Underutilization of Healthcare Interpreters Highlights Need for Better Education and Awareness

Effective communication is crucial in healthcare settings, especially for patients with limited English proficiency. A recent study by Macquarie University emphasizes that health care interpreters are significantly underused due to a lack of awareness and understanding among clinicians about their vital role. Dr. Jinhyun Cho’s research, based on interviews with 67 Australian interpreters, reveals that many health professionals underestimate or are unaware of the skill set and importance of qualified interpreters, leading to their frequent marginalization.

Historically, Australia has been a pioneer in providing interpreter services since the 1970s during the rise of multiculturalism. Despite this, Dr. Cho observes that many institutions still operate under an English monolingual mindset, risking patient safety and health outcomes when non-English speakers are inadequately supported. Relying on non-clinical staff, bilingual family members, or ad hoc interpreters—such as receptionists or cleaners—is common but often ineffective and culturally inappropriate.

A tragic case illustrated in her book exemplifies these dangers. A 35-year-old Afghan refugee with a suspected deep vein thrombosis (DVT) was misinterpreted by her young daughter, leading to a delay in treatment. Two days later, a pulmonary embolism resulted in her death. This underscores the critical need for skilled interpreters capable of conveying complex medical and cultural information accurately.

Interpreters must possess the ability to understand and communicate culturally nuanced meanings instantly. Challenges such as language differences in mental health discussions, taboos surrounding serious illnesses like cancer, and cultural perceptions of health complicate effective interpretation. Technical barriers, including background noise and poor audio quality in telephone interpreting, further impede communication.

Dr. Cho’s historical perspective reveals that many issues faced by interpreters today mirror those from over four decades ago, indicating minimal progress in recognizing and valuing their contribution. She advocates for enhanced education for health professionals, emphasizing that access to qualified interpreters is a fundamental human right and vital for equitable healthcare.

Improving training for health practitioners on when and how to collaborate with interpreters, alongside continuous professional development of interpreters, is essential. Australia’s healthcare system must prioritize effective language services to ensure safety, cultural sensitivity, and social inclusion for all patients.

Source: https://medicalxpress.com/news/2025-07-lost-health-underused.html