Do Hospitals Measure up to the National Culturally and Linguistically Appropriate Services Standards
Bibliographic Data
| ID | 9102385 |
|---|---|
| Authors | Lisa C Diamond (0000-0002-2175-6224, Palo Alto Institute, corresponding author), Amy Wilson-Stronks (Joint Commission), Elizabeth A Jacobs (0000-0002-5549-7718) |
| Year | 2010 |
| Volume | 48 |
| Issue | 12 |
| Pages | 1080-1087 |
| Publication date | 2010-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0b013e3181f380bc |
| PMID | 21063229 |
| OpenAlex | W2024252332 |
| Language | EN |
| Citations received | 24 |
| References cited | 23 |
BACKGROUND: Federal regulations require that health care organizations provide language services to patients with limited English proficiency. The National Standards for Culturally and Linguistically Appropriate Services in Health Care (CLAS standards) provide guidance on how to fulfill these regulations. It is not known how US hospitals have incorporated them into practice. OBJECTIVES: To assess how US hospitals are meeting federal regulations requiring provision of language services using CLAS as a measure of compliance. RESEARCH DESIGN: Cross-sectional survey. SUBJECTS: Hospital interpreter services managers (or equivalent position). MEASURES: Degree of meeting each of the 4 language-related CLAS standards. RESULTS: Many hospitals are not meeting federal regulations. The majority reported providing language assistance in a timely manner in their first, but not their third, most commonly requested language. Although hospitals reported that they informed patients of their right to receive language services, many did so only in English. A majority of hospitals reported the use of family members or untrained staff as interpreters. Few reported providing vital documents in non-English languages. Overall, 13% of hospitals met all 4 of the language-related CLAS standards, whereas 19% met none. CONCLUSIONS: Our study documents that many hospitals are not providing language services in a manner consistent with federal law. Enforcement of these regulations is inconsistent, and thus does not motivate hospitals to comply. Compliance will likely come with new guidelines, currently being written, by many of the regulatory organizations. Our study reinforces the importance of these efforts and helps target interventions to improve the delivery and safety of care to limited English proficient patients
Business · Compliance (psychology) · Enforcement · Health care · Interpreter · Language barrier · Limited English proficiency · Medical education · Political science · Psychological intervention · Public relations · Cultural Competency in Health Care · Interpreting and Communication in Healthcare · Medicine · Multilingual Education and Policy · Nursing · Psychology
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| Unique citing works | 24 |
|---|---|
| Citations per year | 1,71 |
| Citation span | 2012 - 2026 (15) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 20 |