Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos
Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos
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DOI：
10.1097/mlr.0000000000000422
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发表时间：
2015-11-01
期刊：
影响因子：
3
通讯作者：
Perez-Stable, Eliseo J.
中科院分区：
文献类型：
--
作者：
Napoles, Anna M.;Santoyo-Olsson, Jasmine;Perez-Stable, Eliseo J.
背景：英语能力有限的患者的护理质量和结局较差。口译员可以改善这些差距，但是，缺乏证据的质量不同的interpretation models.Objective：比较准确性的解释在人（IP）专业，专业视频会议（VC），和特设（AH）interpretation.Design：一个横断面研究转录的录音初级保健visits.Subjects：受试者包括32西班牙语的拉丁美洲患者和14 clinics.Measures：独立编码的成绩单由4编码器（2名内科医生）准确和不准确的解释instances。分析单位是一段连续的语音或文本单元（TU）。两名内科医生独立验证不准确的解释实例，并将其临床意义评定为临床不显著，轻度，中度，或高度clinicalsignificant.Results：准确的解释占总编码TU的70%，不准确的解释（错误）占30%。由于遗漏错误较多，AH（编码TU的54%）与IP（25%）和VC（23%）解释的不准确解释发生率是其两倍（P
Background:Limited English-proficient patients suffer poorer quality of care and outcomes. Interpreters can ameliorate these disparities; however, evidence is lacking on the quality of different interpretation modes.Objective:Compare accuracy of interpretation for in-person (IP) professional, professional videoconferencing (VC), and ad hoc (AH) interpretation.Design:A cross-sectional study of transcribed audiotaped primary care visits.Subjects:Subjects included 32 Spanish-speaking Latino patients and 14 clinicians.Measures:Independent coding of transcripts by 4 coders (2 were internists) for accurate and inaccurate interpretation instances. Unit of analysis was a segment of continuous speech or text unit (TU). Two internists independently verified inaccurate interpretation instances and rated their clinical significance as clinically insignificant, mildly, moderately, or highly clinically significant.Results:Accurate interpretation made up 70% of total coded TUs and inaccurate interpretation (errors) made up 30%. Inaccurate interpretation occurred at twice the rate for AH (54% of coded TUs) versus IP (25%) and VC (23%) interpretation, due to more errors of omission (P