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Master Thesis

Évaluation d'un service d'interprétariat par visio conférence mis à disposition des médecins généralistes de Bordeaux : étude qualitative auprès des médecins et des patients expérimentateurs et enquête exploratoire sur le non recours

Abstract : Introduction: allophone migrants face difficulties in accessing quality health care, particularly due to the language "barrier." In 2018, over a period of 6 months, the CCAS of the city of Bordeaux has made available in-person and video-conferencing professional interpreting service to general practitioners in two districts of Bordeaux. Purpose: to assess the satisfaction of general practitioners and patients who have benefited from the interpreting service. To assess the relevance of the device in general practice and to highlight the determinants of non-use of service among other physicians in the neighbourhoods targeted by the experiment. Materials and methods: qualitative study by semi-directive interviews with experimental physicians and recipient allophone patients, and survey by semi-directed online questionnaire with general practitioners who have not had use of the interpreting service. Results: we interviewed the 4 experimental physicians, 6 patients who received the service and 15 doctors who did not use the service. The experimental physicians were very satisfied with the professionalism of the interpreters, and pointed to a marked improvement in the patient doctor relationship, allowing for better care. Nevertheless, the appeal was quite weak due to numerous brakes related to the need to book. Patients were very satisfied with the professional interpreters, in whom they had great confidence in the quality of the translation allowing free expression and a marked improvement in communication with the doctor. The video have a tendency to to humanize the relationship, but for some it was more intimidating than the phone to address sensitive topics. Most non-experimental physicians were not informed of the device's existence, and a majority wanted access to a professional interpreting service. Conclusion: general practitioners and patients are in demand of a professional interpreting service. To increase the use of interpreting, it was important to guarantee the confidentiality and free service in communication, to offer a simple and immediately available remote service. Increased awareness of physicians during their studies of professional interpreting would trivialize the use and reduce the psychological barriers to its use.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02394617
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Submitted on : Wednesday, December 4, 2019 - 6:58:11 PM
Last modification on : Wednesday, December 18, 2019 - 1:30:46 AM
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Anne-Elise Morice. Évaluation d'un service d'interprétariat par visio conférence mis à disposition des médecins généralistes de Bordeaux : étude qualitative auprès des médecins et des patients expérimentateurs et enquête exploratoire sur le non recours. Médecine humaine et pathologie. 2019. ⟨dumas-02394617⟩

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