title: Overcoming language barriers in health care: costs and benefits of interpreter services.
abstract: OBJECTIVE
  We assessed the impact of interpreter services on the cost and the utilization of health care services among patients with limited English proficiency.
  
  
  METHODS
  We measured the change in delivery and cost of care provided to patients enrolled in a health maintenance organization before and after interpreter services were implemented.
  
  
  RESULTS
  Compared with English-speaking patients, patients who used the interpreter services received significantly more recommended preventive services, made more office visits, and had more prescriptions written and filled. The estimated cost of providing interpreter services was $279 per person per year.
  
  
  CONCLUSIONS
  Providing interpreter services is a financially viable method for enhancing delivery of health care to patients with limited English proficiency.
authors.affiliation: Division of General Medicine and Primary Care, Rush University Medical Center, Cook County Hospital, 1900 W. Polk Street, 16th Floor, Chicago, IL 60612, USA. ejacobs@rush.edu
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Jacobs
authors.forename: Donald S
authors.initials: DS
authors.lastname: Shepard
authors.forename: Jose A
authors.initials: JA
authors.lastname: Suaya
authors.forename: Esta-Lee
authors.initials: EL
authors.lastname: Stone
mesh_terms: D000328:Adult; D003144:Communication Barriers; D005260:Female; D006279:Health Maintenance Organizations / Q000191:economics / Q000706:statistics & numerical data*; D006630:Hispanic or Latino; D006801:Humans; D007802:Language; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D011787:Quality of Health Care; D014175:Translating