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卫生公平与有限英语水平:文献回顾。

Health Equities with Limited English Proficiency: A Review of the Literature.

机构信息

Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.

Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.

出版信息

Crit Care Nurs Clin North Am. 2024 Sep;36(3):407-413. doi: 10.1016/j.cnc.2024.01.004. Epub 2024 Jan 23.

DOI:10.1016/j.cnc.2024.01.004
PMID:39069359
Abstract

Health equity exists when everyone has an equal opportunity to achieve their highest level of health. Effective communication is essential to ensure a therapeutic relationship. Patients with limited English proficiency (LEP) experience communication barriers, leading to poorer outcomes. Federal regulation requires hospitals to provide medically trained interpreters; however, this does not always occur. We identified 3 broad areas of research: communication barriers, outcomes, and costs. Findings highlight the challenges patients with LEP face in the health-care system, and the need for targeted interventions to enhance language access, improve cultural competence among health-care professionals, and ensure equitable outcomes for all.

摘要

当每个人都有平等的机会达到他们的最高健康水平时,就存在健康公平。有效的沟通对于确保治疗关系至关重要。英语水平有限的患者(LEP)会遇到沟通障碍,导致结果更差。联邦法规要求医院提供受过医学培训的口译员;然而,这并不总是发生。我们确定了 3 个广泛的研究领域:沟通障碍、结果和成本。研究结果突出了 LEP 患者在医疗保健系统中面临的挑战,以及需要采取有针对性的干预措施来增强语言获取能力、提高医疗保健专业人员的文化能力,并确保所有人都获得公平的结果。

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