Let's not contribute to disparities: the best methods for teaching clinicians how to overcome language barriers to health care. Academic Article uri icon

Overview

abstract

  • Clinicians should be educated about how language barriers contribute to disparities for patients with limited English proficiency (LEP). However, educators must avoid developing educational interventions that increase health disparities for LEP patients. For example, studies suggest that teaching "Medical Spanish" or related courses may actually contribute to health care disparities if clinicians begin using these non-English language skills inappropriately with patients. We discuss the risks and benefits of teaching specific cultural competence skills and make evidence-based recommendations for the teaching content and methods for educational interventions focused on overcoming language barriers in health care. At minimum, we suggest such interventions include: (1) the role of language barriers in health disparities, (2) means of overcoming language barriers, (3) how to work with interpreters, (4) identifying and fixing problems in interpreted encounters, and (5) appropriate and safe use of one's own limited non-English language skills.

publication date

  • May 1, 2010

Research

keywords

  • Delivery of Health Care
  • Healthcare Disparities
  • Multilingualism
  • Physician-Patient Relations
  • Physicians
  • Teaching

Identity

PubMed Central ID

  • PMC2847098

Scopus Document Identifier

  • 78049517602

Digital Object Identifier (DOI)

  • 10.1001/jama.2009.6

PubMed ID

  • 20352518

Additional Document Info

volume

  • 25 Suppl 2

issue

  • Suppl 2