More Research is Needed to Understand the Impact of Language Discordance in Long-Term Care in Canada




language, long-term care, outcome assessment, health equity.


There is consistent evidence highlighting the risks of language barriers and discordance to quality care and patient safety, especially in primary care and hospital settings. However, there has been limited research on the impact of language barriers and discordance on quality care for older individuals residing in long-term care. In this commentary, we highlight select studies on differences in health care access and outcomes that linguistic minorities experience in Canadian long-term care homes, and discuss the importance of tackling language barriers and discordance to equitable long-term care. This article reflects on the impact of language discordance in health care, an identified determinant of health disparities, and calls for further research on health inequity experienced by older adults in Canada as well as strategies toward more equitable care.


Author Biographies

Alixe Ménard, University of Ottawa

MSc Student in Interdisciplinary School of Health Sciences, University of Ottawa


Mary M Scott, Bruyère Research Institute

Research Coordinator, Bruyère Research Institute

Annie H Sun, Bruyère Research Institute

Research Assistant, Bruyère Research Institute

Anna Cooper-Reed, Bruyère Research Institute

Research Assistant, Bruyère Research Institute

Prabasha Rasaputra, Bruyère Research Institute

Research Assistant, Bruyère Research Institute

Amy T Hsu, Bruyère Research Institute; Ottawa Hospital Research Institute, and University of Ottawa

Investigator, Bruyère Research Institute


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