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Article
Publication date: 20 June 2016

Moon Lee, Mary Sobralske, Ellen Raney and Brian Carino

The purpose of this paper is to determine whether there were differences in clinical encounter time between patients who speak English and those who require an interpretation…

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Abstract

Purpose

The purpose of this paper is to determine whether there were differences in clinical encounter time between patients who speak English and those who require an interpretation service in an ethnically diverse pediatric clinic.

Design/methodology/approach

Encounter time with patients requiring interpretation was compared to encounter time with patients who spoke English. The sample consisted of 310 encounters at a pediatric orthopedic clinic where patients spoke over 18 primary languages. Data were analyzed using ANOVA to compare four types of encounters.

Findings

Approximately 12 percent (n=38) required interpretation and encounters requiring interpretation took 30 percent (nine minutes) longer than those that did not, p < 0.01(25 vs 16 minutes). Furthermore, this difference was mainly among new patients: Approximately, 53 percent increase in time for new patient encounters requiring interpretation (36 vs 23 minutes) while only 25 percent increase in encounter time for established patients (20 vs 16 minutes) was detected.

Research limitations/implications

Preventing problems due to language barriers requires time for interpretation which places demands on staff resources and presents clinical challenges. However, long-term benefits of quality health care outweigh the costs associated with interpretation service.

Originality/value

To the knowledge, this is the first study to investigate actual encounter time differences in a pediatric clinical setting. The authors found that clinical encounters requiring interpretation took approximately nine minutes longer in general and four minutes longer for established patients. These findings could give much needed information for hospital administrators to allocate appropriate amounts of time and resources to care for those who need interpretation services. However, they also indicate a broader concern of the reduction of clinical encounter time for overall health care system in the country that might need further investigation.

Details

Journal of Health Organization and Management, vol. 30 no. 4
Type: Research Article
ISSN: 1477-7266

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Publication date: 14 October 2024

Rajeev Semwal

Cultural sensitivity is a vital issue in heritage site management, encompassing a profound respect for cultural variety, traditions and values. This delves into the significance…

Abstract

Cultural sensitivity is a vital issue in heritage site management, encompassing a profound respect for cultural variety, traditions and values. This delves into the significance of cultural sensitivity in heritage site management, emphasising its function in maintaining cultural authenticity while ensuring a high-quality traveller revel in. Heritage site management necessitates a cautious and respectful method to the maintenance of cultural authenticity. Cultural sensitivity entails recognising the cultural significance of heritage sites, the groups that defend them and the sacred rituals that imbue these sites with ancient and cultural value. Cultural sensitivity is important for heritage site management. It shows how respecting these locations and their communities' cultural legacy is essential to cultural authenticity. By creating a harmonious balance between conservation and a meaningful vacation experience, cultural sensitivity ensures that background sites have a good time and shield their cultural authenticity. This also explores diverse techniques for promoting cultural sensitivity in heritage site management, consisting of network involvement, regulatory frameworks, collaborative partnerships and addressing cultural insensitivity. It emphasises the significance of instructing traffic, setting respectful behaviour codes and engaging with neighbourhood groups to ensure the maintenance of cultural and heritage. Cultural sensitivity serves as a cornerstone in heritage site management, guiding the sensitive dance among retaining cultural authenticity and offering a memorable experience for site visitors. It is a fundamental principle that guarantees heritage sites are reputable, celebrated and preserved in a way that aligns with their cultural importance while fostering a respectful and tasty tourist experience.

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