在初级保健中使用语言协同和翻译:偏爱西班牙语的患者的观点
Zachary Predmore1, Nabeel Qureshi2, Mary E Slaughter2
1RAND, Boston, United States.
Journal of immigrant and minority health
|September 3, 2025
概括
偏爱西班牙语的患者喜欢与已建立的提供者保持连续性, 医疗保健系统必须改进语言服务以确保高质量的沟通和强大的患者与医疗服务提供者关系,以获得更好的健康结果.
科学领域:
- 医疗服务研究
- 语言健康公平
- 患者与提供者之间的沟通
背景情况:
- 联邦法律要求对非英语熟练的患者提供语言辅助.
- 许多偏爱西班牙语的患者无法获得流利的西班牙语提供者或正式的口译员.
- 现有的沟通策略在初级保健环境中往往不足.
研究的目的:
- 为了比较西班牙人更喜欢的初级保健患者与不同的提供者沟通方法的经验.
- 确定在多语言环境中有效沟通医疗保健的障碍和促进因素.
- 为优化医疗保健中的语言服务提供政策和实践信息.
主要方法:
- 聚焦小组以西班牙语进行,其中包括62名喜欢西班牙语的南加州初级保健患者.
- 根据提供者类型分组患者:西班牙语合格,正式口译员或非正式口译员/其他策略.
- 为了识别主题并比较患者的经验,
主要成果:
- 尽管有语言障碍,但患者更喜欢与英语提供者保持联系.
- 西班牙资格的提供者促进了更大的信任和更全面的护理,尽管互动可以忙.
- 正式的口译员提高了理解,但可以使互动变得非个人化;非正式的口译员产生了混合的结果.
结论:
- 医疗保健系统需要支持直接沟通,确保口译员的质量,并保持患者与提供者之间的关系.
- 强大的语言和翻译服务对于高质量的健康结果和患者体验至关重要.
- 改善政策和实践是为了优化西班牙语患者的医疗沟通.
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