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语言接入系统改进倡议:对专业口译员使用的影响,自然实验

Leah S Karliner¹, Steven E Gregorich², Sunita Mutha²

¹University of California, San Francisco, California, USA leah.karliner@ucsf.edu.

|January 4, 2024

概括

语言接入系统改进 (LASI) 倡议增加了初级保健中专业口译员的使用,尽管对部分语言一致的访问的使用较少. 卫生系统需要支持部分双语技能的临床医生和患者,以优化口译员的使用.

科学领域:

获得医疗保健和公平的机会.
医疗口译服务医学口译服务
初级保健研究研究初级保健研究

背景情况:

在初级保健中,有效的沟通至关重要,特别是在语言不一致的患者群体中.
在许多医疗保健机构中,专业口译员的使用仍然是一个挑战.
语言访问系统改进 (LASI) 倡议旨在解决这些沟通障碍.

研究的目的:

评估LASI倡议对初级保健中专业口译员使用的影响.
探索患者和临床医生对专业口译员使用的观点.
确定在初级保健环境中使用口译员的障碍和促进者.

主要方法:

一个定量自然实验设计,比较LASI前和LASI后的时期.
通过与临床医生进行半结构面试和与患者聚焦小组进行定性数据收集.
对初级保健诊所的语言一致性和专业口译员使用率的分析.

主要成果:

专业口译员的使用率从LASI前的57%增加到LASI后的66% (p=0.01).
视频医学解释被认为是方便的,并被临床医生和患者都喜欢.
部分与语言一致的访问显示了使用专业口译员的增长最少,一些临床医生报告了丧,患者更喜欢家人提供支持.

结论:

通过LASI计划,成功地提高了初级保健中专业口译员的使用率.
像LASI这样的干预需要对临床医生和部分双语能力的患者提供额外的支持,以最大限度地利用口译员.
了解关于家庭成员在口译中的作用的不同观点对于改善语言获取至关重要.

关键词:

卫生公平性健康公平性初级医疗保健是一项主要的医疗保健.医疗保健的质量在医疗保健中的质量.

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