Testing a novel theoretical framework to study language services implementation in health care.

Allison Squires, Lauren Gerchow, Chenjuan Ma, Eva Liang, Sarah Miner

Abstract read

In one paragraph

Article in PEC innovation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Allison SquiresRory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY, USA.

Lauren GerchowRory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY, USA.

Chenjuan MaRory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY, USA.

Eva LiangRory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY, USA.

Sarah MinerAbt Associates, Rockville, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Language services are used to bridge language barriers during healthcare encounters, with the goal of reducing health outcome inequities; however, the implementation of language services in healthcare is understudied. Language Planning Theory has the potential to offer a theoretical framework for studying language services implementation challenges and successes in healthcare. The purpose of this study was to test the three-level view model (3LVM) of Language Planning Theory for studying the implementation of language access services in healthcare. A qualitative secondary analysis of data generated from a study of patients with limited English proficiency receiving home healthcare services and clinicians working for the agency structured this study. Data were analyzed according to the 3LVM using directed content analysis. Results from the analysis provided insights into the factors that generate the need for language services and those that facilitate or hinder their implementation, with the theoretical framework offering clear distinctions. Analyses generated an adapted, healthcare-specific version of the model that includes clinician/staff and patient functions, which proved useful for structuring research about language access services implementation in health care.

Indexed as

Home health careHospitalsInterpreter servicesLanguage barrierLimited English proficiencyMedical interpretersNursesTheory

Identifiers

PMID40950799

DOI10.1016/j.pecinn.2025.100427

PMCPMC12423666

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LicenceCC BY

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.