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The Comparison of Shared Decision Making in Monolingual and Bilingual Health Encounters

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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
2. Creator Author's name, affiliation, country Charlene Pope; Medical University of South Carolina;
2. Creator Author's name, affiliation, country Jason Roberson ; CyraCom;
3. Subject Discipline(s) Linguistics
4. Subject Keyword(s) communication; ethnolinguistic identity; Hispanics; limited English proficiency (LEP); membership categorization; shared decision making
5. Subject Subject classification Healthcare Communication; Applied Linguistics
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.
7. Publisher Organizing agency, location Equinox Publishing Ltd
8. Contributor Sponsor(s)
9. Date (YYYY-MM-DD) 30-Jun-2023
10. Type Status & genre Peer-reviewed Article
11. Type Type
12. Format File format PDF
13. Identifier Uniform Resource Identifier
14. Identifier Digital Object Identifier 10.1558/equinox.44101
15. Source Journal/conference title; vol., no. (year) Equinox eBooks Publishing; Interpreter-Mediated Healthcare Communication
16. Language English=en en
18. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
19. Rights Copyright and permissions Copyright 2014 Equinox Publishing Ltd