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Protocol for medical interpreters
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The Game Doctors Must Play It does not matter how or when, but as soon as something goes wrong it becomes very stressful. But even more so when it has to do with a family member and their health. Life seems to go a million miles per minute yet unbearably and painful slow all at once. The worst part is always being reminded the only ones who can do anything for a family member is some stranger with a white lab coat and a medical doctorate. Now imagine the feeling when doctors say a loved one is seriously ill, maybe even dying. That is a scary thought and ultimately the only option is to get the best treatment possible. Time keeps running faster and faster and their health continues to decline, at that point it becomes very clear that …show more content…
To make this possible Insurers hire Medical Interpreters, a fairly new profession that has been around for 30 years. A Medical Interpreter's’ job is to take requests and decide whether the test or treatment is truly necessary based on the information in a Doctor’s dictation. The process to become a Medical Interpreter is a fairly easy one; one must meet the age requirement of at least 18, have a high school diploma or the online equitant GED, complete a 40 hour educational program, and be proficient in both English and a target language. (The National Board of Certification for Medical Interpreters. (NBCMI). ) Medical Interpreters are hired with the intention of protecting both the insurance companies from unnecessary spending and the patient from unnecessary testing and or treatment. Of course no one wants to go through unnecessary testing and receive any unnecessary treatment so having a Medical Interpreter to make these judgment calls should be a no brainer …show more content…
Defensive medicine could be defined as tests and treatments that are not always in the best interest for the patient but force the physician not to miss anything. Defensive medicine rules the world of medicine, patients are always sent for tests they truly do not need. It poses potential health risks to the patient and actually increases the cost of healthcare. As Dr. Sandeep Jauhar says “We want to practice medicine the right way, but too many forces today are propelling us away from the bench or the bedside. No one ever goes into medicine to do unnecessary testing but this sort of behavior is rampant”. Medicine was considered a very noble profession; no one imagines themselves as a doctor sending people for useless tests, they always picture themselves saving someone’s life “Many chose medicine because it is thought to be noble and worthwhile...”; but the profession has been changed by the game. Dr. Sandeep Jauhar, author of Doctored: The disillusionment of an American Physician, said “I have become the kind of doctor I never thought I’d be: impatient, occasionally indifferent, at times dismissive or paternalistic...”, this is a reality that many doctors will face throughout their careers. Dr. Sandeep Jauhar is not the only one to express his opinion regarding the medical profession, another doctor said “ I would not do it again, and it has nothing to do with the money… Working up patients in the ER these
Dr. Atul Gawande’s article, “Overkill”, describes the harms of overtreatment and over testing to not only the patients, but the US health care system as well. He utilizes patient’s stories, his own personal stories, and expert analysis to inform the readers that the health care system is overdoing tests, over diagnosing, and performing procedures that are extremely expensive, but in the end does not improve the patient’s condition. Dr. Gawande’s argument is that the US health care system is engaging in expensive, unnecessary medical care when they should be adopting a slow medicine philosophy.
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
In the healthcare setting, it is very important to use medical interpreters. Without interpreters, people who speak different languages would not be able to communicate with healthcare professionals. There are many different ways that a language can be interpreted. A couple of those are actual human interpreters, or electronic interpreters. Both are pretty reliable but an actual human is often looked at as the most reliable interpreter. When you have an actual human interpreting, you don’t have to worry to much on things being translated incorrectly. Some benefits of using electronic interpreters would be the unlimited availability of languages, and being able to get the iPad or laptop as soon as you needed it. When you rely on a person to
Professional providers of language in medicine or medical interpreters are often portrayed as invisible language facilitators (Angelelli 7). This means that their role is to convey the meaning into the other language between parties in the interaction which is accomplished through a conduit role or message converter role. The incremental intervention model of interpreting lets interpreters use a variety of roles including cultural broker and advocate role. Advocacy is a role that an interpreter takes that moves from interpreting the communication between speakers to acting on behalf of one of the speakers based on the interpreter’s understanding of what the speaker’s intended outcome is (NCIHC). It is challenging for medical interpreters to judge when to switch from their role as message converters to become patient advocates, and speak out in their own voice on behalf of a patient maintaining, at all times, high ethical and professional standards. When interpreters step in the role of patient advocate they become visible in the interaction going beyond the conduit role and becoming co-participants in the triad. What is the ethical role of the medical interpreter as an advocate for the Latino patient?; when is it appropriate to use advocacy?; how to make the decision?; what are the consequences of inappropriate use of advocacy role?; what are the boundaries?
The top priority of the medical interpreters is removing language barrier between the medical practitioners and the patients and helping the patients to treat properly. Indeed, impartiality can be challenged in medical setting. However, some articles are pointed out that the interpreter who is related to the patient is not always harmful to the patients and the medical practitioners. Therefore, when the medical interpreters take an assignment, they should consider what the best is for the patients and the medical practitioners.
Studdert, David M. "Defensive Medicine Among High-Risk Specialist Physicians in a Volatile Malpractice Environment, June 1, 2005, Studdert Et Al. 293 (21): 2609." JAMA, the Journal of the American Medical Association, a Weekly Peer-reviewed Medical Journal Published by AMA. American Medical Association, 1 June 2005. Web. 31 May 2010. .
The former includes performing unnecessary diagnostic tests and invasive procedure, prescribing unnecessary treatment and needless hospitalization. The latter comprises avoiding risky procedures on patients who could have benefitted from them, thereby excluding patients from treatment and hospital admission. Both practices are increasingly becoming professional behavior in medical practice, thus increasing the cost of healthcare and sometimes lowering the quality of the service provided. For example, unnecessary invasive diagnostic tests are additional risks and costs to the patient” (Sekhar). Positive defensive medicine deals with how physicians deal with treating patients. Negative defensive medicine is how the physicians avoid patients who are high-risk, patients who should be given priority for treatment, and kept under regular review in order to identify and treat potential or emergent problems at the earliest opportunity, but are often denied
Medicine as a Form of Social Control This critique will examine the view that medicine is a form of social control. There are many theorists that have different opinions on this view. This critique will discuss each one and their different views. We live in a society where there is a complex division of labour and where enormous varieties of specialist healing roles are recognised.
Imagine having to wake up each day wondering if that day will be the last time you see or speak to your father. Individuals should really find a way to recognize that nothing in life is guaranteed and that they should live every day like it could be there last. This is the story of my father’s battle with cancer and the toll it took on himself and everyone close to him. My father was very young when he was first diagnosed with cancer. Lately, his current health situation is much different than what it was just a few months ago. Nobody was ready for what was about to happen to my dad, and I was not ready to take on so many new responsibilities at such an adolescent age. I quickly learned to look at life much differently than I had. Your roles change when you have a parent who is sick. You suddenly become the caregiver to them, not the other way around.
The current process of obtaining a human interpreter that meets facility policy can be lengthy and sporadic. The interpreter may not be a family member or friend per facility policy, and the recommendations of the Joint Commission that started in January of 2011. The current procedure is slow (see Appendix II: Old workflow pattern for human interpreter services) and leaves room for errors. A human interpreter may not be contacted at all or there may be delayed contact. If the admitting nurse does not complete the task to initiate interpreter services, it may be missed for a significant length of time while everyone assumes the interpreter has been contacted. The goal is competent interpretation that follows the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations, and is twenty-four hour a day and seven day a week service.
Defensive medicine impacts the delivery of health care in a both a negative and positive way depending on the situation. Physicians in the United States are currently ordering more diagnostic tests/treatments to protect their identity and career as a physician. Defensive medicine is becoming more common which negatively impacts the patient physician relationship. Unnecessary diagnostic tests, treatments, and hospitalization are increased health risks to the patient and are costly to the insurance company. Invasive tests performed on the patient to reconfirm the diagnosis may lead to complications which was not the primary complaint or issue.
I agree with the articles findings that interpreters positively impact clinical care. This article was written before the implementation of the Patient Protection and Affordable Care Act (ACA). Health care organizations or private-practice physicians did not need to worry so much about the clinical care topics mentioned above. At this time, the implementation of the ACA should ameliorate the clinical care topics. Furthermore, the Centers for Medicaid and Medicare (CMS) will hold reimbursements from hospitals based on quality/clinical care
Imagine being 8 months pregnant and being diagnosed with cancer. Imagine being so weak all the time that you cannot take care of your own kids and you have to bring your mom up from Texas to live with you for six months. My sister-in-law, Macie Knight, knows what this feels like.
Today, there are patients dying at the hands of doctors. Dr. Harold Shipman is an example of how some doctors are not in the best interest of their patients, but have a sinister motive that is associated with a morbid rationale. Dr. Shipman preyed on his patients for his own personal gain instead of the personal benefit of his patients which ended up costing them their lives (Bio, 2017).. Patients should hold doctors to higher standards due to the large amounts of death due to malpractice and due tothe fact that some doctors do not have a good bedside manner towards their patients. There are some doctors will not give quality treatment, or any treatment at all, if patients do not have insurance. It does not hurt patients
seems not always best for the patients. It is expected of doctors to be a