4.5 Review

Communication methods between physicians and Deaf patients: A scoping review

Journal

PATIENT EDUCATION AND COUNSELING
Volume 105, Issue 9, Pages 2841-2849

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pec.2022.05.001

Keywords

Deaf; Communication methods; Physicians; Scoping review; Patient-physician communication

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This research aims to explore the communication support and factors influencing its usage in medical consultations with Deaf patients. A scoping review was conducted, and ten journal articles were included in the analysis. The findings highlight the importance of healthcare professionals understanding the heterogeneity of Deaf patients and adapting a person-centred approach in their interactions.
ObjectiveDeaf individuals often face communication challenges within healthcare settings. Given the importance of the role played by physicians in shaping patients' health outcomes, it is paramount to explore Deaf patient-physician interactions. This research aims to explore (1) the existing communication support and (2) the factors influencing its usage in medical consultations with Deaf patients.MethodsA scoping review was carried out and adhered to the Preferred Reporting System for Meta-Analysis. A comprehensive search strategy of four databases; PubMed, Medline, CINAHL Plus and Scopus, from January 2011 to June 2021 was applied. Thematic analysis was used to analyse the data.ResultsTen journal articles were included, and four themes were identified; patient experiences using communication methods, practitioners' cultural competence in Deaf culture, inherent challenges of communication methods, and extrinsic factors. Professional interpreters are often regarded as the preferred modality of communication but writing and lip-reading were commonly used in healthcare settings, with video remote interpreting the least common.ConclusionHealthcare professionals need to appreciate the heterogeneity of Deaf patients and their communication methods and adopt a more person-centred approach.Practice implicationsThis review provides up-to-date insight on Deaf patient-physician interactions and provisional recommendations for practice, education and policy.

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