Communication difficulties of deaf and deafblind people related to language barriers: Impact on access to care

The study investigated experiences of archery national champions regarding their use of English language at the international athlete village. The slowly growing recognition of the issue in the language barrier was discovered. Three female elite archery athletes were selected that met the criteria for national champion status was based upon previous experiences of competing in the international games. The use of semi-structure interview technique was implemented to be the main method of gathering research data. The study identified several language barriers to communication difficulties. The findings indicated language barriers become issues and had debilitating effect in communication through English language.

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Impact of Language Barriers on Access to Healthcare Services by Immigrant Patients: A systematic review

Asia Pacific Journal of Health Management ◽

10.24083/apjhm.v15i1.271 ◽

2020 ◽

Vol 15 (1) ◽

pp. 35-48 ◽

Cited By ~ 1

Author(s):

Sasan Rasi

Keyword(s):

Health Care ◽

Access To Care ◽

Language Proficiency ◽

Access To Health Care ◽

Health Care Services ◽

Language Barriers ◽

Healthcare Services ◽

Access To Healthcare ◽

Native People ◽

The Impact

Background: Research has demonstrated lower access to healthcare services by immigrant patients in comparison to native people. Cultural and linguistic differences have been considered as main factors that impede this access and as barriers to creating an effective relationship between immigrant patients and health professionals. Objective: The aim of this study was to better understand and synthesize the available evidence regarding the impact of immigrant patients’ language proficiency on access to health care. Methods: A systematic literature search was performed to identify studies published between January 2000 and January 2019 that examined the impact of language proficiency on access to and use of health services by immigrant patients. Only articles in English were included. Cross-referencing of the identified articles was also performed. Results: A total of 140 publications was identified through online databases. In all 24 studies were reviewed, and the results were reported using four interrelated themes identified from the articles. These reports consistently showed a clear association between inadequate language ability and underuse of health care services, ineffective communication, and increased use of emergency care by immigrant patients. Identifying factors that can influence access to care, applying immigrant-friendly solutions such as provision of professional interpreters, and encouraging culturally and linguistically sensitive education may improve the quality of care and increase access to care. One study recommended utilisation of communication technologies such as telemedicine to bridge the communication gap and increase accessibility of healthcare services by immigrant patients. Conclusions: All included studies indicated that language barriers hindered access to healthcare services. The data resulting from this study can update policy and practical solutions for language barriers on access to care by immigrant patients and provide an agenda for further investigations.

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Using Cognitive Work Analysis to Design Communication Support Tools for Patients with Language Barriers

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213601514 ◽

2017 ◽

Vol 61 (1) ◽

pp. 120-124 ◽

Cited By ~ 1

Author(s):

Natalie C. Benda1 ◽

Jeffrey Higginbotham ◽

Rollin J. Fairbanks ◽

Li Lin ◽

Ann M. Bisantz

Keyword(s):

Health Literacy ◽

Access To Care ◽

Healthcare Disparities ◽

Language Barriers ◽

Quality And Safety ◽

Cognitive Work Analysis ◽

Communication Support ◽

Work Analysis ◽

Support Tools ◽

Cognitive Work

Patients with language barriers face healthcare disparities associated with access to care, satisfactions with care, and the quality and safety of the care they receive. The central solution to addressing these barriers is through the use of professional interpreters but there are difficulties associated with consistently using these services. This study used cognitive work analysis to identify the goals, constraints and affordances associated with patient communication to develop support requirements for communicating with patients with language barriers. Specific communication support objectives discovered included: supporting various cultural background and levels of health literacy, identifying when information is not properly conveyed, and providing a means to convey the information in a different way to allow for subsequent checks in understanding. These objectives can be utilized as inputs for the development of tools to support communication with patients with language barriers.

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Meeting the health care needs of people with limited access to care

Journal of Dental Education ◽

10.1002/j.0022-0337.1984.48.4.tb01779.x ◽

1984 ◽

Vol 48 (4) ◽

pp. 213-216 ◽

Cited By ~ 2

Author(s):

CA Clark ◽

EP Vanek

Keyword(s):

Health Care ◽

Access To Care ◽

Health Care Needs ◽

Care Needs ◽

Limited Access

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The Labeling Problem in Aphasia

Journal of Speech and Hearing Disorders ◽

10.1044/jshd.5102.176 ◽

1986 ◽

Vol 51 (2) ◽

pp. 176-180 ◽

Cited By ~ 10

Author(s):

Audrey L. Holland ◽

Davida Fromm ◽

Carol S. Swindell

Keyword(s):

Speech Disorders ◽

Case Description ◽

Test Results ◽

Apraxia Of Speech ◽

Poor Agreement ◽

Motor Speech ◽

Motor Speech Disorders ◽

Communication Difficulties ◽

Token Test ◽

Primary Problem

Twenty-five "experts" on neurogenic motor speech disorders participated in a tutorial exercise. Each was given information on M, a patient who had communication difficulties as the result of stroke, and asked to complete a questionnaire about his problem. The information included a detailed case description, an audiotape of M's speech obtained at 4, 9, 13, and 17 days post-stroke, and test results from the Western Aphasia Battery, the Token Test, and a battery for apraxia of speech. The experts were in excellent agreement on M's primary problem, although it was called by seven different names. The experts were in poor agreement on his secondary problem(s), e.g., the presence and type of aphasia and dysarthria. The results suggest that labeling is difficult, even for "experts." Furthermore, the practicing clinician needs to be sensitive to the likelihood of more than one coexisting problem.

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