1. MedlinePlus Consumer Health Information in Multiple Languages RHIN Conference November 17, 2008 Paula Kitendaugh Head, References & Web Services, PSD

2. MedlinePlus Layperson Patient/Family Member Public and Hospital Librarians Healthcare Providers

3. Study: Hospitals and Patients with Limited English Proficiency (LEP) Hospital Language Services for Patients with Limited English Proficiency: Results from a National Survey (2006), HRET and American Hospital Association

4. Study: Physicians and LEP 65% of physicians see LEP patients 80 different languages encountered 28% do not provide translated information or forms for patients 15 minutes longer- average time per patient LEP office visit takes Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians (2006) American College of Physicians N = 1261 responding physicians who provide direct patient care at least 20 hours per week

5. Patients with fair to poor health literacy: English speaking patients Non-English speakers

6. Quality Consumer Health Information Criteria Authoritative Up-to-date Written for consumer audience Additional criteria for language collection: United States audience English equivalent Translation process or review indicated

15. What’s Popular – Languages 1. Chinese - Simplified 2. Japanese 3. French 4. Arabic 5. Portuguese 6. Chinese - Traditional 7. Vietnamese 8. Russian 9. Tagalog 10. Italian 简体中文 日本語 français العربية português Русский af Soomaali

16. What’s Popular – Topics 1. Diabetes (4 th most popular English topic) 2. High Blood Pressure (2) 3. Tuberculosis (45) 4. Sexually Transmitted Diseases (9) 5. Pregnancy (15) 6. Breast Cancer (21) 7. Pneumonia (102) 8. Stroke (56) 9. Heart Diseases (69) 10. Exercise and Physical Fitness (54)

17. Improvements & Challenges More languages and more topics Links to cultural information for providers Improve discovery for non-English speakers Go Local provider language identification