Language barriers and the use of interpreters in the public health services. A questionnaire-based survey

Patient Educ Couns. 2010 Nov;81(2):187-91. doi: 10.1016/j.pec.2010.05.002. Epub 2010 Jun 9.

Abstract

Objective: This study aims to examine cross-cultural communication in health-care settings, which has implications for equal access to health services. We studied how often health-care workers experience a need for language assistance, what they do in such situations, what expectations they have of the interpreters and their evaluation of competency needs.

Methods: A quantitative cross-sectional design using a structured questionnaire was used. The participants were health-care providers in Oslo, and the survey was conducted 2004-2005.

Results: The response rate was 35.1%. The largest category of participants (51.1%) consisted of nurses, followed by the second largest category (26.6%) of 120 physicians. Our results suggested an underutilization of interpreter services in the public health-care system.

Conclusions: The use of interpreter services seems to be sporadic and dependent on the individual health-care practitioner's own initiative and knowledge. Many survey participants expressed dissatisfaction with both their own methods of working with interpreters and with the interpreter's qualifications.

Practice implications: A key area for further improvement is the process of raising awareness among health-care providers and institutions regarding the legal responsibility they have to ensure the sufficient level of communication with their patients/clients.

MeSH terms

  • Allied Health Personnel
  • Attitude of Health Personnel
  • Communication Barriers*
  • Cross-Sectional Studies
  • Cultural Characteristics
  • General Practitioners
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility*
  • Health Services Needs and Demand
  • Healthcare Disparities
  • Humans
  • Language*
  • Norway
  • Patient Acceptance of Health Care
  • Physician-Patient Relations*
  • Quality of Health Care
  • Surveys and Questionnaires
  • Translating*