Ressenti des professionnels de santé sur l’interprétariat professionnel en soins ambulatoires : une étude qualitative en Pays de La Loire.

IF 0.4 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Émeline Odwazny Derville, Charlotte Deschamps, Raphaëlle Bigot, Rosalie Rousseau
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引用次数: 0

Abstract

Introduction: The language barrier constitutes a major obstacle to healthcare access. In response, on-site and telephone professional interpreting services were implemented in 2017 in the Pays de la Loire region. This study aims to assess healthcare professionals&#8217; perceptions of these services in ambulatory care settings.

Methods: A qualitative study based on grounded theory principles was conducted through focus groups and semi-structured interviews with community-based healthcare professionals who had previously used interpreting services. Participants were recruited via email using program activity records. Data were analyzed and categorized according to emerging themes. An explanatory model, resulting from integrative analysis, was developed and illustrated in a diagram.

Results: A total of 17 healthcare professionals were interviewed (13 general practitioners, 2 midwives, and 2 speech and language therapists) through two focus groups and five individual interviews. Participants highlighted improvements in communication and the therapeutic relationship, as well as the intercultural contribution, which made interpreting a versatile tool well suited to the consultations. They gradually appropriated this practice, reporting both professional and personal satisfaction. However, structural constraints limited broader implementation. Additional barriers included longer consultation times and concerns that using interpreters might complicate complex situations or disrupt the therapeutic relationship.

Conclusion: Professional interpreting enhances the safety of the therapeutic relationship and helps reduce inequalities in healthcare access. Broader adoption, financial recognition, and wider dissemination among healthcare providers are essential to ensure sustainability.

卫生专业人员关于门诊护理专业口译的摘要:卢瓦尔省的一项定性研究。
语言障碍是获得医疗保健的主要障碍。为此,2017年在卢瓦尔河大区实施了现场和电话专业口译服务。这项研究的目的是评估医疗保健专业人员。在门诊护理环境中对这些服务的看法。方法:基于扎根理论原则的定性研究通过焦点小组和半结构化访谈对以前使用过口译服务的社区卫生保健专业人员进行。参与者是通过使用项目活动记录的电子邮件招募的。根据新出现的主题对数据进行分析和分类。通过综合分析,建立了一个解释性模型,并用图表加以说明。结果:通过2个焦点小组和5个单独访谈,共采访了17名卫生保健专业人员(13名全科医生、2名助产士和2名语言治疗师)。与会者强调了沟通和治疗关系的改善,以及跨文化的贡献,这使得口译成为非常适合咨询的多功能工具。他们逐渐适应了这种做法,报告了职业和个人满意度。然而,结构性限制限制了更广泛的实施。其他障碍包括更长的咨询时间和使用口译员可能使复杂的情况复杂化或破坏治疗关系的担忧。结论:专业口译提高了治疗关系的安全性,有助于减少医疗服务获取的不平等。在医疗保健提供者中更广泛的采用、财务认可和更广泛的传播对于确保可持续性至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Sante Publique
Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.40
自引率
33.30%
发文量
252
审稿时长
>12 weeks
期刊介绍: La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc
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