语言一致性对医疗保健关系的影响信任评分
Alexandria Daggett1, Shaghayegh Abdollahi2, Mehrtash Hashemzadeh3
1Pediatrics, University of Arizona College of Medicine - Phoenix, Phoenix, USA.
Cureus
|June 27, 2023
概括
与使用临时口译员相比,语言一致的护理显著提高了患者对医生的信任. 专业口译员也增强了信任,但与西班牙语患者的语言一致护理和专业口译员之间没有显著差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者与医生的沟通 患者与医生的沟通
- 健康 公平 卫生 公平
背景情况:
- 有限英语能力 (LEP) 患者在美国医疗保健系统中面临重大障碍,主要是语言障碍.
- 有效的沟通策略,如语言协调和专业的口译员,对于克服这些障碍至关重要.
- 了解不同沟通方法对患者与医生的关系的影响对于改善医疗保健结果至关重要.
研究的目的:
- 根据使用的沟通方法,比较西班牙语患者对医生的信任程度.
- 为了确定是否语言一致的护理导致比专业或临时口译员更高的信任分数.
- 研究通信参数对患者与医生的关系强度的影响.
主要方法:
- 一项前性调查对位于亚利桑那州城的家庭和内科诊所的176名西班牙语成年患者进行了调查.
- 患者被分为三个组:语言一致的护理,专业口译员和临时口译员.
- 医疗保健关系 (HCR) 信任度量被用来衡量总平均信任得分和各个项目跨组的差异.
主要成果:
- 语言一致的护理导致平均信任得分为48.73,明显高于特设口译组 (45.53,p = 0.0090).
- 与临时口译员相比,专业口译员的信任得分 (48.27) 也更高 (p = 0.0119).
- 在语言一致护理和专业口译员之间,没有发现总体或个体信任评分的显著差异.
结论:
- 经过专业培训的医疗口译员和语言一致的提供者促进了更强大的患者与医生的关系和更高的患者信任.
- 努力应该集中在增加高质量的口译员和说不同语言的医生的可用性.
- 加强语言获取对于建立信任和优化对有限英语熟练人口的护理至关重要.
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