ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
"Interpreters don't tell you everything": experiences with medical interpretation among Latino cancer patients and caregivers with limited English proficiency.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Lessons from the field: culturally grounded approaches to recruiting Chinese American immigrant cancer patients to psycho-oncology trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Patient and Caregiver Perspectives on Language Access in Two St. Louis Emergency Departments.Journal of immigrant and minority health · 2026Article
- When Care Depends on the Caregiver: Lived Experiences of Latino Families Navigating Dementia Care Pathways.medRxiv : the preprint server for health sciences · 2026Article
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Authors and funding
14 authors.
Funding
Abstract
purposeLanguage is an underrecognized social driver of health that disproportionately affects Hispanic/Latino (H/L) patients and can negatively impact comprehension and engagement with medical care. Professional interpretation services can help overcome language barriers in the clinic or hospital setting; however, interpreters are not universally available and, even when they are, the quality of communication can be limited. In this secondary analysis of a qualitative study which examined the barriers and facilitators H/L patients and their caregivers experience when navigating rectal cancer care, we sought to explore how Spanish-speaking rectal cancer patients and their caregivers communicated with oncology providers and the ways in which professional interpretation may have facilitated or detracted from their care experiences.
methodsWe conducted a community-partnered qualitative study to explore H/L patients with rectal cancer and their caregivers' experiences with medical interpretation during their oncologic care. We developed an interview guide based on the Ecological Model of Health Behavior and iteratively refined it with input from our Community Advisory Board. Data analysis utilized grounded theory and reflexive thematic analysis to identify core themes.
resultsOver a 6-month period, we conducted 21 semi-structured interviews. Three major themes related to language arose from our review of coded transcripts: (1) interpreters' use of medical jargon; (2) dialect discordance between patient and hospital interpreter; and (3) lack of trust in the interpretation process.
conclusionOur sample of H/L rectal cancer patients and their caregivers reported barriers due to overuse of medical jargon and dialectic differences, both of which eroded trust in the interpretation process. Beyond simply hiring more interpreters, hospitals would benefit from re-envisioning the patient-interpreter relationship as a means of improving communication and fostering trust in the healthcare system.
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