Use of Student Interpreters to Serve Limited English Proficient Patients

Abstract

Changing patient demographics and recently expanded federal guidelines require healthcare organizations to provide improved interpreter services to limited English proficient (LEP) patients. Access to health services for LEP patients has become a controversial public policy issue in the absence of consistent payment mechanisms and policies for recipients of federal funds affected by the guidelines. The experience of one hospital in addressing these new market demands illustrates some of the administrative, policy and educational challenges inherent in healthcare service delivery to LEP patients today. This hospital uses bilingual and bicultural college students preparing for careers in health care administration as interpreters. Preliminary data indicate that this is a cost-effective arrangement that can serve as a model for other health care organizations serving LEP patients, and as an incremental, operational coping stratagem while the broader policy issues undergo further debate.