Discuss how a language difference can decrease the likelihood of optimal healthcare outcomes and impact healthcare cost. In your response, include the increased cost resulting from lang
Review the following lectures: that are attached
Assigned Readings:
- Georgetown University Health Policy Institute. (2004). Cultural competence in health care: Is it important for people with chronic conditions? Retrieved from https://hpi.georgetown.edu/agingsociety/pubhtml/cultural/cultural.html
- Jacobs, E., Shepard, D., Suaya, J., & Stone, E. (n.d.). Overcoming language barriers in health care: Costs and benefits of interpreter services. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448350/pdf/0940866.pdf
- Quinton, S. (2017, February 13). Health care adjusts to a more diverse America. Retrieved from http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2017/02/13/health-care-adjusts-to-a-more-diverse-america
Tasks:
- Discuss how a language difference can decrease the likelihood of optimal healthcare outcomes and impact healthcare cost. In your response, include the increased cost resulting from language barriers and the potential risks and concerns associated with using noncertified methods of translation.
- In addition, include one additional point that you have identified in the readings. As a hypothetical member of the healthcare organization’s workforce, you can suggest a policy to address the point.
- Your initial posting should be addressed in 200–350 words
- Respond to your classmates
Multilingual, Bicultural Challenges A Slippery Slope.html
Multilingual, Bicultural Challenges: A Slippery Slope
The growing migration into the United States carries diversity but brings with it access limitations to necessary healthcare services. The foreign-born population has increased to an excess of sixty million in the United States (Lopez & Radford, 2017). This is a population that speaks a native tongue in their household, with English as a second language, while half are not proficient or cannot speak English according to the United States Census Bureau. To further compound the issue of language as a barrier to healthcare services, less than a third of the hospitals nationwide offer translation services while others offer only inadequate services.
Translation services have proven to be essential in providing quality healthcare. Many healthcare organizations rely on a dangerous proposition of enlisting fellow patents, family members, friends, employees, and other untrained uncertified nonclinical individuals. Reliance on spur-of-the-moment ad hoc solutions presents a jeopardy to the well-being of the patient and the healthcare organization.
The engagement of ad hoc translation or interpretation can introduce uncertainty and risk for the patient and the provider. The ad hoc measure can introduce a difference in dialect and understanding on the basis of cultural or religious beliefs, animosity of ethnic, cultural, religious, or other consternating factors. Safeguards must be considered for both the patient and the provider.
The cost of translation/interpretation services is considerably expensive, but necessary. Reluctance or refusal to provide such services is a shortsighted failing to consider potential negative health outcomes, relinquishing the opportunity to further provider/patient relationships, and the risk of legal repercussions. The most convenient and cost-effective measure might be tele-translation services provided by a certified translator on a twenty-four-hour basis.
References:
Lopez, G., & Radford, J. (2017). Facts on U.S. immigrants, 2015: Statistical portrait of the foreign-born population in the United States. Pew Research Center, Hispanic Trends. Retrieved from http://www.pewhispanic.org/2017/05/03/facts-on-u-s-immigrants/
Pew Research Center. (2015, September 28). Modern immigration wave brings 59 million to U.S., driving population growth and change through 2065. Retrieved from http://www.pewhispanic.org/2015/09/28/modern-immigration-wave-brings-59-million-to-u-s-driving-population-growth-and-change-through-2065/
Overcoming Language Barriers Review the tabs to know more about medical interpreters in a healthcare setting. The importance of professional medical interpreters in a healthcare setting
The exchange of accurate information between the patient and the provider is a large part of medical care. The collection of accurate and comprehensive patient-specific data remains the basis for proper diagnosis and prognosis. Certified interpreters facilitate communication and help in the prevention of misunderstandings by ensuring that correct information is passed on.
The role of a medical interpreter
Certified medical interpreters provide valuable service to patients and healthcare professionals. Individuals speaking different languages can possibly place the patient or healthcare professional at risk. Misinterpretation, lack of understanding of medical terms, or a preconceived disposition or prejudice to select medical procedures present a potential intentional or unintentional bias in the interpreted word. In the event of a medical surge, interpreters become indispensable in providing care.
The importance of using qualified medical interpreters
Effective communication must be comprehended by both patient and healthcare provider. Communications are intended to be bidirectional and enable both parties to clarify the message’s intent. In the absence of effective communication or comprehension, the provision of quality patient-centered healthcare ends—or proceeds with the potential of errors, poor quality, and risks to patient safety. Using qualified medical interpreters ensures complete understanding by both the parties and ensures the safety of the patient.
How interpreters can improve access to care and outcome
Communication gaps can be a barrier to healthcare and pose a risk to the patient. Problems can arise when patients claim to be proficient in English but are not, which furthers the environment for errors. Non-English-speaking patients might be reluctant to share personal medical information with those who serve as an adhoc translator. In addition, non-English-speaking patients are likely to experience anxiety and confusion due to language and communications challenges. A certified medical interpreter serves to address these issues and enhances the quality of care that is provided while maintaining patient confidentiality.
Additional Materials
From the Internet, read the following:
- Georgetown University Health Policy Institute. (2004). Cultural competence in health care: Is it important for people with chronic conditions? Retrieved from https://hpi.georgetown.edu/agingsociety/pubhtml/cultural/cultural.html
- Jacobs, E., Shephard, D., Suaya, J., & Stone, E. (n.d.). Overcoming language barriers in health care: Costs and benefits of interpreter services. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448350/pdf/0940866.pdf
- Lieu, T. A., Ray, G. T., Klein, N. P., Chung, C., & Kulldorff, M. (2015). Geographic clusters in underimmunization and vaccine refusal. Pediatrics, 135(2), 280–289. doi:10.1542/peds.2014-2715
- Pew Research Center. (2015, September 28). Modern immigration wave brings 59 million to U.S., driving population growth and change through 2065. Retrieved from http://www.pewhispanic.org/2015/09/28/modern-immigration-wave-brings-59-million-to-u-s-driving-population-growth-and-change-through-2065/
- Quinton, S. (2017, February 13). Health care adjusts to a more diverse America. Retrieved from http://www.pewtrusts.org/en/research-and-analysis/blogs/stateline/2017/02/13/health-care-adjusts-to-a-more-diverse-america
- U.S. Department of Justice, Civil Rights Division. (2004). Executive order 13166 limited English proficiency resource document: Tips and tools from the field. Retrieved fromhttps://www.justice.gov/sites/default/files/crt/legacy/2010/12/14/Final%20Tips%20and%20Tools%20Document.%209%2021%2004.pdf
- The Pew Charitable Trusts Research & Analysis. (2014, December 18). Changing patterns in U.S. immigration and population. Retrieved from http://www.pewtrusts.org/en/research-and-analysis/issue-briefs/2014/12/changing-patterns-in-us-immigration-and-population
- Youdelman, M. (2013). The development of certification for healthcare interpreters in the United States. International Journal for Translation & Interpreting Research, 5(1). Retrieved from http://trans-int.org/index.php/transint/article/viewFile/234/123
assets/js/custom_new.js
/*** Global function start here */ /*****update bootstrap collapse plugin start here ****/ +function ($) { 'use strict'; $(document).off('click.bs.collapse.data-api') // COLLAPSE PUBLIC CLASS DEFINITION // ================================ var Collapse = function (element, options) { this.$element = $(element) this.options = $.extend({}, Collapse.DEFAULTS, options) //this.$trigger = $('[data-toggle="collapse"][href="#' + element.id + '"],' +'[data-toggle="collapse"][data-target="#' + element.id + '"]') this.$trigger = $(this.$element).closest(".template-container").find('[data-toggle="collapse"][href="#' + element.id + '"],' + '[data-toggle="collapse"][data-target="#' + element.id + '"]') this.transitioning = null if (this.options.parent) { this.$parent = this.getParent() } else { this.addAriaAndCollapsedClass(this.$element, this.$trigger) } if (this.options.toggle) this.toggle() } Collapse.VERSION = '3.3.7' Collapse.TRANSITION_DURATION = 350 Collapse.DEFAULTS = { toggle: true } Collapse.prototype.dimension = function () { var hasWidth = this.$element.hasClass('width') return hasWidth ? 'width' : 'height' } Collapse.prototype.show = function () { if (this.transitioning || this.$element.hasClass('in')) return var activesData var actives = this.$parent && this.$parent.children('.panel').children('.in, .collapsing') if (actives && actives.length) { activesData = actives.data('bs.collapse') if (activesData && activesData.transitioning) return } var startEvent = $.Event('show.bs.collapse') this.$element.trigger(startEvent) if (startEvent.isDefaultPrevented()) return if (actives && actives.length) { Plugin.call(actives, 'hide') activesData || actives.data('bs.collapse', null) } var dimension = this.dimension() this.$element .removeClass('collapse') .addClass('collapsing')[dimension](0) .attr('aria-expanded', true) this.$trigger .removeClass('collapsed') .attr('aria-expanded', true) this.transitioning = 1 var complete = function () { this.$element .removeClass('collapsing') .addClass('collapse in')[dimension]('') this.transitioning = 0 this.$element .trigger('shown.bs.collapse') } if (!$.support.transition) return complete.call(this) var scrollSize = $.camelCase(['scroll', dimension].join('-')) this.$element .one('bsTransitionEnd', $.proxy(complete, this)) .emulateTransitionEnd(Collapse.TRANSITION_DURATION)[dimension](this.$element[0][scrollSize]) } Collapse.prototype.hide = function () { if (this.transitioning || !this.$element.hasClass('in')) return var startEvent = $.Event('hide.bs.collapse') this.$element.trigger(startEvent) if (startEvent.isDefaultPrevented()) return var dimension = this.dimension() this.$element[dimension](this.$element[dimension]())[0].offsetHeight this.$element .addClass('collapsing') .removeClass('collapse in') .attr('aria-expanded', false) this.$trigger .addClass('collapsed') .attr('aria-expanded', false) this.transitioning = 1 var complete = function () { this.transitioning = 0 this.$element .removeClass('collapsing') .addClass('collapse') .trigger('hidden.bs.collapse') } if (!$.support.transition) return complete.call(this) this.$element [dimension](0) .one('bsTransitionEnd', $.proxy(complete, this)) .emulateTransitionEnd(Collapse.TRANSITION_DURATION) } Collapse.prototype.toggle = function () { this[this.$element.hasClass('in') ? 'hide' : 'show']() } Collapse.prototype.getParent = function () { var ref = this; var id = this.$element.attr("id"); this.$trigger = $(this.$element).closest(".template-container").find('[data-toggle="collapse"][href="#' + id + '"],' + '[data-toggle="collapse"][data-target="#' + id + '"]') return $(this.$element).closest(".template-container").find(this.options.parent) .find('[data-toggle="collapse"][data-parent="' + this.options.parent + '"]') .each($.proxy(function (i, element) { var $element = $(element) ref.addAriaAndCollapsedClass(getTargetFromTrigger($element), $element) }, this)) .end() } Collapse.prototype.addAriaAndCollapsedClass = function ($element, $trigger) { var isOpen = $element.hasClass('in') $element.attr('aria-expanded', isOpen) $trigger .toggleClass('collapsed', !isOpen) .attr('aria-expanded', isOpen) } function getTargetFromTrigger($trigger) { var href var target = $trigger.attr('data-target') || (href = $trigger.attr('href')) && href.replace(/.*(?=#[^s]+$)/, '') // strip for ie7 return $trigger.closest(".template-container").find(target); } // COLLAPSE PLUGIN DEFINITION // ========================== function Plugin(option) { return this.each(function () { var $this = $(this) var data = $this.data('bs.collapse') var options = $.extend({}, Collapse.DEFAULTS, $this.data(), typeof option == 'object' && option) if (!data && options.toggle && /show|hide/.test(option)) options.toggle = false if (!data) $this.data('bs.collapse', (data = new Collapse(this, options))) if (typeof option == 'string') data[option]() }) } var old = $.fn.collapse $.fn.collapse = Plugin $.fn.collapse.Constructor = Collapse // COLLAPSE NO CONFLICT // ==================== $.fn.collapse.noConflict = function () { $.fn.collapse = old return this } // COLLAPSE DATA-API // ================= $(document).on('click.bs.collapse.data-api', '[data-toggle="collapse"]', function (e) { var $this = $(this) if (!$this.attr('data-target')) e.preventDefault() var $target = getTargetFromTrigger($this) var data = $target.data('bs.collapse') var option = data ? 'toggle' : $this.data() Plugin.call($target, option) }) }(jQuery); /*****update bootstrap collapse plugin end here ****/ jQuery(document).ready(function () { $(document).on("click", ".modal-anchor", function () { mypopup($(this)[0]); }); /***** update bootstrap tab plugin start here ****/ $.fn.tab.Constructor.prototype.show = function () { var $this = this.element var $ul = $this.closest('ul:not(.dropdown-menu)') var selector = $this.data('target') if (!selector) { selector = $this.attr('href') selector = selector && selector.replace(/.*(?=#[^s]*$)/, '') // strip for ie7 } if ($this.parent('li').hasClass('active')) return var $previous = $ul.find('.active:last a') var hideEvent = $.Event('hide.bs.tab', { relatedTarget: $this[0] }) var showEvent = $.Event('show.bs.tab', { relatedTarget: $previous[0] }) $previous.trigger(hideEvent) $this.trigger(showEvent) if (showEvent.isDefaultPrevented() || hideEvent.isDefaultPrevented()) return var $target = $this.closest(".template-container").find(selector); this.activate($this.closest('li'), $ul) this.activate($target, $target.parent(), function () { $previous.trigger({ type: 'hidden.bs.tab', relatedTarget: $this[0] }) $this.trigger({ type: 'shown.bs.tab', relatedTarget: $previous[0] }) }) } /***** update bootstrap tab plugin end here ****/ /**** Fix fancybox modal popup issue */ if ($.fn.fancybox) { $.fancybox.center = function () { }; var fancyboxExtensions = { oldShowLoading: $.fancybox.showLoading, oldGetPosition: $.fancybox._getPosition, showLoading: function () { this.oldShowLoading(); var topPosition = getTopPosition() + 150; $("#fancybox-loading").css({ position: 'fixed', top: topPosition + "px", left: "50%" }); }, _getPosition: function (onlyAbsolute) { var rez = this.oldGetPosition(onlyAbsolute); rez.top = getTopPosition() + 20; return rez; } }; $.extend($.fancybox, fancyboxExtensions); /*var orig2 = $.fancybox.showLoading; $.extend($.fancybox, { showLoading: function () { var el, viewport; var F = this; var D = $(document); F.hideLoading(); el = $('<div id="fancybox-loading"><div></div></div>').click(F.cancel).appendTo('body'); var topPosition = getTopPosition() + 150; el.css({ position: 'fixed', top: topPosition+"px", left:"50%" }); // If user will press the escape-button, the request will be canceled D.bind('keydown.loading', function (e) { if ((e.which || e.keyCode) === 27) { e.preventDefault(); F.cancel(); } }); }, });*/ } /*$.fancybox.helpers.overlay = { defaults: { closeClick: true, // if true, fancyBox will be closed when user clicks on the overlay speedOut: 200, // duration of fadeOut animation showEarly: true, // indicates if should be opened immediately or wait until the content is ready css: {}, // custom CSS properties locked: true, // if true, the content will be locked into overlay fixed: true } }*/ }); // to be use in bootstrap function getTargetFromTrigger($trigger) { var href var target = $trigger.attr('data-target') || (href = $trigger.attr('href')) && href.replace(/.*(?=#[^s]+$)/, '') // strip for ie7 return $trigger.closest(".template-container").find(target); } // to load script and css dynamically var loadedScripts = []; function loadScripts(arr, callback) { if (!$.isArray(arr)) { arr = [arr]; } for (var i = arr.length – 1; i >= 0; i–) { if (loadedScripts.indexOf(arr[i]) >= 0) { arr.splice(i, 1); } else { //loadedScripts.push(arr[i]); } } var progress = 0; arr.forEach(function (script) { $.getScript(script, function () { if (++progress == arr.length) callback(); }); }); } function loadCSS(path) { var ss = document.styleSheets; for (var i = 0, max = ss.length; i < max; i++) { if (ss[i].href == path) return; } var fileref = document.createElement("link") fileref.setAttribute("rel", "stylesheet") fileref.setAttribute("type", "text/css") fileref.setAttribute("href", path); document.getElementsByTagName("head")[0].appendChild(fileref) } function checkPosition(container) { container.each(function () { var actualContainer = $(this); if ($(window).scrollTop() + $(window).height() * 0.5 > actualContainer.offset().top) { actualContainer.addClass('is-visible'); } }); } function getOffsetTop(elem) { var offsetTop = 0; do { if (!isNaN(elem.offsetTop)) { offsetTop += elem.offsetTop; } } while (elem = elem.offsetParent); return offsetTop; } function getIframePosition() { if (window.self == window.top) { return 0; } var iframes = window.parent.document.getElementsByTagName('iframe'); var yourURL = window.location.href; var iframe = null; for (var i = 0; i < iframes.length; i++) { if (yourURL.indexOf(iframes[i].src) != -1) { iframe = iframes[i]; break; } } //var rect = iframe.getBoundingClientRect(); var top = 0; if (iframe) { top = $(iframe).offset().top; } return top; } function getTopPosition() { var origScrollTop = $(window.parent.document).scrollTop(); var iframetop = getIframePosition(); //////console.log(iframetop+"::"+$(window.parent.document).scrollTop()); iframetop = origScrollTop – iframetop; if (iframetop < 0) { iframetop = 0; } return iframetop; } function mypopup(popupid) { var origScrollTop = $(window.parent.document).scrollTop(); var modelid = popupid.getAttribute("data-target"); var iframetop = 0; if (window.self != window.top) { iframetop = getTopPosition(); } $(modelid).removeAttr("tabindex"); $(modelid).removeClass("fade"); $(modelid + " .modal-dialog").css('top', iframetop + 'px'); //$(modelid + " .modal-dialog").css('margin-top','15px'); $(modelid).modal("toggle"); if (navigator.userAgent.indexOf('MSIE') !== -1 || navigator.appVersion.indexOf('Trident/') > 0) { $(window.parent.document).scrollTop(origScrollTop); setTimeout(function () { $(window.parent.document).scrollTop(origScrollTop); }, 50); } } //draggable funtionality – credits to http://css-tricks.com/snippets/jquery/draggable-without-jquery-ui/ function drags(dragElement, resizeElement, container, labelContainer, labelResizeElement) { dragElement.on("mousedown vmousedown", function (e) { dragElement.addClass('draggable'); resizeElement.addClass('resizable'); var dragWidth = dragElement.outerWidth(), xPosition = dragElement.offset().left + dragWidth – e.pageX, containerOffset = container.offset().left, containerWidth = container.outerWidth(), minLeft = containerOffset + 10, maxLeft = containerOffset + containerWidth – dragWidth – 10; dragElement.parents().on("mousemove vmousemove", function (e) { leftValue = e.pageX + xPosition – dragWidth; //constrain the draggable element to move inside his container if (leftValue < minLeft) { leftValue = minLeft; } else if (leftValue > maxLeft) { leftValue = maxLeft; } widthValue = (leftValue + dragWidth / 2 – containerOffset) * 100 / containerWidth + '%'; $('.draggable').css('left', widthValue).on("mouseup vmouseup", function () { $(this).removeClass('draggable'); resizeElement.removeClass('resizable'); }); $('.resizable').css('width', widthValue); updateLabel(labelResizeElement, resizeElement, 'left'); updateLabel(labelContainer, resizeElement, 'right'); }).on("mouseup vmouseup", function (e) { dragElement.removeClass('draggable'); resizeElement.removeClass('resizable'); }); e.preventDefault(); }).on("mouseup vmouseup", function (e) { dragElement.removeClass('draggable'); resizeElement.removeClass('resizable'); }); } function updateLabel(label, resizeElement, position) { if (label.length == 0) { return; } if (position == 'left') { (label.offset().left + label.outerWidth() < resizeElement.offset().left + resizeElement.outerWidth()) ? label.removeClass('is-hidden') : label.addClass('is-hidden'); } else { (label.offset().left > resizeElement.offset().left + resizeElement.outerWidth()) ? label.removeClass('is-hidden') : label.addClass('is-hidden'); } } /*** Global function end here */ /**** content_with_pagination template start here ****/ function ContentWithPaginationTemplate(pid) { pid = "#" + pid + ".content_with_pagination_template "; var count=0; loadScripts("https://myclasses.southuniversity.edu/shared/plugins/pagination/jquery.bootpag.min.js", function () { count=$(pid+'.pages').length; init(); }); /* function contentWidth() { var contentWidth = $(pid).width(); // ////console.log("content="+contentWidth); $(pid+ " .bgcolor").css("width", contentWidth); }*/ function init() { $(pid+ '#media_1 #page-selection').bootpag({ total: count }).on("page", function (event, /* page number here */ num) { //$("#content").html(+num); // some ajax content loading… var contentId = $(pid+ "#media_1 #page_" + num).attr("id").split("_")[1]; var visibleContent = $(pid+ "#media_1 #page_" + num).html(); $(pid+ "#media_1 #content").html(visibleContent); // some ajax content loading… paginationItemcss(); fadeinout(); //contentWidth(); }); paginationItemcss(); //contentWidth(); } function fadeinout() { //alert("DSAd"); $(pid+ "#media_1 .parentContent").fadeIn(5000, function () { }); } function paginationItemcss() { $(pid+ "#media_1 #page-selection ul").addClass("pagination-sm"); $(pid+ "#media_1 #page-selection > ul > li >a").css("color", "#666666"); $(pid+ "#media_1 .prev .disabled").css("display", "none"); // $(pid+ "#media_1 #page-selection > ul > li.prev a,"+pid+"#media_1 #page-selection > ul > li.next a").html(""); $(pid+ '#media_1 #page-selection > ul > li.prev a').html("<span style='position:relative;bottom:12px;'>‹</span>"); $(pid+ '#media_1 #page-selection > ul > li.next a').html("<span style='position:relative;bottom:12px;'>›</span>"); $(pid+ '#media_1 #page-selection > ul > li.prev.disabled a span,'+pid+'#page-selection > ul > li.next.disabled a span').css("color", "#cccccc"); //$("#page-selection > ul > li a").attr("href","javascript:void(0);"); $(pid+ "#media_1 #page-selection > ul > li a").css("outline", "none"); } /*$(window).resize(function () { contentWidth(); });*/ paginationItemcss(); //contentWidth(); } /*** content_with_pagination template end here ***/ /**** image_comparison template start here ****/ function ImageComparision(pid) { pid = "#" + pid; loadCSS("https://curdevstaging.courseassets.com/LIVEcourse/aio/Pinnacle/FNDA150_Media/AI_FNDA150_W3_G18_TabImageCompression/css/image_Comparision.css"); checkPosition($(pid + '.image_comparison_template .cd-image-container')); $(window).on('scroll.ImageComparision', function () { checkPosition($(pid + '.image_comparison_template .cd-image-container')); }); //make the .cd-handle element draggable and modify .cd-resize-img width according to its position $(pid + '.image_comparison_template .cd-image-container').each(function () { var actual = $(this); drags(actual.find('.cd-handle'), actual.find('.cd-resize-img'), actual, actual.find('.cd-image-label[data-type="original"]'), actual.find('.cd-image-label[data-type="modified"]')); }); //upadate images label visibility $(window).on('resize.ImageComparision', function () { $(pid + '.image_comparison_template .cd-image-container').each(function () { var actual = $(this); updateLabel(actual.find('.cd-image-label[data-type="modified"]'), actual.find('.cd-resize-img'), 'left'); updateLabel(actual.find('.cd-image-label[data-type="original"]'), actual.find('
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
