Faculty Sponsor

Jana Stedman

College

College of Nursing & Health Professions (CONHP)

Department/Program

Master of Science in Physician Assistant Studies

ORCID Identifier(s)

https://orcid.org/0009-0002-7147-9541

Presentation Type

Poster Presentation

Symposium Date

2025

Abstract

Objective: This project investigates the challenges and consequences of language barriers in healthcare, particularly affecting patients with limited English proficiency (LEP), and proposes practical strategies to enhance accessibility and equity in care delivery. Methods: A comprehensive literature review was conducted using PubMed and Google Scholar. Search terms included "LEP", "adult patients", "interpretation", and "language barriers". Studies were selected based on relevance to adult LEP populations and focused on patient outcomes, satisfaction, interpretation modalities, and provider perspectives. Exclusion criteria included pediatric studies and English-native populations. Both quantitative and qualitative analyses were synthesized to evaluate outcomes. Results: Findings consistently demonstrated that LEP patients face poorer health outcomes, including increased medical errors, reduced satisfaction, and lower comprehension of care plans. Professional interpretation was associated with improved patient understanding and satisfaction. LEP patients were significantly more likely to experience post-discharge complications and required greater support. Providers identified time constraints, limited interpreter access, and inadequate training as barriers. Despite legal mandates for language access, interpreter services remain underutilized due to institutional and systemic challenges. Recommendations included integrating interpretation into workflows, increasing bilingual staff, standardizing policies, and providing provider training on interpreter use. Conclusion: Language barriers remain a major contributor to healthcare disparities for LEP patients. While professional interpretation improves outcomes, systemic underuse persists. To promote health equity, healthcare systems must institutionalize consistent, accessible language services and provider training. Standardized use of professional interpretation can significantly enhance patient safety, understanding, and satisfaction while reducing long-term system costs.

Biographical Information about Author(s)

Olivia Zetty is presenting "Bridging the Language Gap: Challenges, Consequences, and the Path to Better Access", a graduate research project focused on improving care for patients with limited English proficiency. After graduation, she will begin an OB/GYN fellowship at Arrowhead Regional Medical Center in California, where she will continue her work with underserved communities.

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