from Section 11 - Psychosocial Considerations
Published online by Cambridge University Press: 08 April 2025
A person is considered to have limited English proficiency (LEP) if English is not their primary language and they are not consistently able to read, write, speak, and/or understand English. The overall rate of LEP in the US population is approximately 8% as of 2013. There are federal and state protections against discrimination based on LEP status. This includes appropriate access to interpreters and translated materials in the healthcare setting. Hospitals have been the subject of complaints to the Office of Civil Rights on behalf of LEP patients and, as a result, have significantly improved their access to language services. It is particularly necessary in the setting of healthcare to provide language services as LEP patients who need but do not receive interpreter services are associated with medical errors, decreased patient satisfaction, and worse outcomes. Use of professional medical interpreters or bilingual health providers can decrease this disparity. It is important to educate medical providers on ways to provide nonconcordant language care and optimal use of interpretation services and translated materials. Additionally, addressing barriers to correct and consistent use such as workflow and time constraints can be addressed at the individual and system levels.
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