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This study explores the nature and extent of Spanish language translation of hospital websites. A quantitative content analysis of 121 U.S. hospital websites located in Hispanic communities was conducted. Results indicate that a significant number of U.S. hospitals fail on their websites to offer equal content for Spanish language users. The study also examines several factors potentially associated with the incidence of website translation. First, organizational factors such as hospital size, ownership type and formal statements of diversity commitment are investigated. Second, demographic factors such as county population size and Hispanic population size are also considered. Hispanics' use of the Internet, the digital divide, culture's impact on Internet use, and eHealth provide a background for discussion of the findings.