Clear, effective communication between healthcare providers and their patients is essential for improving health outcomes, especially within minority communities. However, the path to understanding isn’t always straightforward.
While speaking the same language as your patients — that is, providing translations, interpreting, etc. — goes a long way, it’s not the only way to ensure that you’re communicating effectively with your patients. The words we use are just one aspect of communication. Other, non-verbal aspects of communication such as cultural understanding, shared experiences, and body language play equally crucial roles in building trust and ensuring messages resonate.
That’s where community health workers, also referred to as “promotores de salud” in Spanish-speaking circles, come in. These dedicated individuals serve as trusted liaisons who bridge the healthcare access gap and cultivate lasting trust within vulnerable populations.
According to MHP Salud, a non-profit organization that focuses on improving access to social services and healthcare in underserved communities, promotores de salud “use their insights and knowledge of cultural norms to provide relevant health information and education to help Hispanics work through the barriers they face when addressing complex issues such as sexual assault, navigating the health care system, and gaining access to affordable fresh and nutritious foods.”
In this blog post, we’ll take a closer look at what community health workers and promotores de salud do to boost patients’ confidence in and understanding of their care. We’ll also talk about how your organization can work with them to improve your language access measures and go beyond translation and interpretation to provide patients with a truly equitable healthcare experience.
Who are community health workers?
As the American Public Health Association defines them, a community health worker “is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served.”
For healthcare organizations that work closely with immigrant populations who have limited English proficiency (LEP), community health workers who are knowledgeable about or members of the relevant immigrant communities can be especially powerful liaisons between the care team and their patients. Promotores de salud are one prominent example of such community health workers — promotores de salud aim to bridge the gap between healthcare providers and their Hispanic patients with LEP.
Because community health workers are already members of the community they serve, patients may be more trusting toward them, enabling more effective communication from the get-go.
What do community health workers do?
Community health workers help individuals with a wide range of healthcare-related tasks and provide them with valuable information about how to navigate the complexities of the American healthcare system.
In many cases, community health workers play an educational role — they inform patients about what services are available to them, helping them find informational materials that have already been translated into their language, and providing them with resources to lead a healthy lifestyle. They also provide support, helping patients schedule doctor’s appointments, working together with them to fill out administrative paperwork or apply for low-cost medical insurance programs, acting as a sort of liaison between the patient and their providers.
How do community health workers bridge language gaps?
Community health workers are not language service professionals — you wouldn’t necessarily go to them to provide interpretation services for a patient with LEP. But they still play a valuable role in improving health outcomes for patients with LEP, as they speak the patient’s language and help them navigate the healthcare system in their preferred language.
Unlike interpreters — whose role is primarily linguistic — community health workers can check in with the patient to make sure that they fully understand the implications of what their caretaker is telling them. Thanks to their knowledge of the patient’s cultural background, they can provide additional information in a way that is not only linguistically appropriate, but also culturally appropriate. In this sense, community health workers allow care teams to cover all of their bases when it comes to communicating with the patient — they can rest easy knowing that their patient fully understands their condition.
Additionally, community health workers can enrich your multilingual outreach efforts — after all, you may have plenty of translated materials on hand, but they won’t be useful to patients unless they know how and where to access them. One critical part of community health workers’ job is to help patients find healthcare-related information that’s been translated into their language.
Summary
Community health workers empower patients from underserved backgrounds to advocate for themselves in a healthcare setting. For patients with LEP, they are particularly invaluable as they ensure that language isn’t the only barrier addressed—they also make sure information is provided in a trustworthy and culturally relevant way.
By building a good rapport with patients and providing culturally tailored health information, community health workers enable patients to better understand their health, access essential services, and make informed decisions about their care.
If you’re looking to learn more about the role community health workers can play in your organization, Avantpage can help. We provide language access consulting services and can help you develop a language access plan that centers cultural relevance — contact us today at [email protected] or (530) 750-2040 to learn more.
