ArticleInternational journal for equity in health2018
The experience of interpreter access and language discordant clinical encounters in Australian health care: a mixed methods exploration.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Professional Interpreter Services and the Impact on Hospital Care Outcomes: An Integrative Review of Literature.International journal of environmental research and public health · 2023Pooled it
- Piloting a language translation device for Mandarin-speaking patients presenting for radiotherapy treatment-assessing patient and radiation therapist perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- Institutional Factors Associated with Equitable Cancer Care Provision for Culturally and Linguistically Diverse Populations in Queensland, Australia: A Critical Race Theory Analysis.Journal of racial and ethnic health disparities · 2026Article
- Communication Barriers in Patient-Provider Interactions in Health Care: Scoping Review.Journal of medical Internet research · 2026Article
- Implementing interpreter training for dementia assessments at national scale using the RE-AIM framework: a mixed-methods evaluation.BMC geriatrics · 2026Article
- The impact of language discordance on genetic counselors' ability to establish a working alliance with patients.Journal of genetic counseling · 2025Article
- 'Don't Assume, Ask': A Collaboration With Consumers, Interpreters, Clinicians and Health Service Staff to Increase Video Telehealth in Culturally and Linguistically Diverse Groups.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- Communication practices with patients using a language other than French: a cross-sectional survey in a university hospital in France.International journal for equity in health · 2025Article
- Medical Students as Medical Spanish Standardized Patients for Peer-to-Peer Communication Skills Practice and Feedback.MedEdPORTAL : the journal of teaching and learning resources · 2025Article
- The impact of language barriers on patients' perception of their physician's involvement in shared decision-making.Frontiers in public health · 2025Article
- Cultural Humility in Action: Learning From Refugee and Migrant Women and Healthcare Providers to Improve Maternal Health Services in Australia.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Hidden care: a qualitative exploration of the roles and responsibilities of language brokers.International journal of qualitative studies on health and well-being · 2024Article
- Lived experiences of palliative care physicians on the impacts of language and cultural discordance on end-of-life care across Ontario, Canada: a qualitative study using the intersectionality-based policy framework.International journal for equity in health · 2024Article
- Doctors' experience providing primary care for refugee women living with chronic pain: a qualitative study.BMC health services research · 2024Article
- Through the eyes of Spanish-speaking patients, caregivers, and community leaders: a qualitative study on the in-patient hospital experience.International journal for equity in health · 2024Article
- Advancing language concordant care: a multimodal medical interpretation intervention.BMJ open quality · 2024Article
- Article
- Understanding Professional Medical Interpreters' Perspectives on Advancing Accurate and Culturally Informed Patient-Provider Communication for Filipinos in Hawai'i: Qualitative Analysis.International journal of environmental research and public health · 2023Article
- Nursing students' experiences of communication in a multilingual and multicultural clinical environment: A qualitative study.Nursing open · 2023Article
- Navigating language discordance in public health care in rural South Africa: a qualitative descriptive study of occupational therapists' perspectives.BMC health services research · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCurrent evidence highlights that language discordant clinical encounters seriously compromise patient quality of care and health outcomes. We aimed to characterise patterns of interpreter service use in medical inpatient wards use and explore clinician experience of language discordance.
methodsParticipants included medical students, residents, attending physicians, nursing and allied health professionals working in General Internal Medicine wards across two tertiary referral hospitals servicing a large Australian health care area. This study involved a retrospective electronic medical record audit of interpreter use. Six focus groups were conducted with 32 participants. Data were analysed using an inductive thematic approach with constant comparison.
resultsAllied health professionals were identified as the largest users of interpreter services, followed by medical doctors. Distinct themes emerged regarding clinician experiences of language discordant encounters including: (1) Negotiating care when unable to get an accurate assessment; (2) Over servicing to fill in the gaps; (3) Using family members instead of professional interpreters: a vexed solution; (4) Disparities in care provision; and (5) Communication drought: broken by a flood.
conclusionsPatients with low English proficiency are at risk of being less informed of care processes, and having a very large volume of information given in a shorter period of time when an interpreter is present. There is a need for systematic and transformative change that addresses utilisation of professional interpreters as well as embedded healthcare culture and practices leading to less interaction with patients with limited English proficiency and reliance on family members as informal interpreters.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.