPacked lunchesCheck It OverBe sure to check through this list once you think you’ve got everything. The last thing you need is a mad rush to the shop the day before your child starts school.Hopefully, this list has taken at least some of the stress out of back-to-school buying.Happy shopping!