Language Disparities in the PFT Lab: Implications for PFT Lab Quality Performance - Scorecard - MDSpire
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Addressing Language Barriers in Pulmonary Function Testing: Effects on Lab Quality and Patient Outcomes

  • By

  • David A. Kaminsky

  • July 14, 2026

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Clinical Scorecard: Addressing Language Barriers in Pulmonary Function Testing: Effects on Lab Quality and Patient Outcomes

At a Glance

CategoryDetail
ConditionLanguage Barriers in Pulmonary Function Testing
Key MechanismsImpact of language discordance on spirometry quality and patient outcomes.
Target PopulationPatients requiring pulmonary function testing, particularly non-English speakers.
Care SettingPulmonary 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.

Related Resources & Content

Original Source(s)

Language Disparities in the PFT Lab: Implications for PFT Lab Quality Performance

  • by David A. Kaminsky

  • July 14, 2026

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