Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature
Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature
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DOI：
10.1111/j.1475-6773.2006.00629.x
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发表时间：
2007-04-01
影响因子：
3.4
通讯作者：
Mutha, Sunita
中科院分区：
文献类型：
--
作者：
Karliner, Leah S.;Jacobs, Elizabeth A.;Mutha, Sunita
目标。确定专业医疗口译员对英语水平有限（LEP）患者的临床护理是否有积极影响。数据源。在pubm - med和PsycINFO中对1966年至2005年9月之间的出版物进行了系统的文献检索，仅限于英语，并检索了Cochrane图书馆。研究设计。任何同行评议的文章，只要对至少两个语言组进行比较，并包含有关专业医疗口译员的数据，并涉及沟通（错误和理解）、利用、临床结果或满意度。在3 698份参考资料中，有28份经多名审稿人发现符合列入标准，其中21份分别对专业口译员和临时口译员进行了评估。每篇文章的数据由两名审稿人摘录。收集了有关研究设计、规模、对照组、分析技术、口译培训和确定参与者需要口译的方法的数据。每项研究都评估了口译员对四个临床主题的影响，这些主题最有可能影响或反映健康和卫生保健方面的差异。主要的发现。在所有四个领域的研究中，使用专业口译员比使用临时口译员更能改善临床护理，专业口译员似乎能提高LEP患者的临床护理质量，接近或等于无语言障碍患者的临床护理质量。已发表的研究报告显示，专业口译员在沟通（错误和理解）、利用、临床结果和护理满意度方面有积极的好处。
Objective. To determine if professional medical interpreters have a positive impact on clinical care for limited English proficiency (LEP) patients.Data Sources. A systematic literature search, limited to the English language, in Pub-Med and PsycINFO for publications between 1966 and September 2005, and a search of the Cochrane Library.Study Design. Any peer-reviewed article which compared at least two language groups, and contained data about professional medical interpreters and addressed communication (errors and comprehension), utilization, clinical outcomes, or satisfaction were included. Of 3,698 references, 28 were found by multiple reviewers to meet inclusion criteria and, of these, 21 assessed professional interpreters separately from ad hoc interpreters. Data were abstracted from each article by two reviewers. Data were collected on the study design, size, comparison groups, analytic technique, interpreter training, and method of determining the participants' need for an interpreter. Each study was evaluated for the effect of interpreter use on four clinical topics that were most likely to either impact or reflect disparities in health and health care.Principal Findings. In all four areas examined, use of professional interpreters is associated with improved clinical care more than is use of ad hoc interpreters, and professional interpreters appear to raise the quality of clinical care for LEP patients to approach or equal that for patients without language barriers.Conclusions. Published studies report positive benefits of professional interpreters on communication (errors and comprehension), utilization, clinical outcomes and satisfaction with care.