"時間が追加され,多くの情報が失われる":学術的なセーフティネット病院の外科研修生における通訳者の使用パターンと非英語の言語能力
Mariah B Blegen1, Jesus R Torres2, Melinda Maggard-Gibbons3
1Veterans Health Administration, Greater Los Angeles Healthcare System, Los Angeles, California; Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California; National Clinician Scholars Program, University of California, Los Angeles, California.
Journal of surgical education
|February 17, 2026
まとめ
外科研修医は通訳を重視するが,時間や設備などの障壁に直面し,英語以外の言語を好む患者 (NELP) のための一貫した言語アクセスを妨げている. 規制の遵守と患者の安全のために,改善されたトレーニングとサポートが必要です.
科学分野:
- 医療教育 医療教育について
- 医療サービス 研究 医療サービス
- 手術ケアについてです.
背景:
- 連邦法は,英語以外の言語を好む患者 (NELP) のための通訳サービスを義務付けています.
- 術後の通訳の使用の障壁は,外科研修生の間ではよく理解されていません.
- レジデントは,診察,同意,手術後のケアにおいて,NELPの患者と交流します.
研究 の 目的:
- 外科研修医による言語サービスの利用パターンを評価する.
- バイリンガル認証に対する居住者の関心を調査する.
- 外科での通訳の使用の障壁を特定する.
主な方法:
- 25項目の横断調査が外科リジデントに実施されました.
- 調査は,言語能力,アクセシビリティの視点,コミュニケーション,回避策,認識価値,通訳者の使用パターンなどを調査した.
- 障壁と改善に関するフリーテキストの回答をテーマ別分析した.
主要な成果:
- 住民の35%がバイリンガル認証に興味を示した.
- ほとんどの住民は,言語サービスが便利 (41%) と感じ,NELP患者 (54%) とのコミュニケーションに自信があった.
- 緊急の状況 (75%) と時間的な制約が障壁として挙げられ,看護スタッフからのアドホック通訳が一般的であった. 通訳は,入院ラウンド (35% めったに/決して) の間,最も少なく使われました.
結論:
- 外科研修医は通訳の重要性を認めているが,実用的な課題に直面している.
- 時間と設備の制限は,外科医療における一貫した言語アクセスを妨げています.
- ターゲットを絞ったトレーニングと制度的支援は,言語サービスの利用率を高め,コンプライアンスと患者の安全性を向上させることができます.
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