helanguagebarrierinprimarycareperspectivesof…在初級保健方面的語言障礙…-資料下載頁
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【正文】 eral Practice, HSR Seminar, December 13th 2022 Key Findings ? Three main informal strategies identified ? the use of informal interpreters, dictionaries and gestures/body language ? The inadequacy of these informal strategies has been highlighted problems include ? the use of children ? friends/family members who may not be trusted ? friends/family members who may not actually have ‘good’ English ? examples of errors and misdiagnoses as a result of language and munication difficulties Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Key Findings ? Good English does not guarantee ‘problem free’ munication ? Decisions about the use of formal and informal interpreters lie primarily with GPs. ? Refugees and asylum seekers do not feel listened to by GPs ? Profound lack of faith in GP care Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Solutions ? Accessible and Available Formal Interpreters ? Trained interpreters ? Training for uptake and use of interpreters ? Options for different kinds of interpreting for different kinds of consultations ? English Classes ? Exchange of Experiences and Perspectives Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Concrete Actions… ? Action Research Process and Outes ? Representation, participation, empowerment ? Impact on health policy and service delivery ? Presentation to HSE Primary Care Unit ? Network of regional projects ? Fellow in Refugee and Asylum Seeker Healthcare ? MARTA Galway Refugee Support Group Community Health Project ? Planned national interagency conference Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Acknowledgements ? Peer Researcher Group ? Galway Refugee Support Group ? Triona NicGiolla Choille ? Celine Geoffret ? Steering Group Members ? Mary Kilraine Hannon, Health Promotion, HSE WA ? Ena Polenjee, Public Health Nurse, HSE WA ? Ann O Kelly, Centre for Nursing Studies, NUI, Galway ? PLA Trainers ? Mary O’Rielly de Brun, Centre for Participatory Studies, Co. Galway ? Tomas de Brun, Centre for Participatory Studies, Co. Galway ? Research with Service Providers ? Pauline Clerkin, NUI, Galway ? Liam Glynn, NUI, Galway ? Julie McMahon, NUI, Galway ? Phillipe Mosinike, NUI, Galway Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Perspectives of Primary Care Providers ? Telephone Survey (GPs and PHNs) ? n=91/119。 Response rate 76%。 ? Qualitative Interviews (GPs) ? n=12 Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022 Overview of Results ? Use of interpreters 90% ? Relative or friend 70% ? Formal interpreter by telephone 19% ? Formal interpreter face to face 7% ? Preference for informal interpreter 36% ? Preference for formal interpreter 41% ? Managed without interpretation 63% ? Accounts of difficulties or sensitivities with informal and formal interpreters ? Language barrier not perceived as a major problem in their work Anne MacFarlane, Department of General Practice, HSR Seminar, December 13th 2022
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