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Published in: Journal of General Internal Medicine 2/2007

Open Access 01-11-2007 | Perspectives

Language Access Services for Latinos with Limited English Proficiency: Lessons Learned from Hablamos Juntos

Authors: Shinyi Wu, PhD, M. Susan Ridgely, JD, José J. Escarce, MD, PhD, Leo S. Morales, MD, PhD

Published in: Journal of General Internal Medicine | Special Issue 2/2007

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Abstract

BACKGROUND

The Robert Wood Johnson Foundation funded Hablamos Juntos (HJ), a $10-million multiyear demonstration to improve access to health care for Latinos with limited English proficiency and to explore cost-effective ways for health care organizations to provide language access services.

HABLAMOS JUNTOS

In this manuscript, the authors draw on their experiences in evaluating HJ, provide brief descriptions of innovative interventions, estimate operating costs, and synthesize lessons learned about implementation. A number of barriers and facilitators are documented.

CONCLUSION

The experience of HJ grantees provides guidance for organizations contemplating similar efforts. In particular, it highlights the need for health care organizations to involve physicians in the design and adoption of language services.
Literature
4.
go back to reference National Research Council. Hispanics and the future of America. In: Tienda Marta, Mitchell Faith, eds. Panel on Hispanics in the United States. Committee on Population, Division of Behavioral and Social Sciences and Education. Washington DC: The National Academies Press; 2006. National Research Council. Hispanics and the future of America. In: Tienda Marta, Mitchell Faith, eds. Panel on Hispanics in the United States. Committee on Population, Division of Behavioral and Social Sciences and Education. Washington DC: The National Academies Press; 2006.
5.
go back to reference Kirkman-Liff B, Mondragón D. Language of interview: relevance for research of southwest Hispanics. Am J Public Health. 1991;81:1399–404.PubMedCrossRef Kirkman-Liff B, Mondragón D. Language of interview: relevance for research of southwest Hispanics. Am J Public Health. 1991;81:1399–404.PubMedCrossRef
6.
go back to reference Hu DJ, Covell RM. Health care usage by Hispanic outpatients as a function of primary language. West J Med. 1986;155:490–3. Hu DJ, Covell RM. Health care usage by Hispanic outpatients as a function of primary language. West J Med. 1986;155:490–3.
7.
go back to reference Weinick RM, Krauss NA. Racial/ethnic differences in children’s access to care. Am J Public Health. 2000;90:1771–4.PubMed Weinick RM, Krauss NA. Racial/ethnic differences in children’s access to care. Am J Public Health. 2000;90:1771–4.PubMed
8.
go back to reference Marks G, Solis J, Richardson JL, Collins LM, Birba L, Hisserich J. Health behavior of elderly Hispanic women: does cultural assimilation make a difference? Am J Public Health. 1987;77:1315–9.PubMed Marks G, Solis J, Richardson JL, Collins LM, Birba L, Hisserich J. Health behavior of elderly Hispanic women: does cultural assimilation make a difference? Am J Public Health. 1987;77:1315–9.PubMed
9.
go back to reference Woloshin S, Bickell NA, Schwartz LM, Gany F, Welch HG. Language barriers in medicine in the United States. J Am Med Assoc. 1995;273(9):724–8.CrossRef Woloshin S, Bickell NA, Schwartz LM, Gany F, Welch HG. Language barriers in medicine in the United States. J Am Med Assoc. 1995;273(9):724–8.CrossRef
10.
go back to reference Gandhi TK, Burstin HR, Cook EF, et al. Drug complications in outpatients. J Gen Intern Med. 2000;15:149–54.PubMedCrossRef Gandhi TK, Burstin HR, Cook EF, et al. Drug complications in outpatients. J Gen Intern Med. 2000;15:149–54.PubMedCrossRef
11.
go back to reference Hampers LC, Cha S, Gutglass DJ, Binns HJ, Krug SE. Language barriers and resource utilization in a pediatric emergency department. Pediatrics. 1999;103:1253–6.PubMedCrossRef Hampers LC, Cha S, Gutglass DJ, Binns HJ, Krug SE. Language barriers and resource utilization in a pediatric emergency department. Pediatrics. 1999;103:1253–6.PubMedCrossRef
12.
go back to reference Morales LS, Elliott M, Weech-Maldonado R, Hays RD. The impact of interpreters on parents’ experiences with ambulatory care for their children. Med Care Res Rev. 2006;63(1):110–28 (Feb).PubMedCrossRef Morales LS, Elliott M, Weech-Maldonado R, Hays RD. The impact of interpreters on parents’ experiences with ambulatory care for their children. Med Care Res Rev. 2006;63(1):110–28 (Feb).PubMedCrossRef
13.
go back to reference Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD. Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care. Health Serv Res. 2003;38(3):789–808 (Jun).PubMedCrossRef Weech-Maldonado R, Morales LS, Elliott M, Spritzer K, Marshall G, Hays RD. Race/ethnicity, language, and patients’ assessments of care in Medicaid managed care. Health Serv Res. 2003;38(3):789–808 (Jun).PubMedCrossRef
14.
go back to reference Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD. Are Latinos less satisfied with communication by health care providers? J Gen Intern Med. 1999;14(7):409–17 (Jul).PubMedCrossRef Morales LS, Cunningham WE, Brown JA, Liu H, Hays RD. Are Latinos less satisfied with communication by health care providers? J Gen Intern Med. 1999;14(7):409–17 (Jul).PubMedCrossRef
15.
go back to reference Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005;62(3):255–99 (Jun).PubMedCrossRef Flores G. The impact of medical interpreter services on the quality of health care: a systematic review. Med Care Res Rev. 2005;62(3):255–99 (Jun).PubMedCrossRef
16.
go back to reference Office of Civil Rights, U.S. Department of Health and Human Services. Guidance Memorandum, January 29, 1998, Title VI Prohibition Against National Origin Discrimination—Persons With Limited English Proficiency. Retrieved September 20, 2006, from http://www.hhs.gov/ocr/lepfinal.htm Office of Civil Rights, U.S. Department of Health and Human Services. Guidance Memorandum, January 29, 1998, Title VI Prohibition Against National Origin Discrimination—Persons With Limited English Proficiency. Retrieved September 20, 2006, from http://​www.​hhs.​gov/​ocr/​lepfinal.​htm
17.
go back to reference Jacobs E, Chen AH, Karliner LS, Agger-Gupta N, Mutha S. The need for more research on language barriers in health care: a proposed research agenda. Milbank Q. 2006;84(1):111–33.PubMedCrossRef Jacobs E, Chen AH, Karliner LS, Agger-Gupta N, Mutha S. The need for more research on language barriers in health care: a proposed research agenda. Milbank Q. 2006;84(1):111–33.PubMedCrossRef
18.
go back to reference Morales LS, Ridgely MS, Escarce JJ, Avila C, Garcia RE, Setodji C, Wu S. Language Access Services for Latinos with Limited English Proficiency: The National Evaluation of Hablamos Juntos, Final Report. Princeton, NJ: Robert Wood Johnson Foundation, March 2007. Morales LS, Ridgely MS, Escarce JJ, Avila C, Garcia RE, Setodji C, Wu S. Language Access Services for Latinos with Limited English Proficiency: The National Evaluation of Hablamos Juntos, Final Report. Princeton, NJ: Robert Wood Johnson Foundation, March 2007.
19.
go back to reference Greenhalgh T, Robert G, Macfarlane F, Batte P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82(4):581–629.PubMedCrossRef Greenhalgh T, Robert G, Macfarlane F, Batte P, Kyriakidou O. Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Q. 2004;82(4):581–629.PubMedCrossRef
Metadata
Title
Language Access Services for Latinos with Limited English Proficiency: Lessons Learned from Hablamos Juntos
Authors
Shinyi Wu, PhD
M. Susan Ridgely, JD
José J. Escarce, MD, PhD
Leo S. Morales, MD, PhD
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue Special Issue 2/2007
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-007-0323-0

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