A description of some aspects of the triangular meeting between immigrant patients, their interpreters and GPs in primary health care in Stockholm, Sweden.
BACKGROUND
Little is known about what immigrant patients, interpreters and GPs who have participated in the same consultation experience during these consultations or their reflections about these experiences. Previous studies have focused on the patient's, the interpreter's or the GP's perspective or a combination of two perspectives.


OBJECTIVE
The first aim was to describe some aspects of each of the three perspectives in the triangular meeting between immigrant patients, interpreters and GPs, including their experiences, reflections and interactions during the consultation in primary health care. The second aim was to analyse patients' satisfaction with the consultation; whether satisfaction is influenced by respect for patients' culture, personality and wishes; and whether interpreters or GPs experience any ethical conflicts during the consultation.


METHODS
Using questionnaires, all three categories were asked about their opinions regarding the communication, their experiences and reflections during the consultation and the patient's satisfaction. The interpreters and GPs were asked about ethical conflicts.


RESULTS
Of the 182 respondents, 52 were patients, 65 GPs and 65 interpreters. A matched group of answers from patients, GPs and interpreters was present in 40 consultations. Eighteen of the patients experienced language difficulties. Twenty-six experienced respect for their culture; 32, respect for their personality; and 33, respect for their wishes. Ethical conflicts were rare. All three categories reported that the majority of patients were satisfied with the consultation.


CONCLUSIONS
Professional interpreters are important for both a correct verbal and a cultural interpretation. Patient-centred communication is of key importance to a successful consultation.
Wiking
Eivor
E
CeFAM/Center for Family and Community Medicine, Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Sweden. eivorwiking@swipnet.se
Saleh-Stattin
Nouha
N
Johansson
Sven-Erik
SE
Sundquist
Jan
J
D003144:Communication Barriers; D054242:Emigrants and Immigrants; D006801:Humans; D007802:Language; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration; D011795:Surveys and Questionnaires; D013548:Sweden