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Patients with limited English proficiency (LEP) prefer face-to-face interpreters, valuing dialect and trust, even over professional interpreters. This highlights the need for flexible, patient-centered interpreter choices in primary care.

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Area of Science:

  • Healthcare Communication
  • Medical Sociology
  • Linguistics in Healthcare

Background:

  • Effective healthcare communication is vital, with professional interpreters being ideal for patients with limited English proficiency (LEP).
  • LEP patients frequently utilize unqualified interpreters like family or friends, with limited research on their perspectives.
  • Understanding patient preferences is crucial for optimizing interpreter services.

Purpose of the Study:

  • To investigate the patient perspective on the most suitable interpreter type for primary care consultations.
  • To explore factors influencing interpreter choice among LEP patients.

Main Methods:

  • Recruited LEP participants from diverse ethnic backgrounds (Urdu, Arabic, Romani) in Sheffield GP practices.
  • Conducted semi-structured, interpreted interviews, analyzing data thematically with independent verification.
  • Continued interviews until data saturation to ensure comprehensive findings.

Main Results:

  • Strong preference for face-to-face interpreters across all participant groups.
  • Importance of same-dialect interpreters for Urdu and Arabic speakers; need for qualified Roma interpreters.
  • Trust and interpreter's sex were significant factors; some preferred family continuity, others professional accuracy.

Conclusions:

  • Patient preferences for interpreters conflict with some professional guidance, particularly regarding telephone interpreting.
  • Many patients recognize benefits of informal interpreters, indicating complex needs.
  • Interpreter selection in primary care should be flexible and patient-centered.