Health-care encounters without interpreters: a qualitative study of the impact of user fees on interpretation in Danish health services

• Published in: International journal of migration, health and social care health and social care, 2024-05, Vol.20 (2), p.354-368
• Main Authors: Michaëlis, Camilla, Lindell, Johanna Falby Falby, Hansen, Cæcilie, Krasnik, Allan, Reventlow, Susanne, Nørredam, Marie, Lutterodt, Melissa, Davidsen, Annette Sofie
• Format: Article
• Language: English
• Subjects: Civil society; Communication; Competence; Cost control; Family physicians; Fees & charges; Health care; Health problems; Health research; Health services; Health services utilization; Health status; Help seeking behavior; Immigrants; Interpreters; Interviews; Language; Linguistics; Medical errors; Minority languages; Native language; Patient satisfaction; Patients; Professionals; Qualitative research; Quality of care; Uncertainty; User fees
• ISSN: 1747-9894; 1747-9894; 2042-8650
• DOI: 10.1108/IJMHSC-12-2022-0126

Purpose Following the introduction of user fee for interpreting in Danish health care, a considerable decrease in interpreter services has been shown. This study aims to explore the experiences of language minority patients with health-care encounters when an interpreter was needed but not present. Design/methodology/approach Semistructured, in-depth interviews were conducted with 13 language minority patients with limited Danish proficiency. All interviews were conducted with interpreters in the participants’ native language. Data were analyzed using an inductive thematic approach. Findings Most participants experienced communication difficulties and difficulties participating actively in their own health care. The experience of unresolved language barriers led to a high degree of uncertainty and left the participants with unanswered health concerns. Participants expressed a reluctance to seek health care, which consequently limited the utilization of health care services. Research limitations/implications Although the findings only represent a small sample of patients, the results still reveal major challenges that minority-language patients encounter when seeking health care. Future studies should explore, if the intention of the law is met through the user fees. Practical implications Despite having the same entitlements as native Danish-speaking patients, minority-language patients experienced difficulties accessing and using health care services due to the user fee and unresolved language barriers. The study elucidates patient perspectives and points to important ways of improving the quality of health care. Originality/value To the best of the authors’ knowledge, no investigation into the communicative consequences of the introduction of the user fee for interpreting services exists. Thus, this study seeks to address that gap.