recognizing the importance of language need in healthcare: the us experience elizabeth a. jacobs, md...
TRANSCRIPT
![Page 1: Recognizing the Importance of Language Need in Healthcare: The US Experience Elizabeth A. Jacobs, MD MPP John H. Stroger, Jr. Hospital of Cook County Welsh](https://reader036.vdocuments.site/reader036/viewer/2022062722/56649f285503460f94c40bdb/html5/thumbnails/1.jpg)
Recognizing the Importance of Language Need in Healthcare:
The US Experience
Elizabeth A. Jacobs, MD MPPJohn H. Stroger, Jr. Hospital of Cook County
Welsh Language in Healthcare ConferenceCardiff, Wales
March 26th, 2010
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Why Would I be Informative?
• Wales– Small Population– Homogeneous– National Health Care– Emphasis on Primary
Care– Welsh Language
predominant “other” language”
• US– Large Population– Heterogeneous– Mostly Private System– Emphasis on Specialty
Care– 303 languages spoken
at home
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We Have the Same Problems
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Although, Not Exactly
• Welsh Language Need– 20% speak Welsh– Code-switching – Especially when
communication important
• US Language Barriers– 20% speak English
“less than well”– Linguistic access
services are essential
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Why Aren’t Language Needs Met?
• Lack of data
• Lack of planning
• Lack of awareness
• Attitudes
• Cost
• Lack of access to language resources
G. Roberts and Colleagues. Report of a Study of Welsh Language Awareness in Healthcare Provision in Wales . 2004
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Data: Garbage In Garbage Out
• Need to ask (the right way)
• Need to record
• Need to use
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Planning: “One More Thing?!”
• Data
• Dedication
• Diligence
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Awareness?
"If English was good enough for Jesus, it’s good enough for Texas schoolchildren”
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Attitude?
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Awareness Attitude
• Data• Stories• Solutions
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Why Should We Pay for This?
• We pay already
• It is cheap
• “Do no harm”
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How Do We Do It?
• Bilingual providers
• Professional interpreters– Face-to-face– Telephonic– Video
• Dual-role interpreters
• Ad hoc interpreters
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Your Stories?
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How Do You Do It?
• Bilingual providers
• Professional interpreters– Face-to-face– Telephonic– Video
• Dual-role interpreters
• Ad hoc interpreters
![Page 15: Recognizing the Importance of Language Need in Healthcare: The US Experience Elizabeth A. Jacobs, MD MPP John H. Stroger, Jr. Hospital of Cook County Welsh](https://reader036.vdocuments.site/reader036/viewer/2022062722/56649f285503460f94c40bdb/html5/thumbnails/15.jpg)
But Are They Qualified?
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Making it Happen
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4 Critical Questions
• Who is my audience?
• What do they need to know?
• What is my ask?
• Who are my allies?
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1. Who is My Audience?
1. Administrators 2. Clinicians
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Power of Positive Intentions
• No one made the decision that all patients should communicate in English, regardless of language need
• They just don’t know:– The consequences– How to provide the appropriate services
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2. What do They Need to Know?
• What happens when patients don’t have access to care in Welsh
• How do they provide care in Welsh
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Providing Insight
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Top 3 Tools
1. Stories
2. Stories
3. Stories
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Providing Solutions
• Be the source
• Think about what you want them to do
• Then make and present a realistic plan as to how they can do it
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3. What is My Ask?
• What do I want?
• What data do I have to support it?
• How will I support it?
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4. Who Are My Allies?
• Doctors
• Patients
• Staff
• Administrators
• Board members
• Politicians
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“I wanted to ask them about my illness. I couldn’t because there was no one to help me [communicate].”