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BACKGROUND: Disease is closely linked to the social context in which we live. Difficulty with communication, cultural incompatibility between patients and health care providers and socioeconomic obstacles are important barriers to quality care when doctors and patients come from different backgrounds and speak different languages. Red Cross War Memorial Children's Hospital (RCH) is a paediatric teaching hospital in Cape Town where staff members communicate mainly in English or Afrikaans,...
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The loss of language skills is one of the most challenging aspects of living with dementia. This is particularly true for bilingual individuals, who have difficulty in maintaining fluency in more than one language. Language and culture overlap greatly, with potential implications for the well-being of people with dementia (PWD) being cared for in their ‘second’ language or culture. Our aim was to review the available relevant literature, together with an examination of the potential effects...
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The Basque Country has two official languages, Basque and Spanish, the first being spoken by 37% of the population. The Basque Health Service has developed language schemes to fulfill the legal requirements. Currently, there is a vast transformational shift from legislative policies to an evidence-based, patient-centred care approach. This paper discusses three key issues which could enhance language appropriate care: the recording of patient’s preferred language; the Basque language care...
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Our study aims to analyze the social exclusion of older Swedish and Finnish speakers living as linguistic minorities in bilingual municipalities in Finland, where municipal authorities are required to offer services in both languages. Data was taken from the 2016 Language Barometer Survey, measuring the quality of language services in bilingual municipalities (n=33). For the purposes of our study, we focused on 2,030 people between the ages of 60 and 84. We included four different language...
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It has been suggested that older adults from minority linguistic and ethnic communities face higher risks of being socially excluded. The aim of this review was, therefore, to explore and review social exclusion studies conducted among official language minority older adults in three countries, namely Canada, Finland and Wales. A rapid review approach was used to review scientific literature in line with six social exclusion domains. The literature searches were made in Finnish, Swedish,...
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Aquest article fa una revisió bibliogràfica d’un centenar d’estudis sobre l’atenció sanitària amb discordança lingüística (ASDiL) i les conseqüències que pot tenir per als grups lingüístics minoritaris (GLMinoritaris) i minoritzats (GLMinoritzats) que l’experimenten. A diferència d’altres revisions, centrades sobretot en els GLMinoritaris d’origen migrant amb poc coneixement de la llengua d’atenció sanitària, aquest treball proposa una classificació de la bibliografia basada en dos eixos:...
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This article deals with the situation of languages in healthcare in Catalonia. It reports on the measures being carried out by the Ministry of Health of the Government of Catalonia to guarantee that the population may be attended to in their own official language, whether Catalan, Spanish or Occitan, and specifically to promote knowledge and use of Catalan among professionals working in the health system. It provides data on the migratory flows of doctors and nurses and sociolinguistic data....
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Language is a key factor in the delivery of effective healthcare, especially in settings where service users speak a minoritised language. In Wales, the Welsh Government has acknowledged the importance of linguistic inclusion through initiatives such as the More than just words strategy, which aims to embed the Welsh language into health and social care services. The introduction of The Welsh Language Standards (No. 7) Regulations in 2018 marked a significant statutory development, placing...
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A concerted attempt is being made by the Welsh Government to revitalize the Welsh language in Wales through language legislation and policy initiatives. This paper explores the political rhetoric and practical reality of these recent legislative developments, as they pertain to the health care sector. It offers a qualitative analysis of written evidence provided by key stakeholders during the consultation process on the new legally-binding requirements of Welsh Language Standards for health...
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Like Canada, Wales, UK is a bilingual nation: the Welsh language is an important part of its national identity and legislative framework. This has implications for the delivery of public sector services, particularly in the context of health and social care, where responding to the language needs of service users is fundamental to quality health care provision. Nevertheless, despite the strengthening policy commitment for a whole-system approach towards enhancing Welsh language services,...
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In this article, we present the results of an exploratory quantitative study on the situation of communication between healthcare staff in the Catalan public system and users with limited competence in the official languages of Catalonia. The study objective is to offer a comprehensive and empirically grounded overview of the current state of intercultural communication in the Catalan public health system, with and without the involvement of third-party mediation, as perceived by healthcare...
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BACKGROUND: Communication between health workers and patients at Hottentots Holland Hospital (HHH) is hindered by staff and patients not speaking the same language. HHH is a district hospital in the Cape Town Metropolitan District of the Western Cape where staff mainly speak Afrikaans or English and a large number of patients mainly Xhosa. OBJECTIVES: The study aimed to explore the effects of this language barrier on health workers and patients at HHH. DESIGN: Three focus group interviews...
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The language barrier continues to compromise adequate healthcare delivery in multilingual healthcare systems. This makes language an important issue for the policy agenda in such systems. This article highlights the silence of selected South African health policies on managing the language barrier in healthcare. The analysis establishes that the selected policies make limited provisions, if any, on the language barrier and fail to account for how the language barrier should be addressed in...
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Resumen La normalización de la atención sanitaria sería ofrecer una atención integrada basada en la evidencia y centrada en el usuario (paciente), lo que pasa por una atención en el idioma de elección del usuario. Para la consecución de dicha normalización, y teniendo en cuenta la complejidad del sistema sanitario centrado en el usuario, es necesario poner en marcha políticas que apuesten por el impulso de la conciencia lingüística entre los profesionales sanitarios y ofrecer estrategias...
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