[Communication with deaf patients in primary care: A scoping review].
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| Název: | [Communication with deaf patients in primary care: A scoping review]. |
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| Transliterovaný název: | Kommunikation mit gehörlosen Patient:innen in der hausärztlichen Versorgung: Ein Scoping Review. |
| Autoři: | Prettin CE; Institut für Allgemeinmedizin und Palliativmedizin, Medizinische Hochschule Hannover, Hannover, Germany., Schneider N; Institut für Allgemeinmedizin und Palliativmedizin, Medizinische Hochschule Hannover, Hannover, Germany., Herbst FA; Institut für Allgemeinmedizin und Palliativmedizin, Medizinische Hochschule Hannover, Hannover, Germany., Schleef T; Institut für Allgemeinmedizin und Palliativmedizin, Medizinische Hochschule Hannover, Hannover, Germany. |
| Zdroj: | Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [Gesundheitswesen] 2025 Dec; Vol. 87 (12), pp. 732-747. Date of Electronic Publication: 2025 Dec 03. |
| Způsob vydávání: | Journal Article; Scoping Review; English Abstract |
| Jazyk: | German |
| Informace o časopise: | Publisher: Thieme Country of Publication: Germany NLM ID: 9204210 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1439-4421 (Electronic) Linking ISSN: 09413790 NLM ISO Abbreviation: Gesundheitswesen Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Stuttgart ; New York : Thieme, c1992- |
| Výrazy ze slovníku MeSH: | Sign Language* , Primary Health Care*/statistics & numerical data , Physician-Patient Relations* , Deafness*/epidemiology , Persons with Hearing Disabilities*/statistics & numerical data , Communication*, Humans ; Germany ; Communication Barriers |
| Abstrakt: | The objective of the study is to provide a comprehensive description and analysis of the current state of research on communication between general practitioners and deaf patients, with particular reference to the utilisation of sign language and to identify research gaps in the field of communication with deaf patients in general practice.The study was designed as a scoping review in accordance with the methodological standards established by Arksey and O'Malley (2005). A search was conducted across the CINAHL, PubMed and Web of Science databases. The study incorporated research conducted on the provision of general practice care to deaf patients who use sign language. The data extraction process was conducted on 12 April 2022, with a subsequent follow-up search conducted on 27 February 2024. The publications were assessed in a blinded manner.Following the exclusion of duplicates, a total of 2,060 publications were subjected to review, and the full texts of 86 search results were subsequently examined. The review incorporated a total of seven studies, of which four employed quantitative survey methodologies and targeted physicians (2), deaf patients (1), or both physicians and deaf patients (1). Two qualitative studies were conducted, one focusing on deaf people and the other on sign language interpreters. One study utilised a mixed-methods approach and focused on deaf patients. In total, 316 deaf patients, 355 doctors, and 19 sign language interpreters were surveyed. Five topics were identified for further investigation: communication problems as perceived by deaf patients, communication from the perspective of general practitioners, strategies for improving communication, the use of sign language interpreters, and the consequences of communication barriers. The extant literature suggests a paucity of knowledge among general practitioners in dealing with their deaf patients. Strategies for overcoming communication problems are considered inadequate; sign language interpreters are rarely used in general practice.Communication between general practitioners and deaf patients is considered inadequate because communication aids are either unavailable or unsuitable and untrained lay interpreters are used. There is an absence of reliable statistics concerning the utilisation of qualified sign language interpreters in general practice within the German healthcare system. This gap should prompt further research efforts. (Thieme. All rights reserved.) |
| Contributed Indexing: | Local Abstract: [Publisher, German] Ziel der Studie ist, die aktuelle Studienlage zur Kommunikation zwischen Hausärzt:innen und gehörlosen Patient:innen unter Berücksichtigung der Nutzung von Gebärdensprache zu beschreiben, zu analysieren und Forschungslücken hinsichtlich der Kommunikation mit gehörlosen Patient:innen in der hausärztlichen Versorgung auszuweisen.Die Studie wurde als Scoping Review nach den methodischen Standards von Arksey und O’Malley (2005) konzipiert. Durchsucht wurden die Datenbanken CINAHL, PubMed und Web of Science. Eingeschlossen wurden Studien zur hausärztlichen Versorgung gehörloser Patient:innen, die Gebärdensprache nutzen. Die Datenextraktion erfolgte am 12.04.2022, eine Nachsuche am 27.02.2024. Die Einordnung der Publikationen erfolgte verblindet.Nach Ausschluss von Duplikaten wurden Titel/Abstract von 2060 Publikationen geprüft und anschließend Volltexte von 86 Suchergebnissen gesichtet. Sieben Studien konnten in das Review eingeschlossen werden, wovon vier Studien quantitative Erhebungsmethoden nutzten und sich an Ärzt:innen (2), an gehörlose Patient:innen (1) oder an Ärzt:innen und gehörlose Patient:innen (1) richteten. Zwei qualitative Studien zielten jeweils auf Gehörlose sowie Gebärdensprachdolmetschende. Eine gemischtmethodische Studie richtete sich an gehörlose Patient:innen. Insgesamt wurden 316 gehörlose Patien:innen, 355 Ärzt:innen und 19 Gebärdensprachdolmetschende befragt. Inhaltlich wurden fünf Themen identifiziert: Kommunikationsprobleme aus Sicht gehörloser Patient:innen, Kommunikation aus hausärztlicher Sicht, Strategien zur Verbesserung der Kommunikation, Einsatz von Gebärdensprachdolmetschenden und Folgen kommunikativer Barrieren. Die Studien weisen auf Wissensdefizite von Hausärzt:innen im Umgang mit ihren gehörlosen Patient:innen hin. Strategien zur Begegnung von Kommunikationsproblemen werden als unzureichend eingeschätzt; Gebärdensprachdolmetschende kommen in der hausärztlichen Versorgung selten zum Einsatz.Die Kommunikation zwischen Hausärzt:innen und gehörlosen Patient:innen ist als unzureichend zu bewerten, da kommunikative Hilfsmittel nicht vorhanden bzw. ungeeignet sind und nicht ausgebildete Laiendolmetschende genutzt werden. Belastbare Zahlen hinsichtlich der Inanspruchnahme von qualifizierten Gebärdensprachdolmetschenden für den hausärztlichen Bereich in Deutschland existieren nicht. Diese Lücke könnte Anlass zu weiteren Forschungsbemühungen geben. |
| Entry Date(s): | Date Created: 20251203 Date Completed: 20251203 Latest Revision: 20251203 |
| Update Code: | 20251204 |
| DOI: | 10.1055/a-2715-0943 |
| PMID: | 41338238 |
| Databáze: | MEDLINE |
Nájsť tento článok vo Web of Science | Abstrakt: | The objective of the study is to provide a comprehensive description and analysis of the current state of research on communication between general practitioners and deaf patients, with particular reference to the utilisation of sign language and to identify research gaps in the field of communication with deaf patients in general practice.The study was designed as a scoping review in accordance with the methodological standards established by Arksey and O'Malley (2005). A search was conducted across the CINAHL, PubMed and Web of Science databases. The study incorporated research conducted on the provision of general practice care to deaf patients who use sign language. The data extraction process was conducted on 12 April 2022, with a subsequent follow-up search conducted on 27 February 2024. The publications were assessed in a blinded manner.Following the exclusion of duplicates, a total of 2,060 publications were subjected to review, and the full texts of 86 search results were subsequently examined. The review incorporated a total of seven studies, of which four employed quantitative survey methodologies and targeted physicians (2), deaf patients (1), or both physicians and deaf patients (1). Two qualitative studies were conducted, one focusing on deaf people and the other on sign language interpreters. One study utilised a mixed-methods approach and focused on deaf patients. In total, 316 deaf patients, 355 doctors, and 19 sign language interpreters were surveyed. Five topics were identified for further investigation: communication problems as perceived by deaf patients, communication from the perspective of general practitioners, strategies for improving communication, the use of sign language interpreters, and the consequences of communication barriers. The extant literature suggests a paucity of knowledge among general practitioners in dealing with their deaf patients. Strategies for overcoming communication problems are considered inadequate; sign language interpreters are rarely used in general practice.Communication between general practitioners and deaf patients is considered inadequate because communication aids are either unavailable or unsuitable and untrained lay interpreters are used. There is an absence of reliable statistics concerning the utilisation of qualified sign language interpreters in general practice within the German healthcare system. This gap should prompt further research efforts.<br /> (Thieme. All rights reserved.) |
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| ISSN: | 1439-4421 |
| DOI: | 10.1055/a-2715-0943 |