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在单语和双语医疗接触中,共享决策的比较
Charlene Pope1, Jason Roberson2
1Ralph H. Johnson Veterans Affairs Medical Center and Medical University of South Carolina College of Medicine.
Communication & medicine
|February 7, 2025
概括
在西班牙裔患者中,有限的英语水平 (LEP) 影响了健康公平. 这项研究表明,医疗口译员如何影响双语与单语医疗保健遭遇的共享决策.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学社会学 医学社会学
- 语言人类学语言人类学.
背景情况:
- 具有有限英语水平 (LEP) 的西班牙裔人口在美国面临着严重的健康差异.
- 沟通障碍和决策障碍有助于这些健康不平等.
- 一项质量改善审查强调了LEP的西班牙裔妇女产科护理的差异.
研究的目的:
- 探索LEP和医疗口译使用对共享决策 (SDM) 的影响.
- 为了比较单语 (英语) 与双语 (英语-西班牙语) 医生与病人接触中的SDM.
- 在不同的语言背景下分析影响SDM的演讲实践.
主要方法:
- 进行了一项试点研究,涉及16个记录的产前接触.
- 记录了与西班牙语母亲和医疗口译员的双语接触.
- 记录了与同一个医生的英语患者的单语接触.
- 利用话语分析来对交互实践进行分类.
- 使用OPTION尺度进行评估SDM.
主要成果:
- 在第二语言医疗保健情况下,共享决策过程有很大的不同.
- 在单语和双语接触之间确定了不同的演讲实践.
- 语言和交互策略可以间接地表明民族语言认同和群体成员资格.
结论:
- 医疗口译员的存在和患者的语言能力影响了共享决策的动态.
- 了解这些语言和互动转变对于改善健康公平至关重要.
- 在不同患者群体中有效沟通的策略需要进一步研究.
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