Illuminating the Shadows: Refugee and Migrant-Led Analysis of Language In-access in Health Care as a Product of White Structural and Cultural Dominance

Final Report: Illuminating the Shadows: Refugee and Migrant-Led Analysis of Language In-access in Health Care as a Product of White Structural and Cultural Dominance

RCP’s Community Research for Health Equity, funded by the Robert Wood Johnson Foundation, project focused on understanding the implications of language in-access in healthcare in the Triangle (Durham, Wake, and Orange County) region of North Carolina for refugee and migrant communities. This project examined the realities that Low English Proficiency (LEP) patients experience, negative outcomes for patient health, and community recommendations for providers and healthcare administrators to implement in their work. Our project, conducted over the course of 3 years, used a community-based participatory method to elucidate insights and recommendations, with data coming from RCP’s seminal Language Navigator (LN) Program, community health forums conducted in people’s primary language, individual interviews conducted using simultaneous interpretation, and language access policy reviews.

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