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Access to health and social services in one’s official language of choice is an important component of quality and safety of care for seniors. Access can be fragmented, even in the context of legislation guaranteeing the right to receive such services, and in areas with a higher proportion of bilingual providers. Using a community-based participatory approach, we identified mechanisms promoting or impeding the clinical integration of health and social French language services intended for...
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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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Background: When patients and physicians speak the same language, it may improve the quality and safety of care delivered. We sought to determine whether patient–physician language concordance is associated with in-hospital and postdischarge outcomes among home care recipients who were admitted to hospital. Methods: We conducted a population-based study of a retrospective cohort of 189 690 home care recipients who were admitted to hospital in Ontario, Canada, between 2010 and 2018. We...
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Background Patient-Physician language discordance occurs when the patient and physician lack proficiency in the same language(s). Previous literature suggests language discordant clinical encounters compromise patient quality of care and health outcomes. The objective of this study was to quantify and visualize the linguistic and spatial mismatch between Ontario’s population not proficient in English or French but proficient in one of the top five non-official languages and the physicians...
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There is growing interest in language barriers in health care (LBHC) – interest, that is, in how the quality of health care service delivery might be compromised when patients and health care providers do not share the same first language. This article discusses LBHC as an emerging research area that provides valuable opportunities for researchers in various branches of the language sciences – including, among others, applied linguistics, theoretical linguistics, psycholinguistics, second...
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There has been a limited amount of research suggesting that cultural and linguistic variables may affect access to health services, but no study has examined the access of French-speaking Canadians to psychiatrists. The present study used data from the Ontario Mental Health Reporting System to examine patterns of daily contact with psychiatrists in the first 3 days of admission to mental health facilities in Ontario. The results showed that after controlling for a broad range of covariates,...
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Communication is essential to providing quality primary care. Linguistic concordance between patients and physicians has been linked to improved health outcomes and greater patient satisfaction. Although Canadian Francophones often struggle to access linguistics concordant health services, the concept of the active offer of French Language Services (FLS) has emerged as a means of ensuring the availability of such services and improving the francophone patient experience. However, the impact...
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Language barriers have a detrimental impact on access to health services and compromise patients’ safety. The purpose of this article is to describe and evaluate how the Société Santé en français (SSF) and the 16 French Language Health (FLH) networks used networking and knowledge mobilization for improving access to health services in French for Francophone and Acadian minority communities (FAMC). Method: Data was extracted from the 2013-2018 program’s reports and evaluation. Results...
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Ce document fait rapport des études : Les normes de compétences culturelles et linguistiques en santé : étude exploratoire sur les normes américaines et Étude sur les services de santé linguistiquement et culturellement adaptés : portrait pancanadien.
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Objectifs La malnutrition des aînés est un problème répandu dans les hôpitaux et les foyers de soins. Cependant, la pratique du dépistage nutritionnel dans ces milieux est peu connue, particulièrement dans les établissements francophones de soins de santé. Cette étude avait pour objectifs de comparer la situation du dépistage nutritionnel des aînés dans les établissements de soins de santé francophones et anglophones du Nouveau-Brunswick, ainsi que les perceptions et les pratiques des...
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