The Impact of Language Barrier on Quality of the Health Care and Patient Satisfaction at Family Medicine Clinics, King Faisal Specialist Hospital.
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language, Barrier, patients satisfaction, interpreter, Family medicine
Abstract
ABSTRACT
Background and objectives: The language barrier in the healthcare setting poses many challenges in terms of achieving a high level of satisfaction among patients and healthcare professionals. Moreover, it can lead to miscommunication between medical professionals and patients, making the delivery of high-quality healthcare extremely challenging.
Many known healthcare institutions offer interpreter services to overcome these problems and to improve patient satisfaction, and communication, as well as access to health care. However, these services can increase the cost and duration of treatments, indirectly.
This study aims to assess the language barrier in primary healthcare settings and measure patient satisfaction with their primary care physicians (PCP).
Methods: A cross-sectional study was conducted using the GMC's (general medical council) Counsel’s patient questionnaire as an assessment tool. The study population included adult patients attending the primary and urgent care outpatient clinic at a tertiary hospital. Data was collected through June and July of 2022.
Statistical analyses will be performed through SPSS and Tables edited by Microsoft Excel 97.
Results: This study included a total of 425 participants, of which 85.2% were Saudi and 14.8% were non-Saudis. 39.3% spoke both Arabic and English, whereas 46.8% were Arabic speakers only and, 13.9% spoke English exclusively. Only 10% reported the presence of a language barrier and their satisfaction mean was 80.9, and out of them, only 1.9% had no access to an interpreter or a translator forming an actual barrier of which they had a satisfaction mean of 76.6.
We found that the satisfaction percentage was higher among older patients and Females. And patients reported that longer visit duration could improve their overall satisfaction.
Conclusion: language barrier demonstrates a challenge in healthcare and patient communication. An interpreter service can greatly improve patient satisfaction and the overall quality of care provided. and as such higher levels of satisfaction can be achieved even among institutions with diverse patient populations.
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References
References:
Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. Milbank Q, 83(3), 457-502. https://doi.org/10.1111/j.1468-0009.2005.00409.x
Franks, P., & Fiscella, K. (1998). Primary care physicians and specialists as personal physicians. Health care expenditures and mortality experience. The Journal of family practice, 47(2), 105–109. https://pubmed.ncbi.nlm.nih.gov/9722797/
Richard, L., Furler, J., Densley, K. et al. Equity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations. Int J Equity Health 15, 64 (2016). https://doi.org/10.1186/s12939-016-0351-7
Perron, N. J., Secretan, F., Vannotti, M., Pecoud, A., & Favrat, B. (2003). Patient expectations at a multicultural out-patient clinic in Switzerland. Family practice, 20(4), 428–433. https://doi.org/10.1093/fampra/cmg417
Hayek, S., Derhy, S., Smith, M. L., Towne, S. D., Jr., & Zelber-Sagi, S. (2020). Patient satisfaction with primary care physician performance in a multicultural population. Isr J Health Policy Res, 9(1), 13. https://doi.org/10.1186/s13584-020-00372-7
Mainous, A. G., 3rd, Baker, R., Love, M. M., Gray, D. P., & Gill, J. M. (2001). Continuity of care and trust in one's physician: evidence from primary care in the United States and the United Kingdom. Family medicine, 33(1), 22–27.https://www.ncbi.nlm.nih.gov/pubmed/11199905.
Baker, R., Mainous, A. G., 3rd, Gray, D. P., & Love, M. M. (2003). Exploration of the relationship between continuity, trust in regular doctors and patient satisfaction with consultations with family doctors. Scandinavian journal of primary health care, 21(1), 27–32. https://doi.org/10.1080/0283430310000528
Schmid Mast, M., Hall, J. A., & Roter, D. L. (2007). Disentangling physician sex and physician communication style: their effects on patient satisfaction in a virtual medical visit. Patient education and counseling, 68(1), 16–22. https://doi.org/10.1016/j.pec.2007.03.020
Bawakid, K., Rashid, O. A., Mandoura, N., Usman Shah, H. B., Ahmed, W. A., & Ibrahim, A. (2017). Patients' satisfaction regarding family physician's consultation in primary healthcare centers of Ministry of Health, Jeddah. Journal of family medicine and primary care, 6(4), 819–823. https://doi.org/10.4103/jfmpc.jfmpc_170_17
Al Shamsi, H., Almutairi, A. G., Al Mashrafi, S., & Al Kalbani, T. (2020). Implications of Language Barriers for Healthcare: A Systematic Review. Oman Med J, 35(2), e122. https://doi.org/10.5001/omj.2020.40
Al-Harasis, S. (2013). Impact of Language Barrier on Quality of Nursing Care at Armed Forces Hospitals , Taif , Saudi Arabia. Middle East Journal of Nursing, 7, 17-24. https://doi.org/10.5742/MEJN.2013.74304
Dobson R. (2007). US hospital patients with poor English have more serious adverse events than proficient speakers. BMJ : British Medical Journal, 334(7589), 335. https://doi.org/10.1136/bmj.39125.457535.94
Wilson, E., Chen, A. H., Grumbach, K., Wang, F., & Fernandez, A. (2005). Effects of limited English proficiency and physician language on health care comprehension. Journal of general internal medicine, 20(9), 800–806. https://doi.org/10.1111/j.1525-1497.2005.0174.x
Bischoff, A., & Denhaerynck, K. (2010). What do language barriers cost? An exploratory study among asylum seekers in Switzerland. BMC health services research, 10, 248. https://doi.org/10.1186/1472-6963-10-248
Poulton B. C. (1996). Use of the consultation satisfaction questionnaire to examine patients' satisfaction with general practitioners and community nurses: reliability, replicability and discriminant validity. The British journal of general practice : the journal of the Royal College of General Practitioners, 46(402), 26–31. https://pubmed.ncbi.nlm.nih.gov/8745848/
Stewart, M. (2001). Towards a global definition of patient centred care. BMJ, 322(7284), 444-445. https://doi.org/10.1136/bmj.322.7284.444
de Moissac, D., & Bowen, S. (2019). Impact of Language Barriers on Quality of Care and Patient Safety for Official Language Minority Francophones in Canada. Journal of patient experience, 6(1), 24–32. https://doi.org/10.1177/2374373518769008
Al-Khashan, H. I., Almulla, N. A., Galil, S. A., Rabbulnabi, A. A., & Mishriky, A. M. (2012). Gender differences in health education needs and preferences of Saudis attending Riyadh Military Hospital in the Kingdom of Saudi Arabia. J Family Community Med, 19(3), 172-177. https://doi.org/10.4103/2230-8229.102317
Mahrous, M. S. (2013). Patient perceptions regarding information given on hospital discharge in Almadinah Almunawwarah, Kingdom of Saudi Arabia. Journal of Taibah University Medical Sciences, 8, 105-111. https://www.sciencedirect.com/science/article/pii/S1658361213000280
Bischoff, A., Bovier, P. A., Rrustemi, I., Gariazzo, F., Eytan, A., & Loutan, L. (2003). Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral. Social science & medicine (1982), 57(3), 503–512. https://doi.org/10.1016/s0277-9536(02)00376-3
Ngo-Metzger, Q., Sorkin, D. H., Phillips, R. S., Greenfield, S., Massagli, M. P., Clarridge, B., & Kaplan, S. H. (2007). Providing high-quality care for limited English proficient patients: the importance of language concordance and interpreter use. J Gen Intern Med, 22 Suppl 2(Suppl 2), 324-330. https://doi.org/10.1007/s11606-007-0340-z
Ali, P. A., & Watson, R. (2018). Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses' perspectives. Journal of clinical nursing, 27(5-6), e1152–e1160. https://doi.org/10.1111/jocn.14204
Squires, A. (2018). Strategies for overcoming language barriers in healthcare. Nurs Manage, 49(4), 20-27. https://doi.org/10.1097/01.NUMA.0000531166.24481.15
Flores, G., Laws, M. B., Mayo, S. J., Zuckerman, B., Abreu, M., Medina, L., & Hardt, E. J. (2003). Errors in medical interpretation and their potential clinical consequences in pediatric encounters. Pediatrics, 111(1), 6–14. https://doi.org/10.1542/peds.111.1.6
Jacobs, E. A., Lauderdale, D. S., Meltzer, D., Shorey, J. M., Levinson, W., & Thisted, R. A. (2001). Impact of interpreter services on delivery of health care to limited-English-proficient patients. J Gen Intern Med, 16(7), 468-474. https://doi.org/10.1046/j.1525-1497.2001.016007468.x
Bagchi, A. D., & Stevens, B. A. (2006). Estimates for the Cost of Interpretation Services for Connecticut Medicaid Recipients. Mathematica Policy Research Reports.
Kale, E., & Syed, H. R. (2010). Language barriers and the use of interpreters in the public health services. A questionnaire-based survey. Patient Educ Couns, 81(2), 187-191. https://doi.org/10.1016/j.pec.2010.05.002
Balakrishnan, V., Roper, J., Cossey, K., Roman, C., & Jeanmonod, R. (2016). Misidentification of English Language Proficiency in Triage: Impact on Satisfaction and Door-to-Room Time. J Immigr Minor Health, 18(2), 369-373. https://doi.org/10.1007/s10903-015-0174-4
Bernard, A., Whitaker, M., Ray, M., Rockich, A., Barton-Baxter, M., Barnes, S. L., Boulanger, B., Tsuei, B., & Kearney, P. (2006). Impact of language barrier on acute care medical professionals is dependent upon role. Journal of professional nursing : official journal of the American Association of Colleges of Nursing, 22(6), 355–358. https://doi.org/10.1016/j.profnurs.2006.09.001
Singh, T., Kaur, M., Verma, M., & Kumar, R. (2019). Job satisfaction among health care providers: A cross-sectional study in public health facilities of Punjab, India. Journal of family medicine and primary care, 8(10), 3268–3275. https://doi.org/10.4103/jfmpc.jfmpc_600_19
Fiabane, E., Giorgi, I., Musian, D., Sguazzin, C., & Argentero, P. (2012). Occupational stress and job satisfaction of healthcare staff in rehabilitation units. La Medicina del lavoro, 103(6), 482–492. https://pubmed.ncbi.nlm.nih.gov/23405482/
Almutairi K. M. (2015). Culture and language differences as a barrier to provision of quality care by the health workforce in Saudi Arabia. Saudi medical journal, 36(4), 425–431. https://doi.org/10.15537/smj.2015.4.10133
Jt Comm Perspect Jt Comm Accredit Healthc Organ. 2008 Sep;28(9):8.
Jacobs, E. A., Shepard, D. S., Suaya, J. A., & Stone, E. L. (2004). Overcoming language barriers in health care: costs and benefits of interpreter services. Am J Public Health, 94(5), 866-869. https://doi.org/10.2105/ajph.94.5.866