Translational competency development and research on digital approaches to overcome language barriers in healthcare - TRICORDER

克服医疗保健领域语言障碍的数字化方法的翻译能力开发和研究 - TRICORDER

• 批准号: 495192971
• 负责人: Dr. Frank Müller
• 金额: --
• 依托单位: Department of Family Medicine
• 依托单位国家: 德国
• 项目类别: WBP Fellowship
• 财政年份: 2021
• 资助国家: 德国
• 起止时间: 2020-12-31 至 2021-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/495192971?language=en
• 关键词: Translational; competency; development; research; digital

Background: Language barriers in medical care are becoming more and more prevalent due to displacement, migration, but also as a result of tourism and globalization processes. Language mediation by interpreters in medical care has considerable shortcomings: For example, in spontaneous consultations they are often unavailable, the coverage of interpretation costs is unsettled, the quality of translations varies, and as a third person during consultations they can interfere the doctor-patient relationship building. In recent years, I have conducted several projects on approaches to address language mediation with digital assistive technology and have developed interventions that are already being used worldwide. Aims: This project will implement and evaluate an app for obtaining acute medical history of patients with limited english language proficiency. Through a mixed methods approach, unmet questions about relevant patient health outcomes and efficiency (e.g., emergency room visits, consultation duration, requested laboratory tests, etc.) and changes in the consultation situation (e.g., discussed topics, patient satisfaction) will be addressed in the evaluation. The core of the study is a controlled, non-randomized trial accompanied by focus group discussions with patients, migrant representatives and other stakeholders.Preliminary work: The Research Ethics Boad has already approved the study. Furthermore, third-party funds have been obtained from the Blue Cross Blue Shield Foundation covering the expenses for necessary technical adaptations of the app as well as for additional supported languages. A broad-based preliminary study on experiences with interpreters and resulting access barriers was conducted through the "Non-English Speaking Patient Experience Study - NESPES Study" conducted at the Department of Family Medicine. There is also field access to Burmese communities.Host institutions: Department of Family Medicine, Michigan State University, College of Human Medicine, East Lansing & Spectrum Health Family Medicine Residency Center Grand Rapids. Accreditation as a visiting scholar with own workspace and embedded in academic research environment at Michigan State University, supervision by experienced researcher.

背景资料：由于流离失所、移徙，以及旅游业和全球化进程，医疗保健中的语言障碍越来越普遍。口译员在医疗服务中的语言中介存在着相当大的缺陷：例如，在自发的咨询中，他们经常无法使用，口译费用的覆盖范围不确定，翻译的质量参差不齐，并且在咨询中作为第三人，他们可能会干扰医患关系的建立。近年来，我开展了几个项目，探讨如何利用数字辅助技术解决语言调解问题，并开发了已在全球范围内使用的干预措施。目的：本项目将实施和评估一个应用程序，用于获取英语水平有限的患者的急性病史。通过混合方法，解决了有关患者健康结局和效率的未解决问题（例如，急诊室就诊、咨询持续时间、要求的实验室检查等）以及咨询情况的变化（例如，讨论的主题、患者满意度）。该研究的核心是一项对照、非随机试验，并伴有与患者、移民代表和其他利益相关者的焦点小组讨论。此外，还从蓝十字蓝盾基金会获得了第三方资金，用于支付对应用程序进行必要的技术调整以及其他支持语言的费用。通过在家庭医学系进行的“非英语患者经验研究- NESPES研究”，对口译员的经验和由此产生的访问障碍进行了一项基础广泛的初步研究。主办机构：密歇根州立大学家庭医学系、东兰辛人类医学学院和Spectrum Health家庭医学住院医师中心大急流城。认证为访问学者，拥有自己的工作空间，并在密歇根州立大学的学术研究环境中嵌入，由经验丰富的研究人员监督。