Haskard-Zolnierek Kelly, Martin Leslie R, Bueno Elia Hilda, Kruglikova-Sanchez Yana
Department of Psychology, Texas State University.
Department of Psychology, La Sierra University.
Health Commun. 2023 Apr;38(4):714-720. doi: 10.1080/10410236.2021.1973176. Epub 2021 Sep 5.
Language discordance poses a barrier to effective physician-patient communication, and health care outcomes, such as patient satisfaction, can be associated with language barriers experienced by Spanish-speaking patients. This exploratory study assessed specific aspects of communication between 128 Spanish-speaking primary care patients and their physicians (primary English speakers without an interpreter present). The rating scale developed for this study was used by five raters, who listened to audiotapes of each of these medical visits. Patients and physicians completed measures of visit satisfaction. Results indicated physicians with better Spanish-language skills were less frustrated with medical visit communication and more connected to their patients; patients whose physicians were rated as having better Spanish-speaking ability reported having greater choice in their medical care. Patients whose physicians spoke more Spanish were more satisfied with the information given by their physicians. Physicians rated as having better Spanish-speaking ability were more likely to say they could not understand all the patients wanted to tell them. These data support the importance of language concordance in physician-patient communication and awareness of potential communication barriers between physicians and patients.
语言不一致对医患之间的有效沟通构成了障碍，而诸如患者满意度等医疗保健结果可能与说西班牙语的患者所经历的语言障碍有关。这项探索性研究评估了128名说西班牙语的初级保健患者与其医生（主要说英语且没有口译员在场）之间沟通的具体方面。为该研究开发的评分量表由五名评分者使用，他们听取了这些医疗就诊的录音带。患者和医生完成了就诊满意度的测量。结果表明，西班牙语技能较好的医生对医疗就诊沟通的挫败感较小，与患者的联系更紧密；其医生被评为西班牙语能力较好的患者表示在医疗护理方面有更多选择。医生说西班牙语较多的患者对医生提供的信息更满意。被评为西班牙语能力较好的医生更有可能表示他们无法理解患者想要告诉他们的所有内容。这些数据支持了语言一致性在医患沟通中的重要性以及对医患之间潜在沟通障碍的认识。
