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Abstract Linguistic diversity across North America is increasing rapidly. Prior studies have shown that patients who receive healthcare services in their preferred language have better short-term outcomes. We sought to determine whether patient–physician language concordance is associated with all-cause death in Canada. We performed a population-based, retrospective cohort study using data from the Canadian Community Health Survey from January 1, 2003 to December 31, 2014 linked...
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Importance: Patients who live in minority language communities often receive health care services of lower quality and safety compared with patients who speak the majority language. Yet the outcomes associated with care provided by physicians who speak a patient’s primary language remain unknown. Objective : To examine patient-physician language concordance and the risk of major adverse cardiovascular events (MACEs) among patients with hypertension. Design, Setting, and Participants This...
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Background Appropriate use of medication is a key indicator of the quality of care provided in long-term care (LTC). The objective of this study was to determine whether resident-facility language concordance/discordance is associated with the odds of potentially inappropriate prescribing of antipsychotics (PIP-AP) in LTC. Methods We conducted a population-based, retrospective cohort study of LTC residents in Ontario, Canada from 2010 to 2019. We obtained resident language from standardized...
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Le document Les services en français, un facteur de qualité des services de santé élaboré par le Réseau des services de santé en français de l’Est de l’Ontario (le Réseau) a pour objectif de : - sensibiliser et informer des impacts de la barrière linguistique sur la qualité des services de santé en français et donc sur l’amélioration de l’état de santé de la population francophone; -véhiculer l’importance d’une planification de projets et d’initiatives en santé qui tiennent compte des...
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Background Hospitalizations carry considerable risks for frail, elderly patients; this is especially true for patients with dementia, who are more likely to experience delirium, falls, functional decline, iatrogenic complications, and infections when compared to their peers without dementia. Since up to two thirds of patients in long-term care (LTC) facilities have dementia, there is interest in identifying factors associated with transitions from LTC facilities to hospitals. The purpose of...
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The experiences of multilingual patients communicating with unilingual healthcare providers have been largely unexplored. The aim of this study was to investigate the experiences of bilingual stroke patients within the Canadian healthcare context. A secondary analysis was completed with data from a multiple case study of the experiences of seven, low-income bilingual Francophone stroke survivors living in a predominately English area. Data included semi-structured interviews, chart reviews...
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Access to health and social services in one’s official language of choice is an important component of quality and safety of care for seniors. Access can be fragmented, even in the context of legislation guaranteeing the right to receive such services, and in areas with a higher proportion of bilingual providers. Using a community-based participatory approach, we identified mechanisms promoting or impeding the clinical integration of health and social French language services intended for...
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BACKGROUND: Communication between health workers and patients at Hottentots Holland Hospital (HHH) is hindered by staff and patients not speaking the same language. HHH is a district hospital in the Cape Town Metropolitan District of the Western Cape where staff mainly speak Afrikaans or English and a large number of patients mainly Xhosa. OBJECTIVES: The study aimed to explore the effects of this language barrier on health workers and patients at HHH. DESIGN: Three focus group interviews...
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Background: When patients and physicians speak the same language, it may improve the quality and safety of care delivered. We sought to determine whether patient–physician language concordance is associated with in-hospital and postdischarge outcomes among home care recipients who were admitted to hospital. Methods: We conducted a population-based study of a retrospective cohort of 189 690 home care recipients who were admitted to hospital in Ontario, Canada, between 2010 and 2018. We...
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Background Patient-Physician language discordance occurs when the patient and physician lack proficiency in the same language(s). Previous literature suggests language discordant clinical encounters compromise patient quality of care and health outcomes. The objective of this study was to quantify and visualize the linguistic and spatial mismatch between Ontario’s population not proficient in English or French but proficient in one of the top five non-official languages and the physicians...
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There is growing interest in language barriers in health care (LBHC) – interest, that is, in how the quality of health care service delivery might be compromised when patients and health care providers do not share the same first language. This article discusses LBHC as an emerging research area that provides valuable opportunities for researchers in various branches of the language sciences – including, among others, applied linguistics, theoretical linguistics, psycholinguistics, second...
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Thème
Domaine d’intervention ou d’étude
Groupe(s) linguistique(s) minoritaire(s)
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- Canada (108)
- Autres pays (9)
Province ou territoire canadien
- Canada (sauf Québec) (29)
- Alberta (4)
- Colombie-Britannique (3)
- Île-du-Prince-Édouard (3)
- Manitoba (7)
- Nouveau-Brunswick (12)
- Nouvelle-Écosse (3)
- Nunavut (2)
- Ontario (43)
- Québec (26)
- Saskatchewan (2)
- Terre-Neuve-et-Labrador (6)
- Yukon (3)
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