在住院环境中使用未经培训的口译员:记录显示了什么?
Miguel Linares1, John Novoa-Laurentiev2, Alexander Chaitoff3
1Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, CA, USA. miguellinares@mednet.ucla.edu.
Journal of general internal medicine
|March 12, 2026
概括
对于英语水平有限的患者,经常使用未经培训的临时口译员,通常是家庭成员. 改善文档和获得专业口译人员是公平沟通所必需的.
科学领域:
- 获得医疗保健的机会和差距
- 医学沟通 医学沟通
- 医疗信息学 医疗信息学
背景情况:
- 联邦授权要求有资格的口译员,但未经培训的临时口译员对于非英语语言偏好 (NELP) 的患者来说很常见.
- 关于特设口译使用的先前研究依赖于自我报告或行政数据,限制了对现实世界文档的理解.
- 这项研究解决了了解临床环境中特设口译员使用频率,文档和背景的差距.
研究的目的:
- 描述在住院医疗中未经培训的特设口译员使用的频率和文件.
- 识别与临时口译员使用相关的上下文因素.
- 评估临时口译员使用的文件理由的完整性.
主要方法:
- 2019-2023年NELP成年住院患者的回顾性队列研究.
- 使用大型语言模型分析临床笔记,以识别口译员使用文档.
- 手动验证和分类特设解释案例,包括角色和理由.
主要成果:
- 在16.2%的患者和14.9%的入院患者中,记录了临时口译员的使用情况,最常见的是家庭成员 (64.7%).
- 在老年患者,住院时间较长,并发病率较高和非西班牙语语言群体中,有记录的临时使用更为常见.
- 近75%的特设口译员笔记缺乏记录的理由,突出了文档上的差距.
结论:
- 在NELP住院患者中,临时口译员的使用很普遍,特别是在使用较少常见的语言和长时间住院的情况下.
- 文档化的理由中的差距表明语言访问工作流程中的系统性问题.
- 改善专业口译服务,标准化文档和使用合格的双语员工对于公平的沟通至关重要.
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