SLIDE 2 10/11/19 2
Over 200 languages in CA
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San Francisco Metro Area
- At least 163 languages
- 40% of the metro area
population age 5 and over speak a language other than English at home
majority in Santa Clara, Alameda, and SF
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CULTURAL AND LINGUISTIC BARRIERS CAN RESULT IN:
- A. Misdiagnosis, increasing cost and inefficiencies
- B. Higher medical error rates
C.Lower patient satisfaction and lower patient comprehension D.All of the above
ARS
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LANGUAGE BARRIERS RANKED AMONG THE TOP THREE OBSTACLES PREVENTING MINORITIES AND THE POOR FROM RECEIVING NECESSARY HEALTH CARE
¡ Fewer physician visits and lower use of preventive care ¡ Diminished comprehension of medical information, affecting the quality of health care ¡ Reduced abilities to follow provider instructions, adhere to treatments, or to comply with instructions for follow-up care ¡ Compromise the quality of care due to misdiagnosis, increasing costs and inefficiencies in the health care system due to unnecessary testing because of lack of a proper medical history ¡ Medical error rates are higher when physician and patient speak different languages ¡ Lower patient satisfaction for those with LEP ¡ 4 issues affecting their perceptions of health care: provider cultural competence; patient education; medication adherence; and difficulty communicating symptoms without language services
Source: Journal of Health Disparities Research and Practice Volume 3, Number 3, Spring 2010
Linking Disparities to Service and Quality
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Federal and State Mandates and Accreditation Requirements:
Embracing the National Culturally and Linguistically Appropriate Services (CLAS) Standards
Federal State Local EMTALA SCHIP OCR Joint Commission DMHC CMS DHHS DHS NCQA Medicaid Others ACA MU Purchasers
CLAS
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