Among the Chinese subgroup of the AAPI population, the share of those 50 and older with LEP rises to 61 percent. In the US, Asian Americans and Pacific Islanders (AAPI) are the population group most likely to be limited English proficient, with half of AAPI adults 50 and older considered to be such. People with limited English proficiency (LEP, defined as speaking English less than “very well”) are more likely to report problems understanding medical situations. But how do patients engage in shared decision making or make other health-related decisions when they or their family caregiver have a limited understanding of English? Shared decision making is a way for patients, families and providers to jointly reach a decision about a test or treatment while considering its benefits and harms as well as the patient’s values and tolerance for risk. En español | As the US health care system transforms to more value-based care, patient-centered care has evolved as a movement, from solely treating a disease toward a more holistic understanding of patients’ problems and their desired outcomes.
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