A conversation analysis of verbal interactions and social processes in interpreter-mediated primary care encounters

Abstract results

Each result the abstract reports — is it captured as evidence?

• Language asymmetry between patients with limited English proficiency and health care providers increases the complexity of patient-provider communication.

  Covered Promote Not a result

• Exemplars labeled Making Assumptions; Colloquialisms as Signaling Potential for Trouble; Repairing a Mis-Statement; and Turn-Taking, Silences, and Laughter illustrated how the parties identified and navigated such trouble spots.

  Covered Promote Not a result

• Future interdisciplinary research can include closer examination of occurrences of communication trouble spots and further exploration of how interpretermediated communication is conceptualized and problematized in diverse clinical settings, to promote language interpretation policies and practices that contribute to reducing health disparities among limited-English-proficient populations.

  Covered Promote Not a result

Tables & figures

Map each object to the evidence it grounds (one object can ground several), add anything missed, or flag a gap.

• Table 1

  p4
  • Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
  • Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
  • Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
  • Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
  • Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
  Add evidence Flag gap Nothing to capture
• 

  Table 2

  p5
  • Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
  • Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
  • Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
  • Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
  • Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
  Add evidence Flag gap Nothing to capture
• 

  Table 3

  p6
  • Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
  • Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
  • Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
  • Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
  • Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
  Add evidence Flag gap Nothing to capture

• Table 4 — illustrates an example of collaborative manage-

  p7
  • Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
  • Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
  • Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
  • Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
  • Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
  Add evidence Flag gap Nothing to capture

• Table 5

  p8
  • Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
  • Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
  • Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
  • Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
  • Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
  Add evidence Flag gap Nothing to capture
• 

  Table 6

  p10
  • Collaborative co-construction among interpreter, provider, and patient achieved mutual understanding (intersubjectivity)
  • Interpreter's unstated assumption created an unrepaired misinterpretation of who served as informal interpreter
  • Interpreters enacted active collaborator and co-constructor roles rather than neutral conduits
  • Interpreters experienced role dissonance between conduit training and the collaborative demands of actual encounters
  • Provider's use of a colloquialism (blood thinner) created interpretation confusion rather than aiding comprehension
  Add evidence Flag gap Nothing to capture