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Helping Your Spanish-Speaking Patients

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Helping Your Spanish-Speaking Patients. Kathryn Birkhead Director of Diversity and Inclusion Jones Center. Who are the Latinas we’re serving? Authorized migrants--52% are female Unauthorized migrants--42% are female. Who are the Latinas we’re serving?.

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Presentation Transcript
slide1

Helping

Your

Spanish-Speaking

Patients

slide2

Kathryn Birkhead

Director of Diversity and Inclusion

Jones Center

slide3
Who are the Latinas we’re serving?
  • Authorized migrants--52% are female
  • Unauthorized migrants--42% are female
who are the latinas we re serving
Who are the Latinas we’re serving?
  • Mexico is the largest single source of migrants
  • Also many from Central America, particularly El Salvador and Guatemala
  • 52% have been in the U.S. for less than 5 years
who are the latinas we re serving1
Who are the Latinas we’re serving?
  • 62% lack a high school diploma
  • 57% do not speak English well
  • or do not speak it at all
latino values
Latino values
  • Familia - Centered on the family
  • Cariño – Nurturance
  • Atención – Attentiveness
  • Empatía - Empathy
  • Respeto - Unconditional regard
  • Idioma nativo - Home language

NCLR

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Latino family values

  • Responsibilidad - Personal sense of responsibility
  • Compromiso - Commitment
  • Educación – Education, manners. character
  • Tradiciones culturales - Cultural knowledge and tradition
  • Sabiduría de los antepasados - Ancestral wisdom
reasons for not receiving health care
Reasons for not receiving health care
  • Language
  • Cost
  • Too long till appointment
  • Lack of transportation
  • Distance

From César Compadre, UAMS

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When was your last routine check up?

Never: 36.6%

From César Compadre, UAMS

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Barriers to health care

  • Language
  • Lack of knowledge about system
  • Lack of immigration documents
  • Lack of providers with whom they feel comfortable
  • Lack of health insurance

From César Compadre, UAMS

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General Guidelines for Working with Spanish-speaking patients

  • Make a note of their language on their files
  • Use their last name with their title (Mr., Mrs., Miss, etc.)
  • Respect modesty
  • Make signage, appointment reminders, etc. in Spanish
  • Use a trained interpreter—not a family member!
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Interpreters

  • Trustworthiness
  • Ethical considerations
  • Technical skills
  • How to interact
  • Advantages of face-to-face interpreters
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Help with low literacy patients:

  • Use visual instructions; help the patient practice
  • Present information simply and concretely
  • Keep the message to a few key points
  • Avoid unnecessary details

Source: Laura Owens and Debra Walden, Arkansas State University

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Help with low literacy patients:

  • Sit with them rather than standing
  • Speak slowly and listen carefully
  • Ask “What are your questions?”
  • rather than “Do you have any questions?”
  • Use orienting statements—”Now we’ll talk about your diabetes.”
slide15

Find out how you’re doing culturally:

http://www11.georgetown.edu/research/gucchd/nccc/features/CCHPA.html

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For more information:

www.pewhispanic.org

www.nclr.org

www.cancer.org

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