Scales David
J Health Care Poor Underserved. 2018;29(3):1046-1053. doi: 10.1353/hpu.2018.0078.
Communicating with patients who speak different languages in health care environments is a well-known challenge, for which there are myriad solutions to provide increased access for patients with low proficiency in the language of care. Clinicians often overlook communication challenges with patients for whom language is not a barrier, but mismatches in cultural and personal communication styles can lead to poor communication between doctor and patient that can negatively affect the clinical relationship and patient care. Just as patients who require interpreters require more time, clinicians must expect to spend more time to navigate different communication styles. Physicians should have a high index of suspicion for communication challenges, and hospitals and clinics must provide flexible clinic environments that allow clinicians the time required to overcome them.
在医疗环境中与说不同语言的患者进行沟通是一个众所周知的挑战，针对这一挑战有无数解决方案，以增加语言能力有限的患者获得医疗服务的机会。临床医生常常忽视与语言并非障碍的患者之间的沟通挑战，但文化和个人沟通方式的不匹配可能导致医患之间沟通不畅，进而对临床关系和患者护理产生负面影响。正如需要翻译的患者需要更多时间一样，临床医生必须预计要花费更多时间来应对不同的沟通方式。医生应该对沟通挑战保持高度警惕，医院和诊所必须提供灵活的诊疗环境，让临床医生有足够的时间来克服这些挑战。
