The Cultural and Linguistic Services
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 English-SpanishManaged Care Glossary of Terms First Edition Developed by The Cultural and Linguistic Services Department 2004 Table of Contents Introduction
The rapid changes that occur in health care–particularly in managed care settings –create many challenges and opportunities that result in innovative ways of commu nicating with a linguistically diverse patient population. Many managed care health plans are charged with the translation of materials in many languages. In addition, there is a shortage of trained translators to help bridge this gap. Many health care organizations hire bilingual employees to assist in communi cating needs and issues to members. The intent of this glossary is to improve com munication–both spoken and written–to our Spanish speaking members. As we move to print this glossary, we know that 367,1 21–or 45%–of our members prefer the Spanish language when communicating with us. The Cultural and Linguistic Services Department has received many calls for assistance in providing a glossary, includ ing requests from customer service repre sentatives, translators, interpreters, vendors, physicians and clinics to name a few. L.A. Care Health Plan hopes that this first edition of the English-Spanish Managed Care Glossary of Terms is used to improve communication with Spanish speakers. Although this glossary is not exhaustive, it reflects an attempt to unify the usage of words that are consis tently used in a managed care setting. Many of the terms included in this glos sary were gleaned from several sources. They include our evidence of coverage, member letters, marketing materials and health education brochures. In developing this glossary, many steps were taken to ensure the quality of theinformation. The glossary of terms is also geographically based, reflecting the Spanish dialect spoken by Latinos residing in the Greater Los Angeles area. Linguistic chal lenges were plentiful in this venture to ensure that terms did not only convey the meaning or intent of a word or phrase from English to Spanish, but to also to unify the terminology. Some of the translation issues were with words such as “managed care,” “primary care physician” and “provider,” which are unknown to many Spanish-speaking patients. They are more accustomed to words like “hospital,” “clinic” and “doc tor.” The word “provider” is especially challenging for translators: “provider,” translates as, proveedor de servicios médicos who is better known in Spanish as doctor. There are no proveedores–only doctores. The lack of vocabulary designated for these new words force translators to “trans-create” some of these words in Spanish. Since there is no “unique” way to translate many of these terms, they represent the closest “meaning” of the word in Spanish, rather than a literal translation. Improving communication between patients and the health care delivery system is a multipronged process. This glossary of managed care terms in Spanish is only one effort to improve communication, and is designed to be used as a tool to maintain consistency of terms. Together in Health, Beatriz M. Solís, MPH Director Cultural and Linguistic Services L.A. Care Health Plan Acknowledgments L.A. Care wishes to acknowledge the many individuals who were involved with this project. Luz Blanco-Bicknell, Diana Sanchez, Elizabeth Nguyen, Sandra Becerra, Carla Ramirez, and Fátima Rodriguez were key staff members of the Cultural and Linguistic Services Department, who put much energy and effort to ensure the quality of this comprehensive glossary. Vivian Chitiva, our intern linguist, provid ed extensive assistance by including new terms and providing the detailed review of each word included in this glossary. We also received assistance from consultants on this product. We also would like to thank the Marketing Department, Young Chi in particular, for the fabulous layout and usability of this glossary, and Terry Kanakri for his editorial assistance. A A abbreviations • abreviaturas abdomen • abdomen abortion • aborto abuse • abuso access • acceso Access for Infants and Mothers (AIM) • programa AIM (program a de nutrición para infantes y madres) acid • ácido accidental injury • lesión causada por un accidente accidental tooth loss • pérdida accidental de un diente accountability • responsabilidad accredited organization • organización acreditada accrue • acumular ache • dolor acne • acné acknowledge • admitir; reconocer acquired immunodeficiency syndrome • A SIDA, Síndrome de Inmunodeficiencia Adquirida action plan • plan de acción; plan de tratamiento activate • activar activities of daily living (ADL) • actividades de la vida diaria; vida cotidiana acuity • acuidad; agudeza (especialmente de la vista) acupuncture • acupuntura acute • agudo acute care • tratamiento de enfermedades agudas acute conditions • padecimientos agudos addiction • adicción additional drug benefit • beneficios adicionales de medicinas adequate care • cuidado adecuado adjudicator (disability) • persona que emitirá un caso de incapacidad/discapacidad administration offices • oficinas administrativas administrative charges/costs • costos administrativos administrative hearing • audiencia administrativa admission • admisión; hospitalización; internación A adolescent medicine • medicina para adolescentes adopted child ( after adoption) • hijo adoptivo; niño adoptado adopted child (before adoption) • hijo por adoptar adopting parent • padre/madre que va a adoptar adoption agency • agencia de adopciones adoption assistance payment • pago de asistencia por adopción adoption placement agreement • con venio de colocación para adopción adoption service provider • proveedor de servicios de adopción adult chemotherapy • quimioterapia para adultos Adult Day Center (ADC) • centro social diurno para adultos Adult Day Health Center (ADHC) • Centro diurnio de salud para adultos Adult Day Treatment Center (ADTC) • Centro diurno de tratamiento para adultos adult preventive services • servicios A preventivos para adultos adult residencial facility • establecimiento residen cial para adultos adult urgent care • atención urgente para adultos adulthood • edad adulta advanced directive • poder médico por adelanto, en caso de que uno no pueda tomar sus propias decision es adverse effect • efecto desfavorable advanced stage • estado avanzado advocacy • abogacía; defensa advocate • defensor affidavit • declaración jurada affiliate • afiliado; sucursal affiliation • afiliación; asociación aged,blind and disabled • código de asistencia para personas de edad avanzada, ciegos y disc apacitados agent • agente; sustancia aid codes • códigos de asistencia Aid to Families with Dependent Children (AFDC) • Asistencia para Familias Con Niños Necesitados A all rights reserved • derechos reservados allergies • alergias alternative care • sistemas altern ativos de cuidado alcohol • alcohol alcoholic rehabilitation and treatment center • centro de tratamiento y rehabilitación para alcoh ólicos alimony • pensión alimenticia alternative payment program • programa de pagos altern ativos Alzheimer’s disease • enfermedad de Alzheimer; demencia progresiva ambulance • ambulancia ambulatory care • consulta externa; atención am bulatoria ambulatory setting • unidad para pacientes en consulta externa ambulatory status • condición de una persona para poder caminar ambulatory surgical center • centro de cirugía A am bulatoria American Disabilities Act (ADA) • Ley para estadounidenses con incapacidades analysis • análisis ancillary expenses • gastos suplem entarios ancillary services • servicios auxiliares anesthesia • anestesia; anestésico anesthesiologist • anestesiólogo; especialista en anestesiología anesthetic • anestesia animal bites • piquetes de animales; mordidas de anim ales ankle • tobillo anniversary date of agreement • fecha de aniversario del con venio annuity • pensión; pensión anual anorexia • anorexia answering services • servicio de mensajes telefónicos antibiotics • antibióticos antihistamines • antihistamínicos anti-i nflam matories • anti-inflamatorios A anus • ano anxiety • angustia, ansiedad aorta • aorta; arteria aorta Appeals Procedure Applicant (APA) • solicitante en procedimientos de apelación appendix • apéndice application • solicitud application process • proceso de solicitud apply • solicitar (beneficios) appointment center • centro para citas appointments • citas approved charge • cargo auto rizado approved health care facility • instalación de atención médica autorizada approved health care program • programa de atención médica autorizada arbitration • arbitraje arch • arco artery • arteria arthritis • artritis; reumas artificial • artificial; postizo aspirin • aspirina A assessment • asesoramiento assign • asignar; nombrar assignment • asignación assignment of benefits • asignación de beneficios assistive listening devices • dispositivos de ayuda auditiva asthma • asma at risk • que corre riesgo attending physician • médico encargado Attention Deficit Disorder (ADD) • enfermedad de falta de atención; trastorno de déficit de atención auto assignment • asignar automáticamente autoi mmune • autoinmune; resistencia a enferm edades authorization • autorización authorize • autorizar authorized representative • representante auto rizado average length of stay • promedio de estadía aware • tener conciencia; estar con ciente B babies • bebés B back injuries • lesiones de espalda back pain • dolor de espalda bacterial infections • infecciones bacterianas balance billing • factura para cobrar el saldo bald spots • calvicie bankruptcy • bancarrota bath tub lifts • elevadores para la tina de baño bed rai ls • baran dales para cam a: baran das para cam a bed rest • reposo absoluto behavior • comportamiento; con ducta behavioral health care • cuidado de los trastornos de comportamiento behavioral health service • servicios para la salud de la conducta beneficiary • beneficiario benefits identification card (BIC) • tarjeta de identificación de beneficios de Medi-Cal benefit interpretation manual • manual de explicación de los beneficios benefit level • nivel de beneficios benefit package • paquete de beneficios benefit period • duración de los beneficios |
