对于偏爱西班牙语的患者来说,语言一致性和翻译使用:对初级保健提供者的观点进行定性研究
Denise D Quigley1, Nabeel Qureshi2, Efrain Talamantes3
1RAND Corporation, Santa Monica, CA, USA. quigley@rand.org.
Journal of general internal medicine
|February 10, 2025
概括
医疗保健中的语言障碍会对患者的治疗结果产生负面影响. 提供者更喜欢用同一种语言进行沟通,但使用口译员会带来挑战,需要组织解决方案来更好地照顾患者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在医疗保健中的语言接入.
- 患者沟通策略 患者沟通策略
背景情况:
- 语言障碍和沟通不良导致英语水平有限的患者的医疗保健体验和结果更差.
- 只有不到三分之一的门诊提供者定期使用专业口译员来帮助那些偏爱英语以外的语言的患者.
- 需要有效的策略来解决在初级保健机构的语言障碍.
研究的目的:
- 检查初级保健提供者对向更喜欢西班牙语的患者提供面对面的护理的观点.
- 了解服务于偏爱西班牙语患者的提供者所面临的沟通策略和挑战.
主要方法:
- 在一个大型的城市联邦合格医疗中心进行了定性研究,该中心主要为西班牙裔西班牙裔患者提供服务.
- 与24名初级保健提供者进行了采访,根据他们的沟通方法进行分类:语言一致,使用合格的口译员或使用非正式策略.
- 使用内容分析和系统的诱导程序,从提供者回复中识别主题.
主要成果:
- 提供者,无论是语言一致还是使用口译员,都表示他们更喜欢使用患者喜欢的语言.
- 使用口译员,包括合格的口译员,提出了诸如增加启动时间,连接问题和医疗术语困难等挑战,这并不总是改善沟通.
- 根据语言和口译员的使用,提供者与患者的互动在质量上有所不同,这影响了引起关注的问题,讨论的主题,患者的理解以及建立关系和教育的时间.
结论:
- 组织障碍阻碍了西班牙语偏好患者的有效沟通和语言翻译.
- 需要进一步的研究来确定和测试语言支持策略和结构变化,以优化医疗保健需求的提供者-患者时间.
- 解决这些障碍对于改善语言多样化的患者群体的护理质量和健康结果至关重要.
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