言語コンコードンスと初等医療における通訳の使用:スペイン語を好む患者の視点
Zachary Predmore1, Nabeel Qureshi2, Mary E Slaughter2
1RAND, Boston, United States.
Journal of immigrant and minority health
|September 3, 2025
まとめ
スペイン語を好む患者は 言語の障壁にも関わらず 既存の提供者との継続性を重視しています 医療制度は言語サービスを改善して 質の高いコミュニケーションと 患者と医療従事者との 強い関係を確保し よりよい医療成果を 得なければなりません
科学分野:
- 医療サービス研究
- 言語の健康に関する公平性
- 患者 と 医療 提供 者 の コミュニケーション
背景:
- 連邦法では 英語が話せない患者に 言語支援を義務付けています
- スペイン語を好む多くの患者は スペイン語を流暢に話せる医療従事者や正式な通訳者に アクセスできません
- 既存のコミュニケーション戦略は プライマリケアでは 欠けていることが多いのです
研究 の 目的:
- 異なる提供者とのコミュニケーションのアプローチを好むスペイン人の患者の経験を比較する.
- 多言語環境における効果的な医療コミュニケーションの障壁と促進要因を特定する.
- 医療における言語サービスの最適化のための政策と実践を伝える.
主な方法:
- カリフォルニア州南部で,スペイン語を好む62人の成人のプライマリケア患者を対象に,フォーカスグループが行われました.
- 患者は提供者のタイプに基づいてグループ化されました:スペイン語の資格を持つ,正式な通訳者,または非公式の通訳者/その他の戦略.
- トピックを特定し 患者の経験を比較するために トランスクリプトはコード化されました
主要な成果:
- 患者たちは,言語の障壁があるにもかかわらず,英語を話す医療提供者との継続性を好みました.
- スペインの資格のある提供者はより大きな信頼とより包括的なケアを促進しましたが,相互作用は急ぎました.
- 公式の通訳は理解を向上させましたが インタラクションを非人格化させることができました 非公式の通訳は様々な結果をもたらしました
結論:
- 医療制度は直接的なコミュニケーションを支援し 翻訳者の質を保証し 患者と医療提供者の関係を維持する必要があります
- 健全な言語と通訳サービスは 質の高い医療成果と患者体験に不可欠です
- 政策と実践の改善は,スペイン語を好む患者のための医療コミュニケーションを最適化するために必要です.
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