Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome

Background: Utilization of interpreters to facilitate communication between health care providers and non-native speaking patients is essential to provide the best possible quality of care. Yet use and policy on the subject vary widely, as does knowledge on the effect of different types of interpret...

Full description

Bibliographic Details
Main Authors: Morten Heath, Anne Mette Fløe Hvass, Christian Morberg Wejse
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Journal of Migration and Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666623523000120
_version_ 1797799893468708864
author Morten Heath
Anne Mette Fløe Hvass
Christian Morberg Wejse
author_facet Morten Heath
Anne Mette Fløe Hvass
Christian Morberg Wejse
author_sort Morten Heath
collection DOAJ
description Background: Utilization of interpreters to facilitate communication between health care providers and non-native speaking patients is essential to provide the best possible quality of care. Yet use and policy on the subject vary widely, as does knowledge on the effect of different types of interpreters. This paper systematically reviews the literature on use of interpreters in the medical setting to evaluate their effects on the quality of care. Material and methods: We conducted a literature search of PubMed and Embase, supplemented with references from relevant previous literature. We included any report in a medical setting comparing one type of interpretation to any other, including no interpretation and measuring a patient outcome. No limit was set on time or language. Risk of bias was assessed using the Evidence Project Risk of Bias assessment tool and the CASP checklist for qualitative studies. Results were synthesized using REDCap and presented in tables. Results: We identified 29 reports represented by five types of studies. Types of interpreter intervention examined were professional, ad hoc, relational, any and no interpreter. Outcomes measured were satisfaction, communication, utilization and clinical outcomes. Results were indicative of in-person professional interpreter resulting in highest satisfaction and communication, reaffirming that any interpreter is better than none and relational interpreters can be a valuable interpreter resource for patients in the private practice setting. To be able to further differentiate on outcome for interventions of ad-hoc or relational interpreters, further data is needed. Discussion: In-person Professional interpreter is the interpreter type resulting in greatest satisfaction and best communication outcome for the patients. This review is limited by most data originating from one country, interpretation from mainly Spanish to English and in one cultural setting. Funding: No funding was provided for this review.
first_indexed 2024-03-13T04:26:50Z
format Article
id doaj.art-58b75c5299514de491af261d393a349b
institution Directory Open Access Journal
issn 2666-6235
language English
last_indexed 2024-03-13T04:26:50Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Journal of Migration and Health
spelling doaj.art-58b75c5299514de491af261d393a349b2023-06-20T04:21:03ZengElsevierJournal of Migration and Health2666-62352023-01-017100162Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcomeMorten Heath0Anne Mette Fløe Hvass1Christian Morberg Wejse2Aarhus University, Nordre Ringgade 1, Frederiks Alle 160, 3. Sal, Aarhus 8000, Denmark; Corresponding author.Aarhus University, Nordre Ringgade 1, Frederiks Alle 160, 3. Sal, Aarhus 8000, DenmarkAarhus University Hospital, Palle Juul-Jensens Boulevard 99, Aarhus 8200, DenmarkBackground: Utilization of interpreters to facilitate communication between health care providers and non-native speaking patients is essential to provide the best possible quality of care. Yet use and policy on the subject vary widely, as does knowledge on the effect of different types of interpreters. This paper systematically reviews the literature on use of interpreters in the medical setting to evaluate their effects on the quality of care. Material and methods: We conducted a literature search of PubMed and Embase, supplemented with references from relevant previous literature. We included any report in a medical setting comparing one type of interpretation to any other, including no interpretation and measuring a patient outcome. No limit was set on time or language. Risk of bias was assessed using the Evidence Project Risk of Bias assessment tool and the CASP checklist for qualitative studies. Results were synthesized using REDCap and presented in tables. Results: We identified 29 reports represented by five types of studies. Types of interpreter intervention examined were professional, ad hoc, relational, any and no interpreter. Outcomes measured were satisfaction, communication, utilization and clinical outcomes. Results were indicative of in-person professional interpreter resulting in highest satisfaction and communication, reaffirming that any interpreter is better than none and relational interpreters can be a valuable interpreter resource for patients in the private practice setting. To be able to further differentiate on outcome for interventions of ad-hoc or relational interpreters, further data is needed. Discussion: In-person Professional interpreter is the interpreter type resulting in greatest satisfaction and best communication outcome for the patients. This review is limited by most data originating from one country, interpretation from mainly Spanish to English and in one cultural setting. Funding: No funding was provided for this review.http://www.sciencedirect.com/science/article/pii/S2666623523000120Interpreter servicesLanguage interpretationMedical settingLanguage barrierCommunicationPatient outcomes
spellingShingle Morten Heath
Anne Mette Fløe Hvass
Christian Morberg Wejse
Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome
Journal of Migration and Health
Interpreter services
Language interpretation
Medical setting
Language barrier
Communication
Patient outcomes
title Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome
title_full Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome
title_fullStr Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome
title_full_unstemmed Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome
title_short Interpreter services and effect on healthcare - a systematic review of the impact of different types of interpreters on patient outcome
title_sort interpreter services and effect on healthcare a systematic review of the impact of different types of interpreters on patient outcome
topic Interpreter services
Language interpretation
Medical setting
Language barrier
Communication
Patient outcomes
url http://www.sciencedirect.com/science/article/pii/S2666623523000120
work_keys_str_mv AT mortenheath interpreterservicesandeffectonhealthcareasystematicreviewoftheimpactofdifferenttypesofinterpretersonpatientoutcome
AT annemettefløehvass interpreterservicesandeffectonhealthcareasystematicreviewoftheimpactofdifferenttypesofinterpretersonpatientoutcome
AT christianmorbergwejse interpreterservicesandeffectonhealthcareasystematicreviewoftheimpactofdifferenttypesofinterpretersonpatientoutcome