Document Detail

Interpreter perspectives of in-person, telephonic, and videoconferencing medical interpretation in clinical encounters.
MedLine Citation:
PMID:  21930360     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine professional medical interpreters' perspectives of in-person and remote interpreting modalities.
METHODS: Survey of interpreters at three medical centers assessing satisfaction with aspects of communication using each modality, and adequacy of videoconferencing medical interpretation (VMI) and telephonic interpretation for 21 common clinical scenarios in the hospital and ambulatory care settings.
RESULTS: 52 interpreters completed the survey (73% response). All modalities were equally satisfactory for conveying information. Respondents favored in-person to telephonic interpretation for establishing rapport (95% versus 71%, p=.002) and for facilitating clinician understanding of patients' social and cultural backgrounds (92% versus 69%, p=.002). Scenarios with substantial educational or psychosocial dimensions had no more than 70% of respondents rating telephonic interpretation as adequate (25-70%); for all of these scenarios, VMI represented an improvement (52-87%).
CONCLUSION: From the interpreter perspective, telephonic interpretation is satisfactory for information exchange, but less so for interpersonal aspects of communication. In scenarios where telephonic interpretation does not suffice, particularly those with substantial educational or psychosocial components, VMI offers improved communication.
PRACTICE IMPLICATIONS: Differences in interpreters' perspectives of modalities based on communication needs and clinical scenario suggest mixed use of multiple modalities may be the best language access strategy.
Erika Leemann Price; Eliseo J Pérez-Stable; Dana Nickleach; Monica López; Leah S Karliner
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-09-17
Journal Detail:
Title:  Patient education and counseling     Volume:  87     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-01     Completed Date:  2012-08-06     Revised Date:  2014-06-17    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  226-32     Citation Subset:  N    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
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MeSH Terms
Allied Health Personnel
Communication Barriers
Cross-Sectional Studies
Middle Aged
Physician-Patient Relations
Grant Support
P30 AG015272/AG/NIA NIH HHS; P30-AG15272/AG/NIA NIH HHS; T32HP19025//PHS HHS

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