The ability to receive effective health care and follow recommendations is contingent on open communication between doctor and patient. Barriers to communication not only hurt the doctor’s ability to understand what is ailing their patient, but they prevent patients from understanding treatment options and, often, how to implement them. Indeed, health-related problems are some of the most costly effects — both in terms of costs to society and personal costs — that come from language difficulties.
People involved with the healthcare industry have long been able to identify the problem. But what has been less clear are the scope of the problem and it’s immediate consequences. A recent study has shed some light on these questions, conducted by researchers at UCSF and the Kaiser Permanente Division of Research. Their study analyzed the ability of Latinos with limited English skills to adequately manage and control their diabetes. The findings were surprising.
Among Latino patients with limited English abilities, those who saw doctors for their diabetes which did not speak Spanish were twice as likely to have little or no control over their blood sugar levels than those whose doctors spoke Spanish. In addition to highlighting the huge discrepancy in how these patients were able to handle their disease, the study was also able to draw a clear and direct connection between doctor-patient communication and the ability of patients — in this case, diabetes patients — to receive effective health care.
As the largest minority in the U.S., the Latino population has one of the highest rates of diabetes of any ethnic group. In addition, roughly 14 million adults in this group speak English less than “very well”. It should also be noted that as far as ailments go, diabetes is a very complex and relatively difficult-to-manage disease to begin with. Among these patients in particular, access to Spanish-speaking doctors and information translated to Spanish could have a tremendous effect on patient outcomes.
