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Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity

There is growing evidence that language discordance between patients and their health care teams negatively affects quality of care, experience of care, and health outcomes, yet there is limited guidance on best practices for advancing equitable care for patients who have language barriers within ob...

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Autores principales: Truong, Samantha, Foley, Olivia W., Fallah, Parisa, Lalla, Amber Trujillo, Osterbur Badhey, Marika, Boatin, Adeline A., Mitchell, Caroline M., Bryant, Allison S., Molina, Rose L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510840/
https://www.ncbi.nlm.nih.gov/pubmed/37678884
http://dx.doi.org/10.1097/AOG.0000000000005334
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author Truong, Samantha
Foley, Olivia W.
Fallah, Parisa
Lalla, Amber Trujillo
Osterbur Badhey, Marika
Boatin, Adeline A.
Mitchell, Caroline M.
Bryant, Allison S.
Molina, Rose L.
author_facet Truong, Samantha
Foley, Olivia W.
Fallah, Parisa
Lalla, Amber Trujillo
Osterbur Badhey, Marika
Boatin, Adeline A.
Mitchell, Caroline M.
Bryant, Allison S.
Molina, Rose L.
author_sort Truong, Samantha
collection PubMed
description There is growing evidence that language discordance between patients and their health care teams negatively affects quality of care, experience of care, and health outcomes, yet there is limited guidance on best practices for advancing equitable care for patients who have language barriers within obstetrics and gynecology. In this commentary, we present two cases of language-discordant care and a framework for addressing language as a critical lens for health inequities in obstetrics and gynecology, which includes a variety of clinical settings such as labor and delivery, perioperative care, outpatient clinics, and inpatient services, as well as sensitivity around reproductive health topics. The proposed framework explores drivers of language-related inequities at the clinician, health system, and societal level. We end with actionable recommendations for enhancing equitable care for patients experiencing language barriers. Because language and communication barriers undergird other structural drivers of inequities in reproductive health outcomes, we urge obstetrician–gynecologists to prioritize improving care for patients experiencing language barriers.
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spelling pubmed-105108402023-09-21 Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity Truong, Samantha Foley, Olivia W. Fallah, Parisa Lalla, Amber Trujillo Osterbur Badhey, Marika Boatin, Adeline A. Mitchell, Caroline M. Bryant, Allison S. Molina, Rose L. Obstet Gynecol Cross-Cutting Commentaries and Perspectives for the Field There is growing evidence that language discordance between patients and their health care teams negatively affects quality of care, experience of care, and health outcomes, yet there is limited guidance on best practices for advancing equitable care for patients who have language barriers within obstetrics and gynecology. In this commentary, we present two cases of language-discordant care and a framework for addressing language as a critical lens for health inequities in obstetrics and gynecology, which includes a variety of clinical settings such as labor and delivery, perioperative care, outpatient clinics, and inpatient services, as well as sensitivity around reproductive health topics. The proposed framework explores drivers of language-related inequities at the clinician, health system, and societal level. We end with actionable recommendations for enhancing equitable care for patients experiencing language barriers. Because language and communication barriers undergird other structural drivers of inequities in reproductive health outcomes, we urge obstetrician–gynecologists to prioritize improving care for patients experiencing language barriers. Lippincott Williams & Wilkins 2023-10 2023-09-07 /pmc/articles/PMC10510840/ /pubmed/37678884 http://dx.doi.org/10.1097/AOG.0000000000005334 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Cross-Cutting Commentaries and Perspectives for the Field
Truong, Samantha
Foley, Olivia W.
Fallah, Parisa
Lalla, Amber Trujillo
Osterbur Badhey, Marika
Boatin, Adeline A.
Mitchell, Caroline M.
Bryant, Allison S.
Molina, Rose L.
Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity
title Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity
title_full Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity
title_fullStr Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity
title_full_unstemmed Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity
title_short Transcending Language Barriers in Obstetrics and Gynecology: A Critical Dimension for Health Equity
title_sort transcending language barriers in obstetrics and gynecology: a critical dimension for health equity
topic Cross-Cutting Commentaries and Perspectives for the Field
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10510840/
https://www.ncbi.nlm.nih.gov/pubmed/37678884
http://dx.doi.org/10.1097/AOG.0000000000005334
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