首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >A Digital Communication Assistance Tool (DCAT) to Obtain Medical History from Foreign-Language Patients: Development and Pilot Testing in a Primary Health Care Center for Refugees
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A Digital Communication Assistance Tool (DCAT) to Obtain Medical History from Foreign-Language Patients: Development and Pilot Testing in a Primary Health Care Center for Refugees

机译:一种数字通讯帮助工具(DCAT)可从外语患者那里获得病史:在难民基本医疗保健中心进行的开发和试点测试

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摘要

Background: Language barriers play a critical role in the treatment of migrant and refugee patients. In Germany, primary care interpreters are often not available especially in rural areas or if patients demand spontaneous or urgent consultations. In order to enable patients and their physicians to communicate effectively about the current illness history, we developed a digital communication assistance tool (DCAT) for 19 different languages and dialects. This paper reports the multidisciplinary process of the conceptual design and the iterative development of this cross-cultural user-centered application in an action-oriented approach. We piloted our app with 36 refugee patients prior to a clinical study and used the results for further development. The acceptance and usability of the app by patients was high. Using digital tools for overcoming language barriers can be a feasible approach when providing health care to foreign-language patients.
机译:背景:语言障碍在移民和难民患者的治疗中起着至关重要的作用。在德国,尤其是在农村地区或患者需要自发或紧急咨询的情况下,通常没有初级保健口译员。为了使患者及其医生能够就当前的病史进行有效的交流,我们开发了一种针对19种不同语言和方言的数字通讯辅助工具(DCAT)。本文以面向行动的方法,报告了概念设计的多学科过程以及此跨文化用户中心应用程序的迭代开发。在进行临床研究之前,我们对36名难民患者进行了应用测试,并将结果用于进一步开发。患者对应用程序的接受度和可用性很高。在为外语患者提供医疗保健时,使用数字工具克服语言障碍可能是一种可行的方法。

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