“It’s just another added layer of difficulty”: Language Access Equity and Inclusion in Pediatric Interpreted Medical Encounters — Provider and Interpreter Perspectives
DOI:
https://doi.org/10.7203/Just.1.24879Paraules clau:
Equitat en l'accés lingüístic, inclusió en l'accés lingüístic, pediatria, intèrprets mèdics, trobades mèdiques interpretades
Resum
En les trobades mèdiques interpretades (EMI) en pediatria als EUA, les persones i familiars que acudeixen a una consulta mèdica amb un domini limitat de l'anglés o amb llengües diferents a aquesta s’exposen a perjudicis i desigualtats en matèria de salut, en comparació amb les que dominen l'anglès i que assisteixen a les consultes en el seu idioma. Les polítiques per millorar l'accés als serveis lingüístics pretenen salvar aquesta escletxa, però les dades indiquen que continuen donant-se desigualtats significatives. Aquest estudi explora les perspectives d’intèrprets i de proveïdors d’atenció sanitària crítica en pediatria per comprendre millor les complexitats de les EMI en contextos pediàtrics. S’analitzen les dades qualitatives procedents de dos estudis amb entrevistes a intèrprets i proveïdors d’atenció sanitària utilitzant una codificació temàtica i una anàlisi inductiva. Els resultats mostren que tots dos grups detecten diversos factors que afecten negativament la comunicació, l'equitat i la inclusió. Aquests factors es localitzen a nivell sistèmic (com són les limitacions de temps i la varietat lingüística), interpersonal (per exemple, les dificultats de comunicació i la desconfiança) i a nivell intrapersonal (com ara els biaixos implícits i els prejudicis). Aquests resultats palesen les múltiples capes de desigualtats potencials que perjudiquen pacients i familiars als EMI en pediatria.
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Biografies de l'autora o autor
Amy Olen, Translation & Interpreting Studies, College of Letters & Sciences, University of Wisconsin–Milwaukee, PO Box 413, Milwaukee, WI 53201.
Paulina S. Lim, University of Wisconsin-Milwaukee, College of Letters & Sciences, PO Box 413, Milwaukee, WI 53201
Kathryn A. Balistreri, University of Wisconsin-Milwaukee, College of Letters & Sciences, PO Box 413, Milwaukee, WI 53201
W. Hobart Davies, University of Wisconsin-Milwaukee, College of Letters & Sciences, PO Box 413, Milwaukee, WI 53201
Matthew C. Scanlon, Division of Critical Care, Department of Pediatrics, Medical College of Wisconsin, 9000 W. Wisconsin Ave. MS 681, Milwaukee, WI 53226
Charles B. Rothschild, Division of Critical Care, Department of Pediatrics, Medical College of Wisconsin, 9000 W. Wisconsin Ave. MS 681, Milwaukee, WI 53226
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