Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients
Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients
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DOI：
10.1097/00005650-199810000-00004
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发表时间：
1998-10-01
期刊：
影响因子：
3
通讯作者：
Fortier, JP
中科院分区：
文献类型：
--
作者：
Baker, DW;Hayes, R;Fortier, JP
目标.许多患者英语水平有限，需要翻译。作者评估了当前口译实践对讲西班牙语的患者对医患关系满意度的影响。对公立医院急诊科的457名患者进行了横断面调查。措施是对提供者的友好，尊重，关心，使病人舒适的能力，以及花费的检查时间。共有237名患者在不使用口译员的情况下与其提供者充分沟通（第1组），120名患者通过口译员进行沟通（其中88%是临时口译员;第2组），100名患者直接与提供者沟通，但表示应该呼叫口译员（第3组）。与第1组患者相比，通过口译员沟通的患者（第2组）认为他们的提供者不那么友好，不那么尊重，不太关心患者作为一个人，也不太可能让患者感到舒适。患者谁说翻译应该被称为（组3）有最低的满意度评级;与组2相比，他们不太满意他们的提供者的友好，关心病人作为一个人，努力使病人舒适，和花费的时间。通过口译员沟通的患者或在他们认为有必要时没有口译员的患者对患者-提供者关系的满意度较低。需要进一步努力确保口译员的可用性和适当的口译技术。
OBJECTIVES. Many patients have limited English proficiency and require an interpreter. The authors evaluated the effect of current interpreting practices on Spanish-speaking patients' satisfaction with the patient-provider relationship.METHODS. A cross-sectional survey was conducted of 457 patients seen in a public hospital emergency department. Measures were satisfaction with the provider's friendliness, respectfulness, concern, ability to make the patient comfortable, and time spent for the exam.RESULTS. A total of 237 patients communicated adequately with their provider without the use of an interpreter (group 1), 120 patients communicated through an interpreter (88% of whom were ad hoc interpreters; group 2), and 100 patients communicated directly with the provider but said an interpreter should have been called (group 3). Compared with patients in group 1, patients who communicated through an interpreter (group 2) rated their provider as less friendly, less respectful, less concerned for the patient as a person, and less likely to make the patient comfortable. Patients who said an interpreter should have been called (group 3) had the lowest satisfaction ratings; compared with group 2, they were less satisfied with their provider's friendliness, concern for the patient as a person, efforts to make the patient comfortable, and amount of time spent.CONCLUSIONS. Patients who communicated through an interpreter or who did not have an interpreter when they thought one was necessary were less satisfied with the patient-provider relationship. Further efforts are needed to ensure interpreter availability and proper interpretation technique.