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在加拿大儿科医院支持使用非英语语言的患者
Evangeline Tsagarakis1,2, Keenjal Mistry1,2, David Nicholas3
1Department of Pediatrics, Hospital for Sick Children.
Hospital pediatrics
|March 10, 2026
概括
加拿大儿科医院在为使用非英语 (LOE) 语言的患者提供口译服务方面存在重大差距. 不一致的流程和时间限制等障碍妨碍了公平的语言获取,影响了患者的安全和护理.
科学领域:
- 获得医疗保健 获得医疗保健 获得医疗保健
- 健康 公平 卫生 公平
- 儿科护理 儿科护理
背景情况:
- 结构性语言障碍不成比例地影响使用非英语 (LOE) 语言的患者和家庭,增加不良健康结果的风险.
- 尽管口译服务的可用性增加了,但在医疗保健机构内,口译服务的运作存在重大差异.
- 在加拿大儿科医院,公平的语言接入仍然是一个挑战,影响住院儿童的护理.
研究的目的:
- 检查加拿大儿科住院病房的口译服务基础设施.
- 研究医院住院儿科患者中识别语言需求的过程.
- 确定使用LOE的儿科患者获得公平护理的障碍.
主要方法:
- 对加拿大各地儿科住院病房的临床领导者进行了横截面调查.
- 该调查评估了口译服务的可用性,语言需求的识别,员工培训和沟通障碍.
- 定量数据被描述性地分析,开放式答复的定性数据经过了主题分析.
主要成果:
- 只有40%的受访医院在入院时有正式的语言需求识别程序;大多数医院缺乏标准化的电子健康记录文件.
- 主要障碍包括时间限制,口译员的可用性不一致,以及由于耻辱或不信任而拒绝服务的家庭.
- 建议的改进侧重于更好地识别患者,增加翻译人员的可用性和加强员工培训.
结论:
- 在为加拿大儿科医院使用LOE的家庭提供公平的口译服务方面存在持续的差距.
- 将口译服务嵌入到临床工作流程和机构基础设施中,对于安全,以家庭为中心的护理至关重要.
- 实施促进信任和关系安全的服务对于有效的语言获取至关重要.
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