2. Language barriers are
associated with
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Less awareness of health care access and rights
Longer consultations
Less frequent health visits
More visits to emergency departments
Less understanding of health information given by
doctor
More and more expensive tests
Less patient satisfaction
Less uptake of preventive measures
Some examinations and treatment takes longer time
More complications, medical errors, side effects,
and more severe outcome
(Feinberg et al., 2002), Kravitz et al., 2000, Derose & Baker, 2000, David & Rhee, 1998; Gerrish, 2001, David & Rhee, 1998; Gerrish
Hampers et al., 1999, Meredith et al., 2001; Morales, Cunningham, Brown, Liu, & Hays, 1999, Levy et al, 2005, Jacobs et al 2004,
Bischoff et al, 2010, Australian council for safety and quality in health care (2005)
3. Migrant Health Clinic
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Have existed in 5 years
650 patients followed in 6-36 months
Chronically ill patients
Post traumatic stress syndrome - PTSD
Special approach, special nursing and treatment
Multidisciplinary and cross-sectorial cooperation
70% of all consultations are with interpreters
Nurses, social worker and doctors
4. Migrant Health Clinic
•
•
•
•
•
•
•
•
Have existed in 5 years
650 patients followed in 6-36 months
Chronically ill patients
Post traumatic stress syndrome - PTSD
Special approach, special nursing and treatment
Multidisciplinary and cross-sectorial cooperation
70% of all consultations are with interpreters
Nurses, social worker and doctors
5. The approach to patients
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Time is the magic word
Trust
Emphatic approach
Eye contact
Listening
Communication
Interpreters
Supportive
Never blaming the patients
Focusing on resources not on limitations
Phone calls and text messages
6. The approach to the
patient
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Time is the magic word
Trust
Emphatic approach
Eye contact
Listening
Communication
Interpreters
Supportive
Never blaming the patients
Focusing on resources not on limitations
Phone calls and text messages
7. When you don't speak
proper Danish
You get treated as a child
42 year old woman
8. “I need an interpreter when I
speak about my feelings”
9. ”Is it something I shall
remember?
…..then I would like to have an interpreter”
35 year old woman, employed, lived in DK for 20 years
10. It would be very nice to get an
interpreter just once – I don´t
understand what my doctor is saying
to me
42 year old woman
11. A male patient and his partner were told
that the man's HIV test was positive – the
couple understood this as being a positive
result – and did not understand the duality
of the information
12. In the old days
• The competent interpreters chose the easy
conversations
• The competent interpreters did not drive 100 km to
interpret a conversation
• The interpreter came late
• No parking
• Patients got a new time for consultation
• Longer waiting lists
• The interpreter was in the waiting room with patients
13. In the old days
Finger language and guessing when the interpreter
didn't show up
18. The advantages
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It is easy!
Few interpreters
Better relation between the professionals
Knows each other well
Easy to book (outlook calendar)
Conversations from 10 seconds to 10 hours
Medical, surgery, emergency ward, out patient clinics
Solves acute problems
The interpreter comes from another area in the country
Avoid families to interpret – No children – stays in school
21. The interpreter is standby
Invisible until 20 minutes later when one word is
missing
22. Video reduces stress at patients suffering
of war traumas
Competent interpreters improve the relationship to the health professionals
and patients trust to doctors
25. The hidden advantages for
the interpreter
No stress
Gender becomes less important
Don’t get personnel with patients
Feel more professional and competent
Can take notes, use internet, and other
support
• Can be invisible when intimate
examinations
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