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e-Article

Limited English Proficiency in Older Adults Referred to the Cardiovascular Team.
Document Type
article
Source
The American journal of medicine. 136(5)
Subject
Geriatric Cardiology and Cardiovascular Team Councils of the American College of Cardiology
Humans
Communication Barriers
Language
Aged
Limited English Proficiency
Cardiovascular disease
Geriatrics
Language barriers
Language interpreter services
Limited English proficiency
Older adults
Technology
Clinical Research
Patient Safety
Aging
Health Services
Cardiovascular
8.1 Organisation and delivery of services
Health and social care services research
7.3 Management and decision making
Management of diseases and conditions
Good Health and Well Being
Medical and Health Sciences
General & Internal Medicine
Language
Abstract
Limited English proficiency (LEP) is defined as individuals in whom English is not the primary language and who have limited ability to read, speak, write, or understand the English language. Cardiovascular (CV) team members routinely encounter language barriers in their practice. These barriers have a significant impact on the quality of CV care that patients with LEP receive. Despite evidence demonstrating the negative association between language barriers and health disparities, the impact on CV care is insufficiently known. In addition, older adults with CV disease and LEP are facing increasing risk of adverse events when complex medical information is not optimally delivered. Overcoming language barriers in CV care will need a thoughtful approach. Although well recognized, the initial step will be to continue to highlight the importance of language needs identification and appropriate use of professional interpreter services. In parallel, a health system-level approach is essential that describes initiatives and key policies to ensure a high-level quality of care for a growing LEP population. This review aims to present the topic of LEP during the CV care of older adults, for continued awareness along with practical considerations for clinical use and directions for future research.