Patient Perspectives on Language Discordance During Healthcare Visits: Findings From the Extremely High-Density Multicultural State of Qatar

Abdelrahim, Huda; Elnashar, Maha; Khidir, Amal; Killawi, Amal; Hammoud, Maya M.; Al-Khal, Abdul Latif; Fetters, Michael D.

doi:10.1080/10810730.2017.1296507

Cited by 17 publications

(11 citation statements)

References 21 publications

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“…Insufficient use of professional interpreters is a phenomenon not unique to healthcare in Switzerland [15, 16, 18, 39–41] and may vary greatly between countries [41], but to our knowledge similar nation-wide information such as obtained by this study is lacking for other countries in Europe. The extent to which relevant language barriers are encountered in primary healthcare internationally is likely to vary according to the number of migrants with a linguistic background different to the host countries’ languages, their education levels and level of integration and therefore levels of proficiency in the local or commonly shared language (e.g., English) achieved.…”

Section: Discussionmentioning

confidence: 99%

The migration-related language barrier and professional interpreter use in primary health care in Switzerland

Jaeger

Pellaud²,

Laville

et al. 2019

BMC Health Serv Res

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Background With increased international migration, language barriers are likely becoming more relevant in primary care. The aim of this study was to investigate the language barrier in paediatric and adult primary care, present its consequences, reveal how it is overcome, as well as highlight the use of and potential unmet needs for professional interpreters, using Switzerland as a case study. Methods Primary healthcare providers were invited nation-wide to participate in an online questionnaire on language barriers faced and interpreter use. Results More than 90% of the 599 participants in this nation-wide cross-sectional study face relevant language barriers at least once a year, 30.0% even once a week. Using family members and friends for translations is reported as the most frequent resort for overcoming the language barrier (60.1% report it for more than 50% of encounters), followed by “using gestures” (32.0%) or just accepting the insufficient communication (22.9%). Minors interpret frequently (frequent use: 23.3%). Two thirds of physicians facing language barriers never have access to a professional interpreter, the majority (87.8%) though would appreciate their presence and approximately one quarter of these even see a cost-saving potential. Multiple consequences affecting quality of care in the absence of professional interpreters are identified. Conclusion Language barriers are relevant in primary care. Improved access to professional interpreters is warranted.

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Section: Discussionmentioning

confidence: 99%

The migration-related language barrier and professional interpreter use in primary health care in Switzerland

Jaeger

Pellaud²,

Laville

et al. 2019

BMC Health Serv Res

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“…6 In Qatar, Urdu speakers were found to be more vulnerable to health disparities when accessing healthcare as compared to mainstream Arabic or English speakers. 7 Time pressure is a major barrier to communication between patients and family physicians, especially in walk in settings. 8 .…”

Section: Discussionmentioning

confidence: 99%

Atypical myocardial infarction masquerading as gastroenteritis

Mahmood¹,

Rashid²,

Ali³

2023

Int J Res Med Sci

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Acute coronary syndrome (ACS) encompasses unstable angina and myocardial infarction (MI). MI typically presents as chest pain that may radiate to the arm or jaw and is described as dull, heavy, tight, or crushing. However, it may present atypically with symptoms other than chest pain including epigastric pain, often described as burning in character or like indigestion. This is a case of a 51-year-old patient who presented with symptoms of epigastric pain, nausea and vomiting resembling gastroesophageal disease. The patient was initially evaluated by a physician as a non-urgent case of gastroenteritis. Following further assessment due to ongoing symptoms, he was diagnosed with ST elevation MI (STEMI) and treated according to ACS treatment guidelines. To accurately diagnose ACS, clinicians must demonstrate competent communication, history taking and physical examination skills, identify red flags and make use of appropriate investigations. Correct medications and timely referral to secondary care services is vital to prevent morbidity and mortality.

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“…Demographic groups covered were (female, male, population aged (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) years old, population aged ≥35 years old).…”

Section: Methodsmentioning

confidence: 99%

Qualitative Focus Group Study Examining Perceptions of the Community’s Important Health Issues, Health Care Needs and Perceived Barriers to Access Among Arabic Speaking Primary Care Clients in the State of Qatar

Al-Kuwari

Abdulla²,

Abdulla

et al. 2021

JMDH

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Objective This study is a part of the Primary Health Care Corporation’s (PHCC) Health Needs Assessment (HNA) Initiative. It focuses on identifying perceptions of Arabic speaking primary care clients regarding community’s major health issues, their experiences in utilizing health services, and the barriers that limit their access to health care in the State of Qatar. Study Setting and Design A total of 10 focus groups sessions were conducted at different PHCC’s health centers between October of 2019 and March of 2020. Sessions were distributed to cover all PHCC’s three geographical regions. Data were analyzed using thematic analysis. Participants A total of 89 adult Arabic speaking individuals were recruited. Participants included were in the age groups (18–69), native Arabic speaker, and registered at one of the PHCC’s health centers with a valid health card at time of recruitment. Results Areas investigated included perceptions of the community’s health issues, needed health services, and perceived barriers to health care. Priority health issues identified were chronic non-communicable diseases, mental health, timely access to care, cultural competency of delivered services, and integration and coordination across health care settings and sectors. Participants were able to identify socioeconomic and environmental factors such as the need for health and wellness interventions at schools that affects the health of the individual and the community. The importance of raising the community’s awareness about health-related issues and availability of health services was highlighted by study participants. Conclusion Collecting qualitative data provides an opportunity to examine people’s perceptions, and motivations and engage the whole community. This process is very important for strategic planning of health services. The study attempts to fill the knowledge gap and should be linked to health policy and the development of socially and culturally appropriate health programs.

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Patient Perspectives on Language Discordance During Healthcare Visits: Findings From the Extremely High-Density Multicultural State of Qatar

Cited by 17 publications

References 21 publications

The migration-related language barrier and professional interpreter use in primary health care in Switzerland

The migration-related language barrier and professional interpreter use in primary health care in Switzerland

Atypical myocardial infarction masquerading as gastroenteritis

Qualitative Focus Group Study Examining Perceptions of the Community’s Important Health Issues, Health Care Needs and Perceived Barriers to Access Among Arabic Speaking Primary Care Clients in the State of Qatar

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