Impact of Language Barriers on Quality of Care and Patient Safety for Official Language Minority Francophones in Canada
Impact of Language Barriers on Quality of Care and Patient Safety for Official Language Minority Francophones in Canada
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DOI：
10.1177/2374373518769008
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发表时间：
2019-03-01
影响因子：
1.5
通讯作者：
Bowen, Sarah
中科院分区：
文献类型：
--
作者：
de Moissac, Danielle;Bowen, Sarah
引言：语言少数群体成员所面临的患者安全和护理质量风险已被充分记录。然而，很少有研究集中在加拿大官方语言少数民族的经验。研究方法：这项多方法研究（在线和纸质调查结合半结构化的个人访谈与患者和翻译健康导航）探讨了生活在加拿大4个省的少数法语国家的经验。结果如下：患者和口译员-导航员描述了语言障碍导致患者评估较差、误诊和/或延误治疗、对患者病情和处方治疗不完全了解以及对所接受服务的信心受损的经历。依赖谷歌翻译和未经培训的临时口译员的情况很普遍，尽管有证据表明这种做法存在风险。结论：提高对官方语言少数群体语言障碍风险的认识至关重要。
Introduction: The risks to patient safety and quality of care faced by members of linguistic minority groups have been well-documented. However, little research has focused on the experience of official language minorities in Canada. Methods: This multiple method study (online and paper-based surveys combined with semi-structured individual interviews with patients and interpreters-health navigators) explored the experience of minority Francophones living in 4 Canadian provinces. Results: Patients and interpreters-navigators described experiences where language barriers contributed to poorer patient assessment, misdiagnosis and/or delayed treatment, incomplete understanding of patient condition and prescribed treatment, and impaired confidence in services received. Reliance on Google Translate and ad hoc, untrained interpreters are commonly reported, in spite of evidence highlighting the risks associated with such practice. Conclusion: Increased awareness that the risks of language barriers apply to official language minorities is essential.