Abstract:
BACKGROUND:Current 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. METHODS:Participants 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. RESULTS:Allied 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. CONCLUSIONS:Patients 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.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
White J,Plompen T,Osadnik C,Tao L,Micallef E,Haines Tdoi
10.1186/s12939-018-0865-2subject
Has Abstractpub_date
2018-09-24 00:00:00pages
151issue
1issn
1475-9276pii
10.1186/s12939-018-0865-2journal_volume
17pub_type
杂志文章abstract:INTRODUCTION:It is well known that lower income is associated with poorer health, but poverty has several dimensions other than income. In the current study, we investigated the associations between multidimensional poverty and health variables. METHODS:Using micro data obtained from a nationwide population survey in ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0128-9
更新日期:2014-12-19 00:00:00
abstract::Despite being the wealthiest and one of the most technologically advanced countries in the world, the United States has the greatest number of Covid-19 cases and deaths. What accounts for this failure? The dismantling of the country's public health infrastructure has crippled contact tracing and exacerbated inequality...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01354-6
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:An integrated and comprehensive hospital/community based health programme is presented, aimed at reducing maternal and child mortality and morbidity. It is run as part of a general programme of health care at a rural hospital situated in northern Tanzania. The purpose was through using research and statistic...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-8-27
更新日期:2009-07-30 00:00:00
abstract:INTRODUCTION:Literature shows socioeconomic disparities are related to various aspects of diabetes care. However, few studies have explored the relationship between socioeconomics and healthcare outcomes, particularly with regard to preventable hospitalization. This cohort study employed hierarchical modelling to evalu...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0160-4
更新日期:2015-03-21 00:00:00
abstract:BACKGROUND:Like other African countries, Tanzania has in recent years, been implementing various exemptions and targeting programmes to protect and ensure equitable access to health care by poorer segments of the population. A body of evidence indicates that exemption policies, while potentially effective in principle,...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-80
更新日期:2013-09-26 00:00:00
abstract:INTRODUCTION:The global scale-up of antiretroviral therapy (ART) for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-62
更新日期:2012-10-16 00:00:00
abstract:BACKGROUND:Efficiency and equity are both important policy objectives in resource allocation. The discipline of health economics has traditionally focused on maximising efficiency, however addressing inequities in health also requires consideration. Methods to incorporate equity within economic evaluation techniques ra...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-34
更新日期:2009-10-07 00:00:00
abstract:BACKGROUND:Record numbers of people, across the world, are forced to be displaced because of conflict or other violations of their human rights, thus becoming refugees. Often, refugees not only have a higher burden of disease but also compromised access to healthcare, as they face many barriers, such as limited knowled...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0694-8
更新日期:2017-11-10 00:00:00
abstract:BACKGROUND:Residential segregation can foster health inequality mechanisms by increasing stress related to neighborhood violence and disorder. AIMS:We studied the association between neighborhood violence and disorder and inequalities in anxiety between two groups of perinatal Israeli women (Jewish, Palestinian-Arab) ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01339-5
更新日期:2020-12-09 00:00:00
abstract::In the debate on 'Third options' for health care delivery in low- and middle-income countries it is proposed that self-help should play a larger role. Self-help is expected to contribute towards improving population health outcomes and reducing government health care expenditure. We review scope and limitations of sel...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-3-1
更新日期:2004-04-15 00:00:00
abstract:BACKGROUND:Everyone has the right to achieve the standard of health and well-being. Migrants are considered as vulnerable populations due to the lack of access to health services and financial protection in health. Several interventions have been developed to improve migrant population health, but little is known about...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-0970-x
更新日期:2019-05-06 00:00:00
abstract:INTRODUCTION:One of the main weaknesses of the health system in Turkey is the uneven distribution of physicians. The diversity among geographical districts was huge in the beginning of the 1960s. After the 1980s, the implementation of a two-year compulsory service for newly graduated physicians is an interesting and sp...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0131-1
更新日期:2015-01-08 00:00:00
abstract:BACKGROUND:Lack of access to health care is a persistent condition for most African indigents, to which the common technical approach of targeting initiatives is an insufficient antidote. To overcome the standstill, an integrated technical and political approach is needed. Such policy shift is dependent on political su...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/1475-9276-12-91
更新日期:2013-11-15 00:00:00
abstract:BACKGROUND:Implementation of known effective interventions would necessitate the reduction of malaria burden by half by the year 2010. Identifying geographical disparities of coverage of these interventions at small area level is useful to inform where greatest scaling-up efforts should be concentrated. They also provi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-6-5
更新日期:2007-07-04 00:00:00
abstract:BACKGROUND:Multimorbidity in primary care is a challenge not only for developing countries but also for low and medium income countries (LMIC). Health services in LMIC countries are being provided by both public and private health care providers. However, a critical knowledge gap exists on understanding the true extent...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01170-y
更新日期:2020-04-29 00:00:00
abstract:BACKGROUND:The evaluation of geographical healthcare accessibility in residential areas provides crucial information to public policy. Traditional methods - such as Physician Population Ratios (PPR) or shortest travel time - offer only a one-dimensional view of accessibility. This paper developed an improved indicator:...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0411-z
更新日期:2016-08-02 00:00:00
abstract:BACKGROUND:In 2003, Médecins Sans Frontières, the provincial government, and the provincial health authority began a community project to guarantee financial access to primary health care in Karuzi province, Burundi. The project used a community-based assessment to provide exemption cards for indigent households and a ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-36
更新日期:2009-10-24 00:00:00
abstract:BACKGROUND:Regulation of the medical tourism and public health sectors overlap in many instances, raising questions of how patient safety, economic growth, and health equity can be protected. The case of Guatemala is used to explore how the regulatory challenges posed by medical tourism should be dealt with in countrie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0866-1
更新日期:2018-09-20 00:00:00
abstract:INTRODUCTION:Vietnam has succeeded in reducing maternal mortality in the last decades. Analysis of survey data however indicate that large inequities exist between different segments of the population. We have analyzed utilization of antenatal care and skilled birth attendance among Vietnamese women of reproductive age...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-24
更新日期:2012-05-15 00:00:00
abstract:INTRODUCTION:A key element of the global drive to universal health coverage is ensuring access to needed health services for everyone, and to pursue this goal in an equitable way. This requires concerted efforts to reduce disparities in access through understanding and acting on barriers facing communities with the low...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-015-0181-z
更新日期:2015-06-09 00:00:00
abstract:BACKGROUND:China is experiencing environmental issues and related health effects due to its industrialization and urbanization. The health effects associated with air pollution are not just a matter of epidemiology and environmental science research, but also an important social science issue. Literature about the rela...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0719-y
更新日期:2018-02-05 00:00:00
abstract:BACKGROUND:A growing body of literature has demonstrated that higher social capital is associated with improved health conditions. However, some research indicated that the association between social capital and health was substantially attenuated after adjustment for material deprivation. Studies exploring the associa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-2
更新日期:2009-02-15 00:00:00
abstract:BACKGROUND:Underserved and low-income population are placed at a disadvantage for receiving necessary cancer screenings. This study aims to measure the rates of receiving three types of cancer screening services, Pap test, mammogram and colorectal cancer screening, among patients seen at U.S. health centers (HCs) to in...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1153-5
更新日期:2020-03-27 00:00:00
abstract:INTRODUCTION:Despite the relentless efforts to reduce infant and child mortality with the introduction of the National Expanded Programmes on Immunization (EPI) in 1974, major disparities still exist in immunizations coverage across different population sub-groups. In Kenya, for instance, while the proportion of fully ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0154-2
更新日期:2015-02-27 00:00:00
abstract:BACKGROUND:The inequitable allocation of health resources is a worldwide problem, and it is also one of the obstacles facing for health services utilization in China. A new round of health care reform which contains the important aspect of improving the equity in health resource allocation was released by Chinese gover...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0357-1
更新日期:2016-04-19 00:00:00
abstract:BACKGROUND:Like most Central European countries Slovakia has experienced a period of socioeconomic changes and at the same time a decline in the mortality rate. Therefore, the aim is to study socioeconomic factors that changed over time and simultaneously contributed to regional differences in mortality. METHODS:The a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0404-y
更新日期:2016-07-19 00:00:00
abstract:OBJECTIVE:This narrative review aimed to identify and categorize the barriers and facilitators to the provision of brief intervention and behavioral change programs that target several risk behaviors among the Indigenous populations of Australia, Canada, and New Zealand. METHODS:A systematic database search was conduc...
journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-1059-2
更新日期:2019-11-05 00:00:00
abstract:OBJECTIVE:Prior to 2007, forced sex with male children in South Africa did not count as rape but as "indecent assault", a much less serious offence. This study sought to document prevalence of male sexual violence among school-going youth. DESIGN:A facilitated self-administered questionnaire in nine of the 11 official...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-7-20
更新日期:2008-07-29 00:00:00
abstract:BACKGROUND:In 2007 Uruguay began a reform in the health sector towards the construction of a National Integrated Health System (SNIS), based on public insurance with private and public provision. The main objective of the reform was to universalize access to health services. METHODS:Data comes from the first National ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01237-w
更新日期:2020-10-26 00:00:00
abstract:CONTEXT:The Kenya Partnership for Health (KPH) program began in 1999, and is currently one of the 12 field projects participating in the WHO's 'Towards Unity for Health initiative' implemented to develop partnership synergies in support of the Primary Health Care (PHC) approach 1. CONTENT:This paper illustrates how Pr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-4-8
更新日期:2005-06-24 00:00:00