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

Abstract

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.

Factors influencing the use of video interpretation compared to in-person interpretation in hospitals: a qualitative study

“…Language discordance create what has been described as a "triple threat" to effective communication, as language differences not only hinder interaction but also act as a barrier due to their association with culture and often with low health literacy [3,4]. A growing body of research has documented a range of adverse effects of language discordance on quality of care, health outcomes, patient satisfaction, and costs [5][6][7][8][9]. Studies indicate that linguistic barriers result in inappropriate diagnoses, poorer adherence to treatment and follow-ups, more medication complications, more and often unnecessary diagnostic tests being ordered, and longer hospitalisations [10,11].…”

Cancer information seeking and scanning behavior among Nepalese migrants in Japan and its association with preventive behavior

“…In our study, migrants with low Japanese language skills were less likely to undertake CISE. The language barrier is considered to be one of the main problems for migrants in acquiring information in a previous study also [34]. If an individual is unable to understand the language of the host country, he/she cannot collect information and utilize medical facilities despite having wishes to do so.…”

Medical Interpreting In The Migration Discourse: Problems And Didactics

“…Using family members and friends as intermediaries is the most frequent way to overcome the language barrier -60.1%. Two thirds of doctors cannot use a professional interpreter when working with foreigners (Jaeger et al, 2019). At the same time, interviews with 21 first-generation migrant patients from Turkey in Holland showed that they trust informal interpreters more as the latter are perceived as defenders and lawyers because they communicate with patients as equals (Zendedel, Schouten, van Weert, & van den Putte, 2018).…”