This study explored a group of primary care physicians'use of various methods to bridge language and cultural barriers between themselves and their patients and the physicians'perceptions of the availability and quality of these methods.
The authors mailed a questionnaire to 495 primary care physicians in the Greater Bay Area of northern Califomia, an area chosen for its ethnically diverse population.
Respondents were asked to estimate how many patients they saw per week how many encounters they had per week with non-English-speaking patients, and how often they used each of six interpretation methods.
They were also asked to assess the availability and quality of interpretation services.
Physicians reported that, on average, 21% of visits were with non-English-speaking patients.
Trained medical interpreters or the AT & T Language Line were used, on average, in fewer than 6% of these encounters, and no interpreters were used in 11%. In 27% of encounters with non-English-speaking patients, the physician could speak the patients language, in 20% interpretation was done by a staff member who had no formal interpretation training, and in 36% a family member or companion of the patient interpreted.
Physicians who had access to trained interpreters reported a significantly higher quality of patient-physician communication than physicians who used other methods (P<0.0001). (...)
Mots-clés Pascal : Relation médecin malade, Communication, Langage, Barrière linguistique, Barrière communication, Aspect culturel, Médecin, Interprétariat, Pratique professionnelle, Evaluation, Homme, Californie, Etats Unis, Amérique du Nord, Amérique, Personnel sanitaire
Mots-clés Pascal anglais : Physician patient relation, Communication, Language, Linguistic barrier, Communication barrier, Cultural aspect, Physician, Interpreting, Professional practice, Evaluation, Human, California, United States, North America, America, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0232586
Code Inist : 002B30A05. Création : 11/09/1998.