Access and communication for deaf individuals in Australian primary care

Abstract Background and Aims The Australian Deaf Community face barriers that impede their access to, and communication within, primary health care settings. This study aimed to identify barriers and facilitators to access and communication for deaf individuals and Auslan interpreters in Australian...

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Autores principales:	Phoebe H. Lee, Catherine Spooner, Mark F. Harris
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	access Australian Sign Language (Auslan) Deaf Community equity interpreters primary health care Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/cc84acb5775c4754a25d42923ce773f8
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spelling	oai:doaj.org-article:cc84acb5775c4754a25d42923ce773f82021-11-29T13:50:52ZAccess and communication for deaf individuals in Australian primary care1369-76251369-651310.1111/hex.13336https://doaj.org/article/cc84acb5775c4754a25d42923ce773f82021-12-01T00:00:00Zhttps://doi.org/10.1111/hex.13336https://doaj.org/toc/1369-6513https://doaj.org/toc/1369-7625Abstract Background and Aims The Australian Deaf Community face barriers that impede their access to, and communication within, primary health care settings. This study aimed to identify barriers and facilitators to access and communication for deaf individuals and Auslan interpreters in Australian general practice settings. Methods Semi‐structured interviews were conducted with eight Auslan interpreters and four deaf participants recruited from interpreter organisations and social media. Transcripts of interviews were coded inductively and deductively based on a model of access to health care. Results Patient, provider and contextual factors were reported. Patient barriers included English and Auslan fluency levels within the Australian Deaf Community. GP clinics varied in the degree of accommodation to the needs of deaf people. There were barriers related to the communication methods used by health care providers and their use of interpreters. Visual aids and flexibility in terms of the GP clinics' appointment systems facilitated access. Contextual barriers included the shortage of Auslan interpreters and the complexity of the National Disability Insurance Scheme. Conclusion The main barriers identified concerned the availability of interpreters, accommodation by health providers, cultural sensitivity and the adequacy of communication methods. Research is needed to explore the limitations of the National Disability Insurance Scheme and interventions to improve GPs' skills in communicating with Deaf individuals. Patient or Public Contribution A researcher with a hearing impairment and experience in working with people with hearing impairments was consulted on study design and interview questions. Recruitment was assisted by Auslan interpreter agencies and a Deaf Community Facebook group.Phoebe H. LeeCatherine SpoonerMark F. HarrisWileyarticleaccessAustralian Sign Language (Auslan)Deaf Communityequityinterpretersprimary health careMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Expectations, Vol 24, Iss 6, Pp 1971-1978 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	access Australian Sign Language (Auslan) Deaf Community equity interpreters primary health care Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	access Australian Sign Language (Auslan) Deaf Community equity interpreters primary health care Medicine (General) R5-920 Public aspects of medicine RA1-1270 Phoebe H. Lee Catherine Spooner Mark F. Harris Access and communication for deaf individuals in Australian primary care
description	Abstract Background and Aims The Australian Deaf Community face barriers that impede their access to, and communication within, primary health care settings. This study aimed to identify barriers and facilitators to access and communication for deaf individuals and Auslan interpreters in Australian general practice settings. Methods Semi‐structured interviews were conducted with eight Auslan interpreters and four deaf participants recruited from interpreter organisations and social media. Transcripts of interviews were coded inductively and deductively based on a model of access to health care. Results Patient, provider and contextual factors were reported. Patient barriers included English and Auslan fluency levels within the Australian Deaf Community. GP clinics varied in the degree of accommodation to the needs of deaf people. There were barriers related to the communication methods used by health care providers and their use of interpreters. Visual aids and flexibility in terms of the GP clinics' appointment systems facilitated access. Contextual barriers included the shortage of Auslan interpreters and the complexity of the National Disability Insurance Scheme. Conclusion The main barriers identified concerned the availability of interpreters, accommodation by health providers, cultural sensitivity and the adequacy of communication methods. Research is needed to explore the limitations of the National Disability Insurance Scheme and interventions to improve GPs' skills in communicating with Deaf individuals. Patient or Public Contribution A researcher with a hearing impairment and experience in working with people with hearing impairments was consulted on study design and interview questions. Recruitment was assisted by Auslan interpreter agencies and a Deaf Community Facebook group.
format	article
author	Phoebe H. Lee Catherine Spooner Mark F. Harris
author_facet	Phoebe H. Lee Catherine Spooner Mark F. Harris
author_sort	Phoebe H. Lee
title	Access and communication for deaf individuals in Australian primary care
title_short	Access and communication for deaf individuals in Australian primary care
title_full	Access and communication for deaf individuals in Australian primary care
title_fullStr	Access and communication for deaf individuals in Australian primary care
title_full_unstemmed	Access and communication for deaf individuals in Australian primary care
title_sort	access and communication for deaf individuals in australian primary care
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/cc84acb5775c4754a25d42923ce773f8
work_keys_str_mv	AT phoebehlee accessandcommunicationfordeafindividualsinaustralianprimarycare AT catherinespooner accessandcommunicationfordeafindividualsinaustralianprimarycare AT markfharris accessandcommunicationfordeafindividualsinaustralianprimarycare
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Access and communication for deaf individuals in Australian primary care

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