Language and Health: Investigating Patient-Provider Communications among Puerto Ricans (A Pilot Study) Public
Vena, Emily (Spring 2019)
Published
Abstract
This pilot study aims to evaluate how choice and use of language within patient-provider communications
affect how Puerto Rican asthmatic respondents perceive the progression of their chronic health condition.
Language concordant communication in the health care setting has been cited as an influential factor
contributing to overall patient satisfaction as depicted by patient compliance and intimate patient-provider
relationships. In this study, self-described bilingual Puerto Ricans with chronic asthma were asked to
respond to open-ended questions about their linguistic experiences while being treated for asthma in a
medical setting with the expectation that the use of their preferred language in the medical setting would
improve patient-provider communications as well as overall satisfaction with care for their chronic
condition. However, the current set of respondent narratives revealed that language ideology,
codeswitching, and institutional talk were three influential themes affecting all respondents’ linguistic
practices in the medical setting, as well as in daily life. In particular, four of the respondents reported
bilingual medical encounters which prompted explicit analysis as well as suggestions for future research
on this sociolinguistic phenomenon.
Table of Contents
INTRODUCTION (1-6)
LITERATURE REVIEW (7)
Linguistic and Cultural Concordance (7-9)
Personal Care and Patient Satisfaction (9-11)
Linguistic History of Puerto Rico and Bilingualism (11-14)
Language Ideology (15-20)
METHODOLOGY (20-22)
Figure 1: PARTICIPANT CHARACTERISTICS (22)
FINDINGS (23)
DISCUSSION (24)
Language Ideology (24-33)
Multilingualism and Codeswitching (33-39)
Institutional Talk (39-43)
CONCLUSION (43)
Reflections and Limitations (43-47)
Summary (47-48)
Suggestions for Future Research (48-49)
APPENDIX (49-51)
BIBLIOGRAPHY (51-58)
About this Honors Thesis
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