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Setup and Execution Of the Blindfolded Code Training Exercise

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Getting by: underuse of interpreters by resident physicians.

Lisa C Diamond¹, Yael Schenker, Leslie Curry

¹Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven, CT, USA. diamondl@pamfri.org

Journal of General Internal Medicine

|December 18, 2008

Summary

This summary is machine-generated.

Physicians often "get by" without professional interpreters for patients with limited English proficiency (LEP), even when services are available. This complex decision-making involves time constraints and perceived communication value, impacting equitable care.

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Area of Science:

Medical Communication
Healthcare Disparities
Physician Decision-Making

Background:

Language barriers significantly hinder physician-patient communication and negatively impact healthcare quality.
Physicians frequently underutilize professional interpreters, even when services are accessible.
The underlying reasons for interpreter underuse remain poorly understood.

Purpose of the Study:

To investigate the decision-making processes of resident physicians regarding communication with patients with limited English proficiency (LEP).

Main Methods:

A qualitative study design was employed, utilizing in-depth interviews.
Participants included 20 internal medicine resident physicians from two urban teaching hospitals.
An interview guide facilitated exploration of factors influencing interpreter use decisions.

Main Results:

Physicians acknowledged underusing interpreters, describing it as "getting by."
Interpreter use decisions balanced perceived communication value against personal time constraints.
Convenience of using family members or personal second language skills often superseded professional interpreter use.
The underuse of interpreters was normalized, despite awareness of unequal care for LEP patients.

Conclusions:

Interpreter underuse is more complex than previously thought, extending beyond time constraints or availability issues.
Residents found it easier to "get by" without interpreters, even with readily available services, despite concerns about care quality.
Enhancing interpreter utilization necessitates interventions targeting both individual physicians and the healthcare practice environment.