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Dublin Core |
PKP Metadata Items |
Metadata for this Document |
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1. |
Title |
Title of document |
The Comparison of Shared Decision Making in Monolingual and Bilingual Health Encounters - Interpreter-Mediated Healthcare Communication |
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2. |
Creator |
Author's name, affiliation, country |
Charlene Pope; Medical University of South Carolina; |
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2. |
Creator |
Author's name, affiliation, country |
Jason Roberson ; CyraCom; |
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3. |
Subject |
Discipline(s) |
Linguistics |
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4. |
Subject |
Keyword(s) |
communication; ethnolinguistic identity; Hispanics; limited English proficiency (LEP); membership categorization; shared decision making |
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5. |
Subject |
Subject classification |
Healthcare Communication; Applied Linguistics |
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6. |
Description |
Abstract |
In the United States, Hispanics with limited English proficiency (LEP) experience disproportionate disparities in health services, a phenomenon that relates to communication and decision making. After a quality improvement review identified a disparity in obstetric services for Hispanic women with LEP, a pilot study discussed here explored how LEP and the presence of a medical interpreter affected shared decision making in comparisons of monolingual (English) and bilingual (English-Spanish) encounters with the same physician. A series of 16 prenatal encounters between physicians, patients, and medical interpreters were recorded. First, medical visits were recorded with eight Spanish-speaking mothers using a hospital interpreter to speak with their physician. The same physician was then recorded discussing a similar prenatal agenda with a primary language English-speaking patient. Discourse analysis was used to categorize discursive practices in social interaction. Both encounters were rated using the OPTION shared decision-making scale. Results portray how shared decision making shifts in second-language situations and the associated practices that distinguish monolingual and bilingual encounters. Examples of discursive practices suggest strategies that may mark ethnolinguistic identity and membership categorization indirectly during health encounters. |
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7. |
Publisher |
Organizing agency, location |
Equinox Publishing Ltd |
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8. |
Contributor |
Sponsor(s) |
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9. |
Date |
(YYYY-MM-DD) |
30-Jun-2023 |
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10. |
Type |
Status & genre |
Peer-reviewed Article |
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11. |
Type |
Type |
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12. |
Format |
File format |
PDF |
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13. |
Identifier |
Uniform Resource Identifier |
https://journals.equinoxpub.com/books/article/view/44101 |
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14. |
Identifier |
Digital Object Identifier |
10.1558/equinox.44101 |
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15. |
Source |
Journal/conference title; vol., no. (year) |
Equinox eBooks Publishing; Interpreter-Mediated Healthcare Communication |
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16. |
Language |
English=en |
en |
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18. |
Coverage |
Geo-spatial location, chronological period, research sample (gender, age, etc.) |
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19. |
Rights |
Copyright and permissions |
Copyright 2014 Equinox Publishing Ltd |