Zusammenfassung

Providing language access in an extensive and rapidly growing limited English proficiency (LEP) population is a challenge to already short-staffed language and cultural services. A Focused Delivery Service approach to language and cultural services assures the best availability of service to patients and families in high patient volume clinics and treatment care units. This model minimizes wait periods and maximizes availability of language and cultural services. The model supports specialization (e.g., paediatric cancer), increasing communication effectiveness. The focused service model generates a deeper understanding of the culture of that particular field of medicine, making the language and cultural specialist more receptive and aware of patient/family needs during interactions. This model has a positive impact in a family centered care programme because of continuity factors, education, interdisciplinary communication, and it provides an atmosphere of trust both to clinicians and patients/families.

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