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The Current State of Interpreter Services in Healthcare and Where We Go From Here

Ding, Idy
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Thesis/Dissertation
Date
2023
Advisor
Strand, Nicolle K.
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Department
Urban Bioethics
Subject
Medical ethics
 Public health
 Cultural competency
 Equitable care
 Language barriers
 Limited english proficiency
 Medical interpreters
 Patients with LEP
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http://hdl.handle.net/20.500.12613/8611
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http://dx.doi.org/10.34944/dspace/8575
Abstract
Over 25 million Americans report limited English proficiency (LEP) since 2013, and this number has been steadily increasing over the past few decades as immigration to the United States continues to climb. Due to the expanding heterogeneity of the population, cultural and language barriers became more common in the healthcare field which led to worse patient outcomes, inappropriately ordering too many or too few tests, and decreased use of preventative services. This necessitated further resources and interventions to better accommodate individuals with LEP. In accordance with Title VI of the 1964 Civil Rights Act which was elaborated further in Executive Order 13166, federal agencies were required to provide language services to people with LEP. As a result, more medical institutions began implementing interpreter services. Despite these measures, there is lower-than-expected physician compliance with utilizing these services and considerable variability in services offered depending on the clinical setting. Not only does this perpetuate and potentiate the health disparities that this population already faces, but it can also negatively impact a patient’s agency as they do not have the proper resources to fully advocate for their health. Hence, it is integral to examine the potential reasons why the current infrastructure for interpreter services is still lacking and what can be done to optimize accessibility. This thesis will explore some of these limitations and then offer potential solutions that both institutions and medical professionals can implement in order to provide equitable care to patients with LEP.
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