TY - JOUR
T1 - Informal interpreting in general practice
T2 - Are interpreters’ roles related to perceived control, trust, and satisfaction?
AU - Zendedel, Rena
AU - Schouten, Barbara C.
AU - van Weert, Julia C.M.
AU - van den Putte, Bas
N1 - Publisher Copyright:
© 2018 Elsevier B.V.
PY - 2018/6
Y1 - 2018/6
N2 - Objective: The aim of this observational study was twofold. First, we examined how often and which roles informal interpreters performed during consultations between Turkish-Dutch migrant patients and general practitioners (GPs). Second, relations between these roles and patients’ and GPs’ perceived control, trust in informal interpreters and satisfaction with the consultation were assessed. Methods: A coding instrument was developed to quantitatively code informal interpreters’ roles from transcripts of 84 audio-recorded interpreter-mediated consultations in general practice. Patients’ and GPs’ perceived control, trust and satisfaction were assessed in a post consultation questionnaire. Results: Informal interpreters most often performed the conduit role (almost 25% of all coded utterances), and also frequently acted as replacers and excluders of patients and GPs by asking and answering questions on their own behalf, and by ignoring and omitting patients’ and GPs’ utterances. The role of information source was negatively related to patients’ trust and the role of GP excluder was negatively related to patients’ perceived control. Conclusion: Patients and GPs are possibly insufficiently aware of the performed roles of informal interpreters, as these were barely related to patients’ and GPs’ perceived trust, control and satisfaction. Practice implications: Patients and GPs should be educated about the possible negative consequences of informal interpreting.
AB - Objective: The aim of this observational study was twofold. First, we examined how often and which roles informal interpreters performed during consultations between Turkish-Dutch migrant patients and general practitioners (GPs). Second, relations between these roles and patients’ and GPs’ perceived control, trust in informal interpreters and satisfaction with the consultation were assessed. Methods: A coding instrument was developed to quantitatively code informal interpreters’ roles from transcripts of 84 audio-recorded interpreter-mediated consultations in general practice. Patients’ and GPs’ perceived control, trust and satisfaction were assessed in a post consultation questionnaire. Results: Informal interpreters most often performed the conduit role (almost 25% of all coded utterances), and also frequently acted as replacers and excluders of patients and GPs by asking and answering questions on their own behalf, and by ignoring and omitting patients’ and GPs’ utterances. The role of information source was negatively related to patients’ trust and the role of GP excluder was negatively related to patients’ perceived control. Conclusion: Patients and GPs are possibly insufficiently aware of the performed roles of informal interpreters, as these were barely related to patients’ and GPs’ perceived trust, control and satisfaction. Practice implications: Patients and GPs should be educated about the possible negative consequences of informal interpreting.
KW - Health communication
KW - Interpreter-mediated interactions
KW - Language barrier
KW - Migrant patients
UR - http://www.scopus.com/inward/record.url?scp=85041927481&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2018.01.012
DO - 10.1016/j.pec.2018.01.012
M3 - Article
C2 - 29402573
AN - SCOPUS:85041927481
SN - 0738-3991
VL - 101
SP - 1058
EP - 1065
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 6
ER -