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      Crossing The Language Chasm : An in-depth analysis of what language-assistance programs look like in practice

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      Health affairs (Project Hope)

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          Abstract

          The quality of communication between patients and clinicians can have a major impact on health outcomes, and limited English proficiency can interfere with effective communication. More than ten million U.S. residents speak English poorly or not at all, constituting a language chasm in the health care system. This paper reviews the evidence on the link between linguistic competence and health care quality and the impact of particular language-assistance strategies. Drawing on the experiences of fourteen health plans that have been at the forefront of linguistic competence efforts, we identify lessons for plans, purchasers, policymakers, and researchers on ways to improve the availability and quality of interpreter services.

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          Author and article information

          Contributors
          Journal
          8303128
          4064
          Health Aff (Millwood)
          Health Aff (Millwood)
          Health affairs (Project Hope)
          0278-2715
          1544-5208
          26 October 2016
          Mar-Apr 2005
          09 December 2016
          : 24
          : 2
          : 424-434
          Affiliations
          Cindy Brach is a senior policy researcher, Center for Delivery, Organization, and Markets, Agency for Healthcare Research and Quality (AHRQ), in Rockville, Maryland. Irene Fraser directs that center. At the time the paper was written, Kathy Paez was an associate research officer at the Lovelace Clinic Foundation in Columbia, Maryland. She is now a health disparities fellow in underserved populations at the Johns Hopkins University School of Nursing in Baltimore.
          Article
          PMC5147745 PMC5147745 5147745 hhspa825243
          10.1377/hlthaff.24.2.424
          5147745
          15757927

          For Reprints, Links & Permissions : http://content.healthaffairs.org/1340_reprints.php

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