title: Language barriers among patients in Boston emergency departments: use of medical interpreters after passage of interpreter legislation.
abstract: BACKGROUND
  Since 2001, Massachusetts state law dictates that emergency department (ED) patients with limited English proficiency have the right to a professional interpreter.
  
  
  METHODS
  One year later, for two 24-h periods, we interviewed adult patients presenting to four Boston EDs. We assessed language barriers and compared this need with the observed use and type of interpreter during the ED visit.
  
  
  RESULTS
  We interviewed 530 patients (70% of eligible) and estimated that an interpreter was needed for 60 (11%; 95% confidence interval, 7-12%) patients. The primary interpreter for these clinical encounters was a physician (30%), friend or family member age >or=18 years (22%), hospital interpreter services (15%), younger family member (11%), or other hospital staff (17%).
  
  
  CONCLUSIONS
  We found that 11% of ED patients had significant language barriers, but use of professional medical interpreters remained low. One year after passage of legislation mandating access, use of professional medical interpreters remained inadequate.
authors.affiliation: Department of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, CO, USA.
authors.forename: Adit A
authors.initials: AA
authors.lastname: Ginde
authors.forename: Sunday
authors.initials: S
authors.lastname: Clark
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Camargo
mesh_terms: D001900:Boston; D003144:Communication Barriers; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D014175:Translating