ArticleHealth expectations : an international journal of public participation in health care and health policy2024
Uncovering communication strategies used in language-discordant consultations with people who are migrants: Qualitative interviews with healthcare providers.
Article in Health expectations : an international journal of public participation in health care and health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Oral hygiene, dental caries, and periodontal status in the migrant population. A systematic review, a 10-year study.Head & face medicine · 2025Pooled it
- Technological translation tools for official language minorities in primary and emergency care: A rapid scoping review and environmental scan.The European journal of general practice · 2026Article
- How Uncertainty Is Talked About in Language Discordant and Concordant Health Consultations: Patterns of Epistemic Adverb Use and Communication Accommodation Strategies.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Managing Communication Challenges in Mental Health Care by Using Mobile Translation Apps: Protocol for a Simulation-Based Pilot Study.JMIR research protocols · 2026Article
- Exploring the use of translation technologies to overcome language barriers in mental healthcare: a qualitative cross-country study.International journal for equity in health · 2026Article
- Family involvement in medical decision-making: examining the applicability of the legal framework in Flemish general practice through a vignette survey.BMC medical ethics · 2026Article
- The centrality of "family first" among Chinese migrants in determining experiences of palliative care: An integrative literature review.Palliative care and social practice · 2026Review
- The patient-safety implications of AI-based communication with migrants in general practice: a scoping review.BJGP open · 2025Article
- Article
- Uncovering communication strategies used in language-discordant consultations with people who are migrants: Qualitative interviews with healthcare providers.Health expectations : an international journal of public participation in health care and health policy · 2024Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundGlobal migration has led to a sharp increase in the number of language-discordant consultations (LDCs) in healthcare. Evidence on how healthcare providers (HCPs) meet migrant patients' needs while mitigating language barriers is lacking.
designUsing purposive and snowball sampling, we recruited twenty-seven Dutch HCPs (M
resultsFive key themes emerged from the analyses: HCPs often 'got-by' with (1) instrumental and (2) affective communication strategies used in language-concordant consultations to start medical consultations. When some instrumental communication strategies were deemed ineffective (e.g., lingua franca, gesturing, etc.) to bridge language barriers, HCPs turned to (3) incorporating digital tools (e.g., Google Translate). When HCPs were unable to communicate with migrant patients at all, (4) informal, ad-hoc and professional interpreters were involved. Finally, HCPs often (5) involved additional support to engage migrant patients to engage in treatment-related behaviours. DISCUSSION AND
conclusionsOur results highlight the importance of raising awareness among HCPs about using various combinations of different strategies. The development of a guideline indicating the optimal combination of communication strategies for different medical consultation goals may be useful in reshaping the current communication behaviour of HCPs in LDCs. PATIENT OR PUBLIC CONTRIBUTION: HCPs were the study population involved in this qualitative study. Refugee health advisors, general practitioners and linguistic specialists (i.e., members of the Right2Health consortium) with experience with the Dutch healthcare system were involved throughout the development of this research. This includes a review of the research question, participant information sheet and interview topic guide as well as providing interpretations of the data and feedback to this manuscript.
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