Moving beyond the ‘language problem': developing an understanding of the intersections of health, language and immigration status in interpreter-mediated health encounters

Teresa Piacentini*, Catherine O’Donnell, Alison Phipps, Ima Jackson, Niamh Stack

*Corresponding author for this work

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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 languageEnglish
Pages (from-to)256-271
Number of pages16
JournalLanguage and Intercultural Communication
Volume19
Issue number3
Early online date18 Jun 2018
DOIs
Publication statusPublished - 4 May 2019

Keywords

  • migration
  • health
  • interpreters
  • Intercultural communication
  • interpreting
  • immigration status
  • health encounters
  • asylum seekers and refugees
  • insecting inequalities

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