在急诊室使用口译员的使用和有效性
D W Baker1, R M Parker, M V Williams
1Department of Medicine, Division of General Internal Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA.
JAMA
|March 13, 1996
概括
许多说西班牙语的患者需要口译员,但没有得到他们. 虽然口译员的使用对感知理解产生影响,但客观知识仍然很低,突出了医疗保健机构的沟通缺口.
科学领域:
- 医学沟通 医学沟通
- 医疗服务研究 医疗服务研究
- 患者教育 患者教育
背景情况:
- 有效的沟通对于患者的理解和坚持至关重要.
- 语言障碍对非母语人士的医疗保健获取和质量产生重大影响.
- 翻译在弥合沟通差距方面的作用需要进一步研究.
研究的目的:
- 评估西班牙语患者对口译员的使用率.
- 评估患者对口译员的感知需求.
- 确定使用口译员对患者对诊断和治疗的理解的影响.
主要方法:
- 在一家公立医院的急诊室进行了横截面调查.
- 467名西班牙语母语患者和63名英语母语拉丁裔患者参与了非紧急问题的研究.
- 收集的数据包括翻译使用,感知需要,以及对医疗信息的自我报告/客观理解.
主要成果:
- 只有26%的西班牙语患者使用了口译员,22%的人认为需要口译员,但没有提供.
- 在49%的案例中,护士和医生提供了口译服务;专业口译人员仅在12%的案例中被使用.
- 与使用口译员 (57%,82%) 或需要口译员 (38%,58%) 相比,那些认为不需要口译员的患者报告了更高的理解率 (67%的疾病,86%的治疗). 目标指标显示较小,不显著的差异.
结论:
- 翻译人员经常被利用不足,即使患者认为有需要.
- 使用的口译员往往缺乏正式培训,影响了沟通质量.
- 虽然语言一致性可以提高感知理解,但所有群体中很大一部分患者对他们的护理计划的客观知识很差.
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