Department of Nursing, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya, 460-0001, Japan.
Department of Infectious Diseases, Nagoya Medical Center, 4-1-1 Sannomaru, Naka-ku, Nagoya, 460-0001, Japan.
J Immigr Minor Health. 2021 Apr;23(2):250-256. doi: 10.1007/s10903-020-00982-y.
This study evaluated the impact of a public medical interpreter on the follow-up clinic attendance rate of foreign-born people with HIV who live in Japan. Participants were patients who visited Nagoya Medical Center from 2009 to 2016. Lost to follow-up was defined as an absence from follow-up visits for more than six months without any notification. A log-rank test was conducted to compare the lost-to-follow-up rates by patients' nation of origin and medical interpreter use. Of the 931 participants, 114 were foreign patients, whose overall attendance rate at 5 years was 75.5%, which was significantly lower than that of Japanese patients (94.1%, p < 0.001). There was no significant difference in regular attendance with respect to medical interpreter use (p = 0.09). Social support in addition to a medical interpreter may be needed to improve attendance rates in the study population.
本研究评估了公共医疗口译员对居住在日本的外国出生艾滋病毒感染者后续就诊率的影响。参与者为 2009 年至 2016 年期间到名古屋医疗中心就诊的患者。随访失访定义为超过六个月没有任何通知而未进行随访。采用对数秩检验比较患者原籍国和使用医疗口译员对失访率的影响。在 931 名参与者中，有 114 名是外国患者，他们在 5 年内的总体就诊率为 75.5%，明显低于日本患者（94.1%，p<0.001）。使用医疗口译员与定期就诊率之间无显著差异（p=0.09）。为了提高研究人群的就诊率，可能需要除医疗口译员以外的社会支持。
