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General practitioners' views on consultations with interpreters: a triad situation with complex issues.

Nabi Fatahi¹, Mikael Hellström, Carola Skott

¹Department of Radiology, Sahlgrenska University Hospital, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden. nabi.fatahi@allmed.gu.se

Scandinavian Journal of Primary Health Care

|February 26, 2008

Summary

General practitioners (GPs) in Sweden view cross-cultural consultations through interpreters as requiring active participation from GPs, interpreters, and patients. Optimizing these consultations involves addressing communication barriers and practical factors for better primary healthcare outcomes.

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Area of Science:

Medical Sociology
Primary Healthcare Research
Communication Studies

Background:

Cross-cultural communication in primary healthcare presents unique challenges.
Interpreters play a crucial role in facilitating or hindering GP-patient interactions.
Understanding general practitioners' perspectives is key to improving these consultations.

Purpose of the Study:

To explore general practitioners' (GPs) views on cross-cultural consultations utilizing interpreters in Swedish primary healthcare.
To identify facilitators and barriers in consultations involving interpreters.

Main Methods:

Qualitative study employing two group and three personal interviews with experienced GPs.
Content analysis of transcribed interviews to categorize findings.
Focus on general practitioners' responses and opinions regarding interpreter-mediated consultations.

Main Results:

Optimal consultations require active roles from GPs, interpreters, and patients, with interpreters acting as neutral information bridges.
GPs must acknowledge cultural inequalities and the role of interpreters.
Factors like physical arrangement, consultation time, and interpreter consistency impact outcomes.

Conclusions:

Communication barriers in cross-cultural consultations can stem from GPs, interpreters, patients, or environmental factors.
Strategies to mitigate misunderstandings in GP-patient encounters via interpreters are proposed.
Enhancing interpreter-mediated primary healthcare requires a multi-faceted approach.