¿Doctor, habla español? Increasing the Supply and Quality of Language-Concordant Physicians for Spanish-Speaking Patients

Fernández, Alicia; Pérez‐Stable, Eliseo J.

doi:10.1007/s11606-015-3436-x

Cited by 45 publications

(38 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Healthcare agencies may need to evaluate the adequacy of their Spanish language services in all areas of patient care and compliance with the National CLAS Standards (Calo et al, 2015; OMH & USDHHS, n.d.). In order to avoid misunderstandings, misdiagnoses, and medical errors, it has been suggested that primary care providers should utilize the services of trained health interpreters, as physicians and medical students may overestimate their language skills (Fernández & Pérez-Stable, 2015). Developing alternative appointment scheduling strategies to prevent long wait times may positively impact patient satisfaction, prevent feelings of discrimination, prevent delays in seeking treatment, and avoid hypoglycemic events in patients with type 2 diabetes.…”

Section: Practice Implicationsmentioning

confidence: 99%

US Healthcare Experiences of Hispanic Patients with Diabetes and Family Members: A Qualitative Analysis

Amirehsani

Wallace

et al. 2017

Journal of Community Health Nursing

View full text Add to dashboard Cite

Hispanics in the U.S. experience significant health disparities. Using focus groups conducted in Spanish, we explored the perspectives of 172 Hispanic adults regarding their healthcare experiences. Many participants were female (64.5%) and primarily from Mexico (80%). Four major qualitative themes emerged: 1) provide us with information, 2) want attentive and respectful relationships, 3) want better care, and 4) perceived discrimination. Suboptimal patient-provider interactions were described. Research is needed to explore interventions that address these issues. Incorporating person-centered care principles and practices such as clear and understandable communication, culturally competent care, and customer service skills may benefit provider interactions with Hispanics.

show abstract

Section: Practice Implicationsmentioning

confidence: 99%

US Healthcare Experiences of Hispanic Patients with Diabetes and Family Members: A Qualitative Analysis

Amirehsani

Wallace

et al. 2017

Journal of Community Health Nursing

View full text Add to dashboard Cite

show abstract

“…tivize bilingual speakers, 15 research is needed to contrast physician selfassessment of Spanish language competence against the two other, more expensive modes of assessment, ie, patient report of physician language competence and formal language testing. Crucially, all forms of competence assessment should be examined as they relate to clinical outcomes.…”

Section: Identifying Spanish Competent Physicians -Chaufan Et Almentioning

confidence: 99%

“…A reasonable approach for health systems caring for the growing population of LEP Spanish-speaking patients is to designate only those physicians ing on resource limitations, it is also reasonable to offer formal language testing to the subset of physician who self-assess as "moderate" and are interested in providing care for LEP patients without an interpreter. 15,16 While our team had already identified two reliable and low cost tools, the medical proficiency tool has several advantages. It utilizes a question about Spanish competence that is more specific to medical practice than the question utilized to assess fluency, so it may help respondents to reflect better about their medically relevant language competence.…”

Section: Identifying Spanish Competent Physicians -Chaufan Et Almentioning

confidence: 99%

Identifying Spanish Language Competent Physicians: The Diabetes Study of Northern California (DISTANCE)

et al. 2016

View full text Add to dashboard Cite

Objectives: Language barriers negatively impact health care access and quality for US immigrants. Latinos are the second largest immigrant group and the largest, fastest growing minority. Health care systems need simple, low cost and accurate tools that they can use to identify physicians with Spanish language competence. We sought to address this need by validating a simple and low-cost tool already in use in a major health plan.Design, Setting, Participants: A web-based survey conducted in 2012 among physicians caring for patients in a large, integrated health care delivery system. Of the 2,198 survey respondents, 111 were used in additional analysis involving patient report of those physicians' fluency. Main Outcome Measures:We compared health care physicians' responses to a single item, Spanish language self-assessment tool (measuring "medical proficiency") with patient-reported physician language competence, and two validated physician self-assessment tools (measuring "fluency" and "confidence").Results: Concordance between medical proficiency was moderate with patient reports (weighted Kappa .45), substantial with fluency (weighted Kappa .76), and moderate-to-substantial with confidence (weighted Kappas .53 to .66). Conclusions:The single-question self-reported medical proficiency tool is a low-cost tool useful for quickly identifying Spanish competent physicians and is potentially suitable for use in clinical settings. A reasonable approach for health systems is to designate only those physicians who self-assess their Spanish medical proficiency as "high" as competent to provide care without an interpreter. Ethn Dis.

show abstract

“…Medical Spanish education has been proposed as a strategy to increase the language-concordant physician workforce [9][10][11]. Although many medical schools provide opportunities for students to enhance language skills such as medical Spanish [12], the COVID-19 pandemic also has affected the landscape of medical education, causing medical schools to seek virtual educational options for students [13].…”

Section: Introductionmentioning

confidence: 99%

Virtual Medical Spanish Education at the Corazón of Hispanic/Latinx Health During COVID-19

et al. 2020

View full text Add to dashboard Cite

¿Doctor, habla español? Increasing the Supply and Quality of Language-Concordant Physicians for Spanish-Speaking Patients

Cited by 45 publications

References 7 publications

US Healthcare Experiences of Hispanic Patients with Diabetes and Family Members: A Qualitative Analysis

US Healthcare Experiences of Hispanic Patients with Diabetes and Family Members: A Qualitative Analysis

Identifying Spanish Language Competent Physicians: The Diabetes Study of Northern California (DISTANCE)

Virtual Medical Spanish Education at the Corazón of Hispanic/Latinx Health During COVID-19

Contact Info

Product

Resources

About