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Language Access – Challenges in the Immigrant and Refugee Services Sector. Language barriers in healthcare. Language and cultural differences are among the main barriers to accessing healthcare services. Language barriers pose a risk of individuals misunderstanding health information
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Language Access – Challenges in the Immigrant and Refugee Services Sector
Language barriers in healthcare • Language and cultural differences are among the main barriers to accessing healthcare services. • Language barriers pose a risk of individuals misunderstanding health information • More than 50% of Toronto’s population speaks a foreign language at home. • 44% of new immigrants in 2001 spoke neither English nor French • 1 in 50 Canadians needs an interpreter for health care. • Ethnocultural communities have a lower rate of participation in healthcare promotion programs than the general population. • There are more than 90 different ethnic groups in Toronto
Why is interpretation important? • Research indicates that language barriers affect health outcomes for patients that could lead to: • Misdiagnosis • Delayed diagnosis • Wrong referrals • Wrong treatment • Inefficient use of resources: unnecessary medical tests, repeat appointments, poor compliance with follow-ups, no shows • Language barriers may result in failure to protect patient confidentiality, to obtain consent, or properly comprehend the nature of the ailment. • Poor communication due to language barriers can leave organizations open to legal challenges
Environmental challenges • Health Care restructuring, competing priorities • Diversity of LEP population • Constant changing demographics of newcomers • No policy framework
Overview of interpretation services in health care • Range of strategies in healthcare • Lack of understanding of role of interpreters • Completely unregulated environment
Strategic Challenges • Lack of consensus • Need for interpreters • Interpreter role • Standards • Engagement of critical stakeholders • Responsibility/accountability
Local, National and International Context • Healthcare Interpretation Network • ATIO • ALIA • Critical Link (Canada) • IMIA
Current Focus • Lead role in Healthcare Interpretation Network which recently published National Standard Guide for Community Interpreting Services • Working with AILIA (Language Industry Association – national organization) to develop plans for upcoming funding • Research project under development positioning funding of interpretation services in hospitals as an Ontario Wait Times Strategy