English-Spanish Managed Care Glossary of Terms First Edition
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English-Spanish Managed Care Glossary of Terms First Edition Developed by The Cultural and Linguistic Services Department 2004 i Table of Contents Introduction The rapid changes that occur in health Introduction . .iii M . .58 care–particularly in managed care settings Acknowledgments . .vii N . .65 –create many challenges and opportunities that result in innovative ways of commu- A . .1 O . .67 nicating with a linguistically diverse patient B . .9 P . .71 population. Many managed care health C . .14 Q . .79 plans are charged with the translation of materials in many languages. In addition, D . .25 R . .79 there is a shortage of trained translators to E . .32 S . .83 help bridge this gap. F . .37 T . .93 Many health care organizations hire G . .42 U . .97 bilingual employees to assist in communi- cating needs and issues to members. The H . .45 V . .99 intent of this glossary is to improve com- I . .50 W . .100 munication–both spoken and written–to J . .54 X . .103 our Spanish speaking members. As we move to print this glossary, we know that K . .55 Y . .103 367,121–or 45%–of our members prefer L . .55 Z . .103 the Spanish language when communicating with us. iii iv The Cultural and Linguistic Services information. The glossary of terms is also Department has received many calls for geographically based, reflecting the Spanish assistance in providing a glossary, includ- dialect spoken by Latinos residing in the ing requests from customer service repre- Greater Los Angeles area. Linguistic chal- sentatives, translators, interpreters, vendors, lenges were plentiful in this venture to physicians and clinics to name a few. ensure that terms did not only convey the L.A. Care Health Plan hopes that this meaning or intent of a word or phrase from first edition of the English-Spanish English to Spanish, but to also to unify Managed Care Glossary of Terms is the terminology. used to improve communication with Some of the translation issues were with Spanish speakers. Although this glossary words such as “managed care,” “primary is not exhaustive, it reflects an attempt to care physician” and “provider,” which unify the usage of words that are consis- are unknown to many Spanish-speaking tently used in a managed care setting. patients. They are more accustomed to Many of the terms included in this glos- words like “hospital,” “clinic” and “doc- sary were gleaned from several sources. tor.” The word “provider” is especially They include our evidence of coverage, challenging for translators: “provider,” member letters, marketing materials and translates as, proveedor de servicios médicos health education brochures. who is better known in Spanish as doctor. In developing this glossary, many steps There are no proveedores–only doctores. were taken to ensure the quality of the The lack of vocabulary designated for v vi these new words force translators to “trans- Acknowledgments create” some of these words in Spanish. Since there is no “unique” way to translate L.A. Care wishes to acknowledge the many many of these terms, they represent the individuals who were involved with this closest “meaning” of the word in Spanish, project. Luz Blanco-Bicknell, Diana rather than a literal translation. Sanchez, Elizabeth Nguyen, Sandra Becerra, Improving communication between Carla Ramirez, and Fátima Rodriguez patients and the health care delivery system were key staff members of the Cultural is a multipronged process. This glossary and Linguistic Services Department, who of managed care terms in Spanish is only put much energy and effort to ensure the one effort to improve communication, and quality of this comprehensive glossary. is designed to be used as a tool to maintain Vivian Chitiva, our intern linguist, provid- consistency of terms. ed extensive assistance by including new terms and providing the detailed review of each word included in this glossary. We Together in Health, also received assistance from consultants on this product. We also would like to thank the Marketing Department, Young Beatriz M. Solís, MPH Chi in particular, for the fabulous layout Director and usability of this glossary, and Terry Cultural and Linguistic Services Kanakri for his editorial assistance. L.A. Care Health Plan vii viii A A abbreviations • abreviaturas abdomen • abdomen abortion • aborto abuse • abuso access • acceso Access for Infants and Mothers (AIM) • programa AIM (programa 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 ix 1 acquired immunodeficiency syndrome • admission • admisión; hospitalización; A SIDA, Síndrome de Inmunodeficiencia Adquirida internación A action plan • plan de acción; plan de tratamiento adolescent medicine • medicina para activate • activar adolescentes activities of daily living (ADL) • actividades de adopted child ( after adoption) • hijo la vida diaria; vida cotidiana adoptivo; niño adoptado acuity • acuidad; agudeza (especialmente de la adopted child (before adoption) • hijo por vista) adoptar acupuncture • acupuntura adopting parent • padre/madre que va a adoptar acute • agudo adoption agency • agencia de adopciones acute care • tratamiento de enfermedades agudas adoption assistance payment • pago de asistencia por adopción acute conditions • padecimientos agudos adoption placement agreement • convenio addiction • adicción de colocación para adopción additional drug benefit • beneficios adoption service provider • proveedor de adicionales de medicinas servicios de adopción adequate care • cuidado adecuado adult chemotherapy • quimioterapia para adjudicator (disability) • persona que emitirá adultos un caso de incapacidad/discapacidad Adult Day Center (ADC) • centro social diurno administration offices • oficinas administrativas para adultos administrative charges/costs • costos Adult Day Health Center (ADHC) • Centro administrativos diurnio de salud para adultos administrative hearing • audiencia Adult Day Treatment Center (ADTC) • Centro administrativa diurno de tratamiento para adultos 2 3 adult preventive services • servicios Aid to Families with Dependent Children A preventivos para adultos (AFDC) • Asistencia para Familias Con Niños A adult residencial facility • establecimiento Necesitados residencial para adultos all rights reserved • derechos reservados adult urgent care • atención urgente para adultos allergies • alergias adulthood • edad adulta alternative care • sistemas alternativos de cuidado advanced directive • poder médico por adelanto, alcohol • alcohol en caso de que uno no pueda tomar sus propias alcoholic rehabilitation and treatment decisiones center • centro de tratamiento y rehabilitación adverse effect • efecto desfavorable para alcohólicos advanced stage • estado avanzado alimony • pensión alimenticia advocacy • abogacía; defensa alternative payment program • programa de advocate • defensor pagos alternativos affidavit • declaración jurada Alzheimer’s disease • enfermedad de Alzheimer; demencia progresiva affiliate • afiliado; sucursal ambulance • ambulancia affiliation • afiliación; asociación ambulatory care • consulta externa; atención aged, blind and disabled • código de asistencia ambulatoria para personas de edad avanzada, ciegos y discapacitados ambulatory setting • unidad para pacientes en consulta externa agent • agente; sustancia ambulatory status • condición de una persona aid codes • códigos de asistencia para poder caminar 4 5 A ambulatory surgical center • centro de cirugía anti-inflammatories • anti-inflamatorios A ambulatoria anus • ano American Disabilities Act (ADA) • Ley para anxiety • angustia, ansiedad estadounidenses con incapacidades aorta • aorta; arteria aorta analysis • análisis Appeals Procedure Applicant (APA) • ancillary expenses • gastos suplementarios solicitante en procedimientos de apelación ancillary services • servicios auxiliares appendix • apéndice anesthesia • anestesia; anestésico application • solicitud anesthesiologist • anestesiólogo; especialista en application process • proceso de solicitud anestesiología apply • solicitar (beneficios) anesthetic • anestesia appointment center • centro para citas animal bites • piquetes de animales; mordidas appointments • citas de animales approved charge • cargo autorizado ankle • tobillo approved health care facility • instalación de anniversary date of agreement • fecha de atención médica autorizada aniversario del convenio approved health care program • programa de annuity • pensión; pensión anual atención médica autorizada anorexia • anorexia arbitration • arbitraje answering services • servicio de mensajes arch • arco telefónicos artery • arteria antibiotics • antibióticos arthritis • artritis; reumas antihistamines • antihistamínicos artificial • artificial; postizo 6 7 A aspirin • aspirina B assessment • asesoramiento babies • bebés assign • asignar; nombrar back injuries • lesiones de espalda assignment • asignación B back pain • dolor de espalda assignment of benefits • asignación de beneficios bacterial infections • infecciones bacterianas assistive listening devices • dispositivos de ayuda auditiva balance billing • factura para cobrar el saldo asthma • asma bald spots • calvicie at risk • que corre riesgo bankruptcy • bancarrota attending physician • médico encargado bath tub lifts • elevadores para la tina de baño Attention Deficit Disorder