Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10615
Title: Low uptake of Aboriginal interpreters in healthcare: exploration of current use in Australia's Northern Territory.
Authors: Ralph, Anna P
Lowell, Anne
Murphy, Jean
Dias, Tara
Butler, Deborah
Spain, Brian
Hughes, Jaquelyne T
Campbell, Lauren
Bauert, Barbara
Salter, Claire
Tune, Kylie
Cass, Alan
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. anna.ralph@menzies.edu.au.. Royal Darwin Hospital, Darwin, NT, Australia. anna.ralph@menzies.edu.au..
Research Centre for Health and Wellbeing, Charles Darwin University, Darwin, NT, Australia..
Royal Darwin Hospital, Darwin, NT, Australia..
Office of Aboriginal Health Policy & Engagement, Department of Health, Northern Territory Government, Darwin, NT, Australia..
Office of Aboriginal Health Policy & Engagement, Department of Health, Northern Territory Government, Darwin, NT, Australia..
Royal Darwin Hospital, Darwin, NT, Australia..
Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.. Royal Darwin Hospital, Darwin, NT, Australia..
Aboriginal Interpreter Service, Darwin, NT, Australia..
Royal Darwin Hospital, Darwin, NT, Australia..
Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia..
Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia..
Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia..
Issue Date: 15-Nov-2017
Citation: BMC health services research 2017-11-15; 17(1): 733
Abstract: In Australia's Northern Territory, most Aboriginal people primarily speak an Aboriginal language. Poor communication between healthcare providers and Aboriginal people results in adverse outcomes including death. This study aimed to identify remediable barriers to utilisation of Aboriginal Interpreter services at the Northern Territory's tertiary hospital, which currently manages over 25,000 Aboriginal inpatients annually. This is a multi-method study using key stakeholder discussions, medical file audit, bookings data from the Aboriginal Interpreter Service 2000-2015 and an online cross-sectional staff survey. The Donabedian framework was used to categorise findings into structure, process and outcome. Six key stakeholder meetings each with approximately 15 participants were conducted. A key structural barrier identified was lack of onsite interpreters. Interpreter bookings data revealed that only 7603 requests were made during the 15-year period, with completion of requests decreasing from 337/362 (93.1%) in 2003-4 to 649/831 (78.1%) in 2014-15 (p < 0.001). Non-completion was more common for minority languages (p < 0.001). Medical files of 103 Aboriginal inpatients were audited. Language was documented for 13/103 (12.6%). Up to 60/103 (58.3%) spoke an Aboriginal language primarily. Of 422 staff who participated in the survey, 18.0% had not received 'cultural competency' training; of those who did, 58/222 (26.2%) indicated it was insufficient. The Aboriginal Interpreter Service effectiveness was reported to be good by 209/368 (56.8%), but only 101/367 (27.5%) found it timely. Key process barriers identified by staff included booking complexities, time constraints, inadequate delivery of tools and training, and greater convenience of unofficial interpreters. We identified multiple structural and process barriers resulting in the outcomes of poor language documentation and low rates of interpreter bookings. Findings are now informing interventions to improve communication.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10615
DOI: 10.1186/s12913-017-2689-y
Type: Journal Article
Appears in Collections:NT Health digital library

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