Providing a Spanish interpreter using low-cost videoconferencing in a community study computers

<p><strong>Background</strong> The advent of more mobile, more reliable, and more affordable videoconferencing technology finally makes it realistic to offer remote foreign language interpretation in the office setting. Still, such technologies deserve proof of acceptability to cli...

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Main Authors: James L Wofford, Claudia L Campos, Dominic A Johnson, Monica T Brown
Format: Article
Language:English
Published: BCS, The Chartered Institute for IT 2013-03-01
Series:Journal of Innovation in Health Informatics
Subjects:
Online Access:http://hijournal.bcs.org/index.php/jhi/article/view/34
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author James L Wofford
Claudia L Campos
Dominic A Johnson
Monica T Brown
author_facet James L Wofford
Claudia L Campos
Dominic A Johnson
Monica T Brown
author_sort James L Wofford
collection DOAJ
description <p><strong>Background</strong> The advent of more mobile, more reliable, and more affordable videoconferencing technology finally makes it realistic to offer remote foreign language interpretation in the office setting. Still, such technologies deserve proof of acceptability to clinicians and patients before there is widespread acceptance and routine use.</p><p><strong>Objective</strong> We sought to examine: (1) the audio and video technical fidelity of iPad/Facetime software, (2) the acceptability of videoconferencing to patients and clinicians.</p><p><strong>Methods</strong> The convenience sample included Spanish-speaking adult patients at a community health care medicine clinic in 2011. Videoconferencing was conducted using two iPads connecting patient/physician located in the clinic examination room, and the interpreter in a remote/separate office in the same building. A five-item survey was used to solicit opinions on overall quality of the videoconferencing device, audio/video integrity/fidelity, perception of encounter duration, and attitude toward future use.</p><p><strong>Results</strong> Twenty-five patients, 18 clinicians and 5 interpreters participated in the project. Most patients (24/25) rated overall quality of videoconferencing as good/excellent with only 1 ‘fair’ rating. Eleven patients rated the amount of time as no longer than in-person, and nine reported it as shorter than in person. Most patients, 94.0% (24/25), favoured using videoconferencing during future visits. For the 18 clinicians, the results were similar.</p><p><strong>Conclusions</strong> Based on our experience at a single-site community health centre, the videoconferencing technology appeared to be flawless, and both patients and clinicians were satisfied. Expansion of videoconferencing to other off-site healthcare professionals should be considered in the search for more cost-effective healthcare.</p>
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spelling doaj.art-293c1a055388462aba5a6d5662fe1ea42022-12-22T00:11:33ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632013-03-0120214114610.14236/jhi.v20i2.3425Providing a Spanish interpreter using low-cost videoconferencing in a community study computersJames L Wofford0Claudia L Campos1Dominic A Johnson2Monica T Brown3Associate Professor, Internal Medicine, Clinic Director, Department of Internal Medicine, Wake Forest University School of Medicine, Downtown Heath Plaza of Wake Forest Baptist Health, Winston-Salem, NC, USAAssistant Professor, Internal Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Downtown Heath Plaza of Wake Forest Baptist Health, Winston-Salem, NC, USAResident Physician, Internal Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Downtown Heath Plaza of Wake Forest Baptist Health, Winston-Salem, NC, USAAssistant Administrator, Downtown Health Plaza, Department of Internal Medicine, Wake Forest University School of Medicine, Downtown Heath Plaza of Wake Forest Baptist Health, Winston-Salem, NC, USA<p><strong>Background</strong> The advent of more mobile, more reliable, and more affordable videoconferencing technology finally makes it realistic to offer remote foreign language interpretation in the office setting. Still, such technologies deserve proof of acceptability to clinicians and patients before there is widespread acceptance and routine use.</p><p><strong>Objective</strong> We sought to examine: (1) the audio and video technical fidelity of iPad/Facetime software, (2) the acceptability of videoconferencing to patients and clinicians.</p><p><strong>Methods</strong> The convenience sample included Spanish-speaking adult patients at a community health care medicine clinic in 2011. Videoconferencing was conducted using two iPads connecting patient/physician located in the clinic examination room, and the interpreter in a remote/separate office in the same building. A five-item survey was used to solicit opinions on overall quality of the videoconferencing device, audio/video integrity/fidelity, perception of encounter duration, and attitude toward future use.</p><p><strong>Results</strong> Twenty-five patients, 18 clinicians and 5 interpreters participated in the project. Most patients (24/25) rated overall quality of videoconferencing as good/excellent with only 1 ‘fair’ rating. Eleven patients rated the amount of time as no longer than in-person, and nine reported it as shorter than in person. Most patients, 94.0% (24/25), favoured using videoconferencing during future visits. For the 18 clinicians, the results were similar.</p><p><strong>Conclusions</strong> Based on our experience at a single-site community health centre, the videoconferencing technology appeared to be flawless, and both patients and clinicians were satisfied. Expansion of videoconferencing to other off-site healthcare professionals should be considered in the search for more cost-effective healthcare.</p>http://hijournal.bcs.org/index.php/jhi/article/view/34interpreter perspectivelanguage accessmedical interpretationremote interpretationvideoconferencing
spellingShingle James L Wofford
Claudia L Campos
Dominic A Johnson
Monica T Brown
Providing a Spanish interpreter using low-cost videoconferencing in a community study computers
Journal of Innovation in Health Informatics
interpreter perspective
language access
medical interpretation
remote interpretation
videoconferencing
title Providing a Spanish interpreter using low-cost videoconferencing in a community study computers
title_full Providing a Spanish interpreter using low-cost videoconferencing in a community study computers
title_fullStr Providing a Spanish interpreter using low-cost videoconferencing in a community study computers
title_full_unstemmed Providing a Spanish interpreter using low-cost videoconferencing in a community study computers
title_short Providing a Spanish interpreter using low-cost videoconferencing in a community study computers
title_sort providing a spanish interpreter using low cost videoconferencing in a community study computers
topic interpreter perspective
language access
medical interpretation
remote interpretation
videoconferencing
url http://hijournal.bcs.org/index.php/jhi/article/view/34
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