Language-Based Inequity in Health Care: Who Is the "Poor Historian"?
Language-Based Inequity in Health Care: Who Is the "Poor Historian"?
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DOI：
10.1001/journalofethics.2017.19.3.medu1-1703
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发表时间：
2017-03-01
影响因子：
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通讯作者：
Nze, Chijioke
中科院分区：
文献类型：
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作者：
Green, Alexander R;Nze, Chijioke
英语水平有限（LEP）的患者是最脆弱的人群之一。他们的医疗错误率很高，临床结果比英语熟练的患者更差，并且通过其他指标获得更低的护理质量。然而，我们还没有认真对待医疗系统和医学教育中的语言不平等问题，默认不合格的护理是不可避免的，或者不值得花费成本来解决。我们认为，我们有一个道德责任，提供高质量的护理与LEP患者，并教我们的医疗实习生，这种护理是预期和可行的。最终，要实现语言平等，就需要建立有效的医疗解释系统，并进行重大的文化转变，这与患者安全方面发生的情况没有什么不同。
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.