初探北台灣醫療體系中的口譯需求：醫師觀點

李立心

doi:10.6342/NTU201800949

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初探北台灣醫療體系中的口譯需求：醫師觀點

Exploring the Demand for Professional Interpreting Services in Northern Taiwan’s Hospitals: Physicians’ Perspectives

李立心 , Masters　　Advisor：范家銘　　

英文 DOI： 10.6342/NTU201800949

口譯；社區口譯；醫療口譯； interpreter ； community interpreting ； medical interpreting

Abstract │ Reference (63) │ Altmetrics

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Globalization has greatly impacted Taiwan’s medical system with the increase in immigrants and medical tourists contributing to the rise in cross-language communication in hospitals. Without the establishment of proper measures to facilitate cross-language communication, language barriers can lead to inaccurate diagnosis and unsatisfactory medical experiences for both patients and physicians as shown by previous research. Being aware of the potential problems, Taiwan’s government and private organizations have taken measures to overcome the barriers. However, little research has been conducted to explore the current situation of cross-language communication, demand for professional interpreting services, and expectations of professional interpreting services in Taiwan’s hospitals. Without understanding these issues, it is difficult to create an interpreting system that suits the needs of Taiwan’s medical system. With this in mind, this research aims to explore the current situation in Taiwan’s hospitals and physicians’ demand for professional interpreting services by conducting in-depth interviews with 21 physicians working at medical centers in Northern Taiwan. The results show that physicians do not engage in cross-language communication very often. When they do, they communicate with patients or patients’ proxies in English or with the help of ad hoc interpreters. Physicians also apply various strategies, including gesturing and drawing. While some physicians regard professional interpreting service systems as nice to have, most physicians find the current situation acceptable and do not consider professional interpreting services in hospitals necessary. Overall, judging from the participants’ responses, the demand for professional interpreting services may be lower than expected in Taiwan’s hospitals.

Reference ( 63 ) 〈TOP〉

Alpert, M., Kesselman, M., Marcos, L., & Urcuyo, L. (1973). The language barrier in evaluating Spanish-American patients. Arch Gen Psychol, 29, 655-659.
American Medical Association. (2007). Office guide to communicating with limited English proficient patients: AMA Division of Medicine and Public Health.
Bagchi, A. D., Dale, S., Verbitsky-Savitz, N., Andrecheck, S., Zavotsky, K., & Eisenstein, R. (2011). Examining effectiveness of medical interpreters in emergency departments for Spanish-speaking patients with limited English proficiency: results of a randomized controlled trial. Annals of emergency medicine, 57(3), 248-256. e244.
Baker, D. (1996). Use and Effectiveness of Interpreters in an Emergency Department, 275 J. AM. MED. ASSO(783).
Berghout, M., van Exel, J., Leensvaart, L., & Cramm, J. M. (2015). Healthcare professionals’ views on patient-centered care in hospitals. BMC health services research, 15(1), 385.

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