Evidence Tools
MCHbest. Medical Home: Usual Source of Sick Care.
Strategy. Respectful, Person-Centered Care and Language Services
Approach. Create or implement care and language services that are respectful and centered on the unique needs of the patient to expand access and improve communication for families seeking care
Overview. Offering high quality care and language services can address challenges that causes populations to access care less often.[1] Competent care and language services, when implemented at different levels of care, has been found to be helpful and appreciated by providers and patients alike.[1] Language services bridge communication gaps, enabling families to understand medical information and actively participate in decision-making regarding their child and their own health.[2] Evidence suggests that implementing competence training is well-received by professionals and that language-focused interventions may improve patient engagement.[3,4]
Evidence. Emerging Evidence. Strategies with this rating typically trend positive and have good potential to work...
Access the peer-reviewed evidence through the MCH Digital Library or related evidence source.
Potential Data Sources. Data to support this strategy can be accessed through:
- Provider cultural competency and humility assessments
- Disaggregated patient satisfaction data
- Language and interpreter services utilization data
Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):
- Patient Experience of Care. This study improves individuals' perceptions, feelings, and satisfaction with the healthcare services they receive.
- Provider Experience of Care. This strategy improves healthcare professionals' perceptions, feelings, and satisfaction with the work environment and systems they use.
- Quality of Care. This strategy promotes the degree to which healthcare services meet established standards aimed at achieving optimal health outcomes.
Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.
Intervention Type. Direct Care (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).
Intervention Level. Community-Focused
Examples from the Field. There are currently no ESMs that use this strategy. Search similar intervention components in the ESM database.
Sample ESMs. Here are sample ESMs to use as models for your own measures using the RBA framework (see The Role of Title V in Adapting Strategies).
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Quadrant 3:
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Quadrant 4:
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Note. When looking at your ESMs, SPMs, or other strategies:
- Move from measuring quantity to quality.
- Move from measuring effort to effect.
- Quadrant 1 strategies should be used sparingly, when no other data exists.
- The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.
Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.
References
[1] Handtke O, Schilgen B, Mösko M. Culturally competent healthcare - A scoping review of strategies implemented in healthcare organizations and a model of culturally competent healthcare provision. PLoS One. 2019 Jul 30;14(7):e0219971. doi: 10.1371/journal.pone.0219971. PMID: 31361783; PMCID: PMC6667133.
[2] Woloshin S, Schwartz LM, Katz SJ, Welch HG. Is language a challenge to the use of preventive services? J Gen Intern Med. 1997 Aug;12(8):472-7. doi: 10.1046/j.1525-1497.1997.00085.x. PMID: 9276652; PMCID: PMC1497155.
[3] Webb E, Sergison M. Evaluation of cultural competence and antiracism training in child health services. Arch Dis Child. 2003 Apr;88(4):291-4. doi: 10.1136/adc.88.4.291. PMID: 12651748; PMCID: PMC1719527.
[4] Harrison R, Walton M, Chitkara U, et al. Beyond translation: Engaging with culturally and linguistically diverse consumers. Health Expect. 2020; 23: 159–168. https://doi.org/10.1111/hex.12984