%0 Journal Article
%T Consultations between Immigrant Patients, Their Interpreters, and Their General Practitioners: Are They Real Meetings or Just Encounters? A Qualitative Study in Primary Health Care
%A Eivor Wiking
%A Jan Sundquist
%A Nouha Saleh-Stattin
%J International Journal of Family Medicine
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/794937
%X Objective. In Sweden, about 19% of residents have a foreign background. Previous studies reported immigrant patients experience communication difficulties despite the presence of interpreters during consultations. The objective of this study was to gain insights into the participants¡¯ perceptions and reflections of the triangular meeting by means of in-depth interviews with immigrant patients, interpreters, and general practitioners (GPs). Method. A total of 29 participants¡ª10 patients, 9 interpreters, and 10 GPs¡ªparticipated in face-to-face interviews. Content analysis was used to process the interview material. Results. Six themes were generated and arranged under two subject areas: the interpretation process (the means of interpreting and means of informing) and the meeting itself (individual tailored approaches, consultation time, the patient¡¯s feelings, and the role of family members). Conclusion. This paper highlights feelings including frustration and insecurity when interpretation and relationships are suboptimal. Strategies for immigrant patients, interpreters, and GPs for getting a successful consultation may be needed. To transform the triangular meeting from an encounter to a real meeting, our results indicate a need for professional interpreters, for GPs to use a patient-tailored approach, and sufficient consultation time. Practice Implications. Use of professional interpreters is recommended, as is developing cultural competence. 1. Introduction All patients have the right to equal access to health care that meets their individual needs. The Swedish Health and Medical Services Act (1982:763) states that the objective of health care is good health and care on equal terms for the whole population. Section£¿£¿2 (b) states that the patient should be given individually tailored information on 1. His state of health 2. The methods of examination, care, and treatment that exist. Between the end of the Second World War and the 1960s, Sweden had a large influx of labour immigrants. Since the 1980s, immigration has been dominated by refugees and/or individuals with family members in Sweden. Sweden is a multicultural society, with 19% of its population in 2011 having a foreign background [1]. An assessment of primary care services conducted in London by Campbell et al. [2] showed that younger patients and nonwhite ethnic minority patients rated the care they received less positively than older patients and ethnic majority patients. A Swedish study by Hjern et al. [3] found that immigrants from Chile, Turkey, and Iran have a less satisfactory
%U http://www.hindawi.com/journals/ijfm/2013/794937/