J Health Care Poor Underserved. 2024;35(3S):85-101.
Asian Americans (AA) face cultural and linguistic barriers to health care access, resulting in poor health outcomes. This study investigates the experiences of AAs using language interpretation services (LIS) in health care settings.
Using a mixed-methods approach, we conducted a community survey (N=401) and seven focus groups between April and September 2023. We use the Andersen model to understand the experience around LIS for AAs and calculated descriptive statistics for predisposing (i.e., sociodemographic factors and attitudes toward LIS), enabling (i.e., perceived barriers), and need factors (i.e., perceived need for LIS). Focus groups were analyzed using a modified template approach to text analysis.
Quantitative and qualitative analyses found that although AAs recognize the benefits and need for LIS, various barriers (e.g., lack of interpreters when booking an appointment) preclude these communities from accessing these services.
Results from this study will help inform interventions that seek to improve LIS within health care systems.
亚裔美国人（AA）在获得医疗保健方面面临文化和语言障碍，导致健康状况不佳。本研究调查了在医疗环境中使用语言翻译服务（LIS）的 AAs 的经历。
本研究采用混合方法，于 2023 年 4 月至 9 月期间进行了社区调查（N=401）和七次焦点小组。我们使用安德森模型来了解 AAs 使用 LIS 的体验，并计算了易感性（即社会人口因素和对 LIS 的态度）、使能因素（即感知障碍）和需求因素（即感知对 LIS 的需求）的描述性统计数据。焦点小组分析采用修改后的模板方法进行文本分析。
定量和定性分析发现，尽管 AAs 认识到 LIS 的好处和需求，但各种障碍（例如，预约时缺乏口译员）使这些社区无法获得这些服务。
本研究的结果将有助于为改善医疗保健系统中的 LIS 提供信息。
