Pediatricians' use of language services for families with limited English proficiency.
OBJECTIVE
Patients with limited English proficiency confront multiple barriers to health care access in the United States. Appropriate language services for families with limited English proficiency are essential; however, little is known about pediatricians' use of language services. The objective of this study was to examine pediatricians' provision of language services to patients with limited English proficiency and the pediatrician, practice, and state characteristics associated with use of these services.


METHODS
Data were obtained from the Periodic Survey of Fellows No. 60, a nationally representative survey of members of the American Academy of Pediatrics. A total of 1829 surveys were mailed, and responses were obtained from 58%. Use of 6 language services was assessed. Factors associated with language services use were examined after adjusting for physician, practice, and state characteristics.


RESULTS
Bilingual family members (70%) and bilingual staff (58%) were the most frequently reported language services; 40% of respondents report the use of professional interpreters, 28% use telephone interpreters, and 35% of practices report provision of translated written materials. Pediatricians in smaller and rural practices and in states with higher proportions of limited English proficiency persons report less use of professional interpreters. Pediatricians in states with third-party reimbursement for language services are more likely to report use of professional interpreters.


CONCLUSIONS
Most pediatricians report using untrained interpreters to communicate with limited English proficiency patients and their families. Pediatricians in regions with high proportions of limited English proficiency persons may be less likely to provide appropriate language services. Third-party reimbursement for professional language services may increase the use of trained interpreters and quality of care.
Kuo
Dennis Z
DZ
Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, 200 N Wolfe St, Baltimore, MD 21287, USA. dkuo5@jhmi.edu
O'Connor
Karen G
KG
Flores
Glenn
G
Minkovitz
Cynthia S
CS
D000328:Adult; D002648:Child; D002675:Child, Preschool; D003144:Communication Barriers; D004641:Emigration and Immigration; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007802:Language; D008297:Male; D017063:Outcome Assessment, Health Care; D010372:Pediatrics / Q000379:methods*; D010817:Physician-Patient Relations; D010818:Practice Patterns, Physicians'; D012307:Risk Factors; D014175:Translating; D014481:United States