Addressing Language Barriers in Pulmonary Function Testing: Effects on Lab Quality and Patient Outcomes
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By
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David A. Kaminsky
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July 14, 2026
Clinical Scorecard: Addressing Language Barriers in Pulmonary Function Testing: Effects on Lab Quality and Patient Outcomes
At a Glance
| Category | Detail |
|---|
| Condition | Language Barriers in Pulmonary Function Testing |
| Key Mechanisms | Impact of language discordance on spirometry quality and patient outcomes. |
| Target Population | Patients requiring pulmonary function testing, particularly non-English speakers. |
| Care Setting | Pulmonary Function Testing Labs |
Key Highlights
- 19% of spirometry tests were conducted with language discordance.
- 24% of all tests received low-quality scores, with 40% in discordant subjects.
- Technologist experience of <12 months was associated with low-quality testing.
- In-person interpretation did not significantly improve test quality.
- Enhanced training for technologists and interpreters is recommended.
Guideline-Based Recommendations
Diagnosis
- Consider language preference when assessing patients for pulmonary function testing.
Management
- Implement enhanced education for interpreters and technologists.
Monitoring & Follow-up
- Regularly evaluate the quality of spirometry tests and technologist performance.
Risks
- Inadequate communication may lead to poor-quality spirometry results and mismanagement of lung disease.
Patient & Prescribing Data
Patients with asthma and other lung diseases, particularly those with non-English language preferences.
Language barriers can lead to worse outcomes and increased emergency care utilization.
Clinical Best Practices
- Ensure effective communication between patients and technologists.
- Utilize audiovisual aids to assist in patient understanding.
- Standardize training protocols for PFT technologists.
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