Learning a foreign language for the purpose of living in another country goes beyond mastering the basic conversations one might have on a street corner. With the complexity of life, comes the wide variety of situations that a person must know how to navigate in their new language in order to get by. But even for those who are conversational or, indeed, fluent in the language of their host country, communication in the context of health care can prove to be a daunting challenge. Because it comprises a highly technical vocabulary, a simple conversation with a doctor or nurse can easily call for a number of words that the patient may never have come into contact with before.
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Unfortunately, this has the effect of preventing some groups of people from even seeking the care that they need. A recent study conducted by a team of researchers at Northwestern University found that non-English speaking Latinas in the US are less likely to receive an epidural during the birth of their first child than English-speaking Latinas and non-Hispanic patients. The language barrier that these women experience in the delivery room, for example, actually prevents them from knowing what their options are and making an informed decision regarding their health care. And that’s only one example. The ramifications of this barrier extend to anyone who has limitations in English and has ever required medical attention.
The stress that an immigrant can experience in a doctor’s office comes from all sides: unfamiliarity with common local medical practices, differences in attention to patients, even the appearance of health care facilities may be quite different from what the person is used to. Add to all of that the language barrier — amplified by a highly technical context — and the result can be a very intimidating experience.
The benefit of studies such as the recent one from Northwestern is that healthcare providers can start to understand the difficulties that Latinos and Latinas face in seeking and receiving care in the US, which can begin the process of finding ways to mitigate them. Whether it’s having a Spanish-speaking employee on hand, or creating issue-specific pamphlets in Spanish with basic information to get the conversation started — institutions and health care providers have a number of ways they can respond to this need.