Abstract
Health systems internationally are dealing with greater diversity in patient populations. However the focus on ‘the language problem’ has meant little attention is paid to diversity within and between migrant populations; and how interpreted consultations are influenced by intersecting migratory, ethnicity and sociodemographic variables. Our analysis of the experiences of patients, health care providers and interpreters in Scotland evidences the need to move beyond language, addressing multiple hidden inequalities in health care access and provision that operate in both clinic and, especially, home-based settings. We call for a practice-evidenced research agenda promoting cultural communication across health care and home settings, acknowledging immigration status as a social determinant of health.
Original language | English |
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Pages (from-to) | 256-271 |
Number of pages | 16 |
Journal | Language and Intercultural Communication |
Volume | 19 |
Issue number | 3 |
Early online date | 18 Jun 2018 |
DOIs | |
Publication status | Published - 4 May 2019 |
Keywords
- migration
- health
- interpreters
- Intercultural communication
- interpreting
- immigration status
- health encounters
- asylum seekers and refugees
- insecting inequalities
- intersecting inequalities
ASJC Scopus subject areas
- Communication
- Linguistics and Language