title: Improvements in patient care: videoconferencing to improve access to interpreters during clinical consultations for refugee and immigrant patients.
abstract: OBJECTIVE
  To demonstrate the suitability of accessing interpreters via videoconference for medical consultations and to assess doctor and patient perceptions of this compared with either on-site or telephone interpreting.
  
  
  METHODS
  We assessed the suitability and acceptability of accessing interpreters via videoconference during out-patient clinical consultations in two situations: (i) when the doctor and patient were in a consulting room at a central hospital and the interpreter sat remotely; and (ii) when the doctor, patient and interpreter were each at separate sites (during a telehealth consultation). The main outcome measures were patient and doctor satisfaction, number of problems recorded and acceptability compared with other methods for accessing an interpreter.
  
  
  RESULTS
  Ninety-eight per cent of patients were satisfied overall with the use of an interpreter by video. When comparing videoconference interpreting with telephone interpreting, 82% of patients thought having an interpreter via video was better or much better, 15% thought it was the same and 3% considered it worse. Compared with on-site interpreting, 16% found videoconferencing better or much better, 58% considered it the same and 24% considered it worse or much worse.
  
  
  CONCLUSIONS
  The present study has demonstrated that accessing an interpreter via videoconference is well accepted and preferred to telephone interpreting by both doctors and patients.
authors: Victorian Infectious Diseases Service, Royal Melbourne Hospital, Level 5 Doherty Institute, 792 Elizabeth Street, Melbourne, Vic. 3000, Australia. Email.
authors: Thomas R
authors: TR
authors: Schulz
authors: Victorian Infectious Diseases Service, Royal Melbourne Hospital, Level 5 Doherty Institute, 792 Elizabeth Street, Melbourne, Vic. 3000, Australia. Email.
authors: Karin
authors: K
authors: Leder
authors: All Graduates Interpreter Services, Suite 8.02, 343 Little Collins Street, Melbourne, Vic. 3000, Australia. Email.
authors: Ismail
authors: I
authors: Akinci
authors: Victorian Infectious Diseases Service, Royal Melbourne Hospital, Level 5 Doherty Institute, 792 Elizabeth Street, Melbourne, Vic. 3000, Australia. Email.
authors: Beverley-Ann
authors: BA
authors: Biggs
mesh_terms: D000328:Adult; D000368:Aged; D003144:Communication Barriers; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D017060:Patient Satisfaction; D058996:Quality Improvement; D012036:Refugees; D014739:Victoria; D049269:Videoconferencing