Mise à disposition d'interprétariat en médecine ambulatoire dans les Pays de la Loire.

INTRODUCTION: A language barrier leads to negative impacts on access and quality of health care for non-French speaking patients. Faced with this problem, professional interpreting services, either with an interpreter physically present, or on the phone, were set up in the private health sector in 2017 in the Pays de la Loire region. These services were inspired by projects launched in 2010 by the Migration Santé Alsace association. The main goal of the study was to evaluate the satisfaction of private sector doctors using the interpreting service during their appointments with non-French speaking patients. METHODS: This quantitative, observational and prospective study was conducted in the whole Pays de la Loire region between June 2017 and December 2018. The satisfaction was evaluated with an online survey filled in by the doctor at the end of every appointment with an interpreter. RESULTS: Results show very good overall satisfaction from the doctors using both physically present and phone interpreters. The survey also highlighted the improvement of the relationship between doctors and patients. The main difficulty identified is that of time constraint with, in particular, an increase of the length of the appointment. DISCUSSION: This study highlights the need to develop and broaden professional interpreting services for private sector doctors. The measure is shown to be easy to use with few constraints. It guarantees the respect of the patient's right to express themselves properly and give their free and informed consent.

[Implementing an interpreter service in ambulatory care in Pays de la Loire]. / Mise à disposition d'interprétariat en médecine ambulatoire dans les Pays de la Loire.

INTRODUCTION: A language barrier leads to negative impacts on access and quality of health care for non-French speaking patients. Faced with this problem, professional interpreting services, either with an interpreter physically present, or on the phone, were set up in the private health sector in 2017 in the Pays de la Loire region. These services were inspired by projects launched in 2010 by the Migration Santé Alsace association. The main goal of the study was to evaluate the satisfaction of private sector doctors using the interpreting service during their appointments with non-French speaking patients. METHODS: This quantitative, observational and prospective study was conducted in the whole Pays de la Loire region between June 2017 and December 2018. The satisfaction was evaluated with an online survey filled in by the doctor at the end of every appointment with an interpreter. RESULTS: Results show very good overall satisfaction from the doctors using both physically present and phone interpreters. The survey also highlighted the improvement of the relationship between doctors and patients. The main difficulty identified is that of time constraint with, in particular, an increase of the length of the appointment. DISCUSSION: This study highlights the need to develop and broaden professional interpreting services for private sector doctors. The measure is shown to be easy to use with few constraints. It guarantees the respect of the patient's right to express themselves properly and give their free and informed consent.

Interventions to increase uptake of faecal tests for colorectal cancer screening: a systematic review.

International guidelines promote screening by faecal tests in asymptomatic individuals at average risk of colorectal cancer (CRC), but uptake does not reach recommended levels in most countries. The aim of this study was to synthetize evidence on (a) interventions aiming to increase uptake of faecal tests for CRC screening, in asymptomatic individuals at average risk of CRC, (b) interventions that targeted general practitioner (GP) involvement and (c) interventions that targeted nonresponders or disadvantaged groups. A systematic review of randomized-controlled trials, searching PubMed, Embase and the Cochrane Library database, based on the Cochrane's Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols 2015 guidelines was performed. The risk of bias of included trials was assessed. From 24 included RCTs, the following interventions increase uptake of faecal tests: advance notification letter (OR 1.20-1.51), postal mailing (OR 1.31-7.70), telephone contacts with an advisor (OR 1.36-7.72). Three interventions showed positive effects of GP involvement such as a GP-signed invitation letter [odds ratio (OR)=1.26], GP communication training (OR=1.22) or mailing reminders to GPs (OR=14.8). Inconclusive results were found for studies comparing different types of faecal tests and those testing the effectiveness of providing various types of written information. Advance notification letters, postal mailing of the faecal tests, written reminders and telephone contacts with an advisor increase patient uptake of faecal tests. There was only limited evidence on the effect of GP involvement on screening test uptake and a lack of studies focusing on nonresponders or disadvantaged groups.