“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.1.24879Palabras clave:
Equidad en el acceso lingüístico, inclusión en el acceso lingüístico, pediatría, intérpretes médicos, encuentros médicos interpretados
Resumen
En los encuentros médicos interpretados (EMI) en pediatría en los EE.UU., las personas y familiares que acuden a una consulta médica con un dominio limitado del inglés o con otras lenguas están expuestas a perjuicios y desigualdades en materia de salud, en comparación con aquellas que dominan el inglés y que asisten a las consultas en su idioma. Las políticas para mejorar el acceso a los servicios lingüísticos pretenden salvar esta brecha, pero los datos indican que siguen dándose desigualdades significativas. Este estudio explora las perspectivas de intérpretes y de proveedores de atención sanitaria crítica pediátrica para comprender mejor las complejidades de los EMI en contextos pediátricos. Se analizan los datos cualitativos procedentes de dos estudios con entrevistas a intérpretes y proveedores de atención sanitaria utilizando codificación temática y análisis inductivo. Los resultados muestran que ambos grupos detectan varios factores que afectan negativamente a la comunicación, la equidad y la inclusión. Estos factores se localizan a nivel sistémico (como son las limitaciones de tiempo y la variedad lingüística), interpersonal (por ejemplo, las dificultades de comunicación y la desconfianza) y a nivel intrapersonal (como son los sesgos implícitos y los prejuicios). Estos resultados ponen de manifiesto las múltiples capas de desigualdades potenciales que perjudican a pacientes y familiares en los EMI en pediatría.
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Biografía del autor/a
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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