Global migration continues to increase, and with it comes increasing linguistic diversity. This presents obvious challenges for both healthcare provider and patient, and the chapters in this volume represent a range of international perspectives on language barriers in health care. A variety of factors influence the best ways of approaching and overcoming these language barriers, including cultural, geographical, political and practical considerations, and as a result a range of approaches and solutions are suggested and discussed. The authors in this volume discuss a wide range of countries and languages, and cover issues that will be familiar to all healthcare practitioners, including the role of informal interpreters, interpreting in a clinical setting, bilingual healthcare practitioners and working with languages with comparatively small numbers of speakers.
Elizabeth A. Jacobs is Professor of Medicine and Population Health Sciences and Associate Vice Chair for Health Services Research at the University of Madison-Wisconsin, USA. Lisa C. Diamond is Assistant Member/Assistant Attending at Memorial Sloan Kettering Cancer Center, Immigrant Health and Cancer Disparities Service, New York, USA.
Introduction 1. Allison Squires: Drivers of Demand for Language Services in Healthcare 2. Leah Karliner: Three Critical Steps to Enhance Delivery of Language Services in Healthcare 3. Elaine Hsieh: The Model of Bilingual Health Communication: A Theory Based Approach to Interpreter-Mediated Medical Encounters 4. Yvan Leanza. Camille Brisset, Rhea Rocque and Alexandra Boilard: Challenges and Recommendations for Work with a Community Interpreter in Mental Health 5. Barbara Schouten: Toward a Theoretical Framework of Informal Interpreting in Healthcare: Explaining the Effects of Role Conflict on Control, Power and Trust in Interpreter-mediated Encounters 6. Rebecca Schwei, Mary Rhodes and Elizabeth A. Jacobs: Understanding the Advantages and Disadvantages of the Diversity of Approaches to Overcoming Language Barriers in Medical Encounters 7. Dana Canfield and Lisa Diamond: Language Concordance between Limited English Proficient Patients and Their Clinicians 8. Gwerfyl Roberts: Breaking the Silence: Identifying the Needs of Bilingual Speakers in Healthcare 9. Francesca Gany, C. Javier Gonzalez, E. Zoe Schutzman and Debra J. Pelto: Engaging the Community to Develop Solutions for Languages of Lesser Diffusion 10. Fiona Irvine, Martin Partridge and Echo Yeung: Chinese Voices: Improving Access to Health Care 11. Ben Gray, Jo Hilder, Lindsay Macdonald, Rachel Tester, Anthony Dowell and Maria Stubbe: A New Zealand Perspective on Providing Healthcare for Patients with Limited English Proficiency 12. Lidia Horvat: Towards a New Approach for Culturally and Linguistically Responsive Healthcare: A Case Study of Developments in Victoria, Australia