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Language-Based Inequity in Health Care: Who Is the “Poor Historian”?

Overview of attention for article published in The AMA Journal of Ethic, March 2017
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59 X users
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Title
Language-Based Inequity in Health Care: Who Is the “Poor Historian”?
Published in
The AMA Journal of Ethic, March 2017
DOI 10.1001/journalofethics.2017.19.3.medu1-1703
Pubmed ID
Authors

Alexander R Green, Chijioke Nze

Abstract

Patients with limited English proficiency (LEP) are among the most vulnerable populations. They experience high rates of medical errors with worse clinical outcomes than English-proficient patients and receive lower quality of care by other metrics. However, we have yet to take the issue of linguistic inequities seriously in the medical system and in medical education, tacitly accepting that substandard care is either unavoidable or not worth the cost to address. We argue that we have a moral imperative to provide high-quality care to patients with LEP and to teach our medical trainees that such care is both expected and feasible. Ultimately, to achieve linguistic equity will require creating effective systems for medical interpretation and a major culture shift not unlike what has happened in patient safety.

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Mendeley readers

The data shown below were compiled from readership statistics for 57 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 57 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 14%
Student > Doctoral Student 6 11%
Other 6 11%
Student > Postgraduate 6 11%
Student > Bachelor 4 7%
Other 8 14%
Unknown 19 33%
Readers by discipline Count As %
Medicine and Dentistry 17 30%
Nursing and Health Professions 7 12%
Social Sciences 6 11%
Neuroscience 2 4%
Veterinary Science and Veterinary Medicine 1 2%
Other 3 5%
Unknown 21 37%