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：
9201815
负责人：
WILLIAM Z TAN
金额：
$ 22.5万
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 2017-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9201815
关键词：
Address Administrator Admission activity Adopted Adoption Area Caring Censuses Clinical Clinical assessments Communication Competence Credentialing Databases Decision Making 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 Marketing Medical Methods Modeling Observational Study Outcome Patient Care Patient Self-Report Patients Pharmaceutical Preparations Phase Population Procedures Provider Published Directory Qualifying Quality of Care Reading Recommendation Reporting Role Services Small Business Innovation Research Grant Standardization Surveys System Technology Testing Training Translations Validation Work Writing base bilingualism career 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.

有限的英语熟练（LEP）患者努力理解其护理人员的患者报告了行政和临床程序难以导航，导致与英语专业的同行相比，结果差。尽管有许多需要足够语言援助的联邦和州授权，但医疗组织在实施适当的服务方面取得了有限的成功。面对缺乏认证的医疗口译员，医院经常使用临时角色或“双重角色”口译员，其中许多人都是双语员工，具有自我报告的医疗流利性。虽然方便甚至不可避免，但此类临时口译员更有可能造成关键的翻译错误，这可能会导致可预防的临床并发症。实际上，已经发现20％的双重角色口译员不适合执行医学解释。尽管越来越多地依赖自我报告的双语流利性，可以向弱势群体提供关键的健康信息，但没有严格且可扩展的方法来评估医疗保健中的双语交流能力。这种辩护不仅使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应有的认可和职业生涯的资历。对语言知识（Talk）倡议的这种局部评估旨在为双语医疗保健劳动力提供全面的支持生态系统，包括由医学双语能力考试，得分手工作流程管理门户和可搜索的双语医疗保健人员的可搜索目录。此外，根据熟练考试的结果，Talk将为与测试者的弱点领域相匹配的其他语言培训提供建议，从而为继续提高其宝贵技能的机制提供了一种机制。这种系统的方法将为培养标准化，提高透明度和双语医学通信实例的质量保证提供必要的支持。该方法的有效性将通过管理人员，医护人员，评估测试得分手和其他相关利益相关者的实施来评估。