Ecosystem for credentialing and supporting a bilingual provider workforce

用于认证和支持双语提供商劳动力的生态系统

基本信息

批准号：
9367539
负责人：
WILLIAM Z TAN
金额：
$ 61.95万
依托单位：
TRANSCENDENT INTERNATIONAL, LLC
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-08-10 至 2019-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9367539
关键词：
Address Administrator Admission activity Adopted Adoption Area Caring Censuses Clinical Clinical assessments Communication Competence Credentialing Databases Decision Making Diamond Directories Ecosystem Effectiveness Ethics Family member Feedback Fostering Foundations Funding Generic Drugs Health Health Personnel Healthcare Hospitals Human Resources Institutes Institution Knowledge Language Language Tests Lead Length of Stay Limited English Proficiency Linguistics Logistics Medical Methods Modeling Observational Study Outcome Patient Care Patient Self-Report Patients Pharmaceutical Preparations Phase Population Procedures Provider Quality of Care Reading Recommendation Reporting Role Services Small Business Innovation Research Grant Standardization Surveys System Technology Telephone Testing Training Translations Validation Work Writing base bilingualism career cost design experience health care delivery innovation interest language training medical schools medical specialties patient population prototype quality assurance response skills success

项目摘要

Limited English proficient (LEP) patients who struggle to understand their care providers report difficulty navigating both administrative and clinical procedures, leading to poorer outcomes than their English-proficient counterparts. Despite numerous federal and state mandates requiring adequate language assistance, healthcare organizations have had limited success in implementing appropriate services. Facing a shortage of certified medical interpreters, hospitals frequently utilize ad hoc or “dual role” interpreters, many of whom are bilingual staff with self-reported medical fluency. While convenient and sometimes unavoidable, such ad hoc interpreters are more likely to make critical translation errors that can potentially lead to preventable clinical complications; in fact, it has been found that 20% of dual role interpreters are unfit to perform medical interpretation. Despite the increasing reliance on personnel with self-reported bilingual fluency to deliver critical health information to vulnerable patient populations, there is no rigorous and scalable method for assessing bilingual communicative competence in healthcare. This deficit not only renders improvements upon language services difficult, but also deprives qualified bilingual personnel the due recognition and career-advancing credentials they deserve for their skills. This Topical Assessment of Language Knowledge (TALK) initiative aims to deliver a comprehensive support ecosystem for the bilingual healthcare workforce, consisting of a medical bilingual proficiency exam, a scorer workflow management portal, and a searchable directory of credentialed bilingual healthcare personnel. Further, based on proficiency exam results, TALK will offer recommendations for additional language training matched to a test-taker's areas of weakness, creating a mechanism for continued improvement of their valuable skillset. This systematic approach will provide the necessary support for fostering standardization, increased transparency, and quality assurance in instances of bilingual medical communication. The effectiveness of this approach will be evaluated through implementation with administrators, healthcare workers, assessment test scorers, and other pertinent stakeholders.

英语水平有限 (LEP) 的患者很难理解其护理提供者的意思，他们表示在管理和临床程序上遇到困难，导致其结果比英语熟练的患者更差，尽管联邦和州政府要求提供足够的语言帮助，但医疗机构的能力有限。面对缺乏经过认证的医疗口译员，医院经常使用临时或“双重角色”口译员，其中许多是自称精通医疗的双语工作人员，这种情况虽然方便，但有时是不可避免的。临时口译员更有可能犯下严重的翻译错误，这可能会导致可预防的临床并发症；事实上，尽管越来越依赖自我报告的人员，但仍有 20% 的双重角色口译员不适合进行医疗口译。由于双语流利程度无法向弱势患者群体提供重要的健康信息，因此没有严格且可扩展的方法来评估医疗保健中的双语沟通能力，这种缺陷不仅导致语言服务的改进变得困难，而且还剥夺了合格的双语人员的能力。这项语言知识主题评估 (TALK) 计划旨在为双语医疗保健人员提供全面的支持生态系统，其中包括医学双语能力考试、评分员工作流程管理门户。此外，TALK 将根据能力考试结果提供与考生薄弱环节相匹配的额外语言培训建议，从而创建一个持续的机制。这种系统化的方法将为双语医疗沟通的标准化、提高透明度和质量保证提供必要的支持。这种方法的有效性将通过管理人员、医护人员、评估测试评分员的实施来评估。以及其他相关利益相关者。