What can be a barrier to accessing healthcare for individuals with limited English proficiency?

• A. Lack of linguistic competency in the healthcare system
• B. Excessive cultural safety training
• C. Availability of bilingual staff
• D. Over-utilization of health literacy materials

Answer: (A)

Language barriers in healthcare prevent effective communication for people with limited English proficiency, making it hard for them to access care. When the system lacks linguistic competency—no professional interpreters, few translated materials, and few or no bilingual clinicians—patients can’t clearly explain symptoms, understand explanations of diagnosis or treatment, or follow instructions correctly. Informed consent may be misunderstood, dosing and medication instructions can be misinterpreted, and follow-up needs may be missed. All of this can lead to delays, unsafe care, and decreased use of and satisfaction with healthcare services, which together reduce true access to care.

The other statements describe supports that would lessen barriers, not create them. Having more bilingual staff and good health literacy resources tends to improve access and understanding, while excessive cultural safety training is intended to enhance respectful care and communication, further supporting access.