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Arranging and negotiating the use of informal interpreters in general practice consultations: Experiences of refugees and asylum seekers in the west of Ireland

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  • MacFarlane, Anne
  • Dzebisova, Zhanna
  • Karapish, Dmitri
  • Kovacevic, Bosiljka
  • Ogbebor, Florence
  • Okonkwo, Ekaterina

Abstract

This paper focuses on the work involved for service users in arranging and negotiating the use of informal interpreters from their social networks for general practice consultations. The data are drawn from a participatory learning and action research study, carried out in the west of Ireland. Qualitative data were gathered using a peer researcher model from a 'hard to reach' community of Serbo-Croat and Russian refugees and asylum seekers (n = 26). The findings elucidate that there is a tension for service users between the experienced benefits of having a trusted friend/family member present to act as their interpreter and the burden of work and responsibility to manage the language barrier. Participants emphasize that, for them, the use of informal interpreters can be inadequate and problematic and can leave them worried, frustrated and with experiences of error and misdiagnosis. Overall, they state a clear preference for the use of professional, trained interpreters in general practice consultations which is currently unavailable to them in routine Irish general practice consultations.

Suggested Citation

  • MacFarlane, Anne & Dzebisova, Zhanna & Karapish, Dmitri & Kovacevic, Bosiljka & Ogbebor, Florence & Okonkwo, Ekaterina, 2009. "Arranging and negotiating the use of informal interpreters in general practice consultations: Experiences of refugees and asylum seekers in the west of Ireland," Social Science & Medicine, Elsevier, vol. 69(2), pages 210-214, July.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:2:p:210-214
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    References listed on IDEAS

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    1. Greenhalgh, Trisha & Robb, Nadia & Scambler, Graham, 2006. "Communicative and strategic action in interpreted consultations in primary health care: A Habermasian perspective," Social Science & Medicine, Elsevier, vol. 63(5), pages 1170-1187, September.
    2. Chambers, Robert, 1994. "The origins and practice of participatory rural appraisal," World Development, Elsevier, vol. 22(7), pages 953-969, July.
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    1. Pinika Patel & Sarah Bernays & Hankiz Dolan & Danielle Marie Muscat & Lyndal Trevena, 2021. "Communication Experiences in Primary Healthcare with Refugees and Asylum Seekers: A Literature Review and Narrative Synthesis," IJERPH, MDPI, vol. 18(4), pages 1-18, February.
    2. Alexander Bischoff & Patricia Hudelson, 2010. "Access to Healthcare Interpreter Services: Where Are We and Where Do We Need to Go?," IJERPH, MDPI, vol. 7(7), pages 1-7, July.
    3. Paul May, 2021. "The Letter and Spirit of the Law: Barriers to Healthcare Access for Asylum Seekers in France," Journal of International Migration and Integration, Springer, vol. 22(4), pages 1383-1401, December.
    4. Akshaya Neil Arya & Ilene Hyman & Tim Holland & Carolyn Beukeboom & Catherine E. Tong & Rachel Talavlikar & Grace Eagan, 2024. "Medical Interpreting Services for Refugees in Canada: Current State of Practice and Considerations in Promoting this Essential Human Right for All," IJERPH, MDPI, vol. 21(5), pages 1-25, May.

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