"I just answer 'yes' to everything they say": access to health care for deaf people in Worcester, South Africa and the politics of exclusion.

Journal: Patient education and counseling

Volume: 94

Issue: 3

Year of Publication: 2015

Affiliated Institutions:  Department of Psychology, Stellenbosch University, South Africa. Electronic address: janiskrit@gmail.com. Department of Psychology, Stellenbosch University, South Africa; Alan J. Flisher Centre for Public Mental Health, Psychiatry and Mental health, University of Cape Town, South Africa. Department of Psychology, Stellenbosch University, South Africa. Department of Psychology, Stellenbosch University, South Africa; SINTEF Technology and Society, Department of Health, Norway.

Abstract summary 

To explore whether there are other factors besides communication difficulties that hamper access to health care services for deaf patients.Qualitative methodology using semi-structured interviews with 16 deaf participants from the National Institute for the Deaf in Worcester and 3 Key informants from the Worcester area, South Africa.Communication difficulties were found to be a prominent barrier in accessing health care services. In addition to this interpersonal factors including lack of independent thought, overprotectedness, non-questioning attitude, and lack of familial communication interact with communication difficulties in a way that further hampers access to health care services.These interpersonal factors play a unique role in how open and accepting health services feel to deaf patients.Health care services need to take cognizance of the fact that providing sign language interpreters in the health care setting will not necessarily make access more equitable for deaf patients, as they have additional barriers besides communication to overcome before successfully accessing health care services.

Authors & Co-authors:  Kritzinger Janis J Schneider Marguerite M Swartz Leslie L Braathen Stine Hellum SH

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.1016/j.pec.2013.12.006
SSN : 1873-5134
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Access to health care;Deaf patients;Interpersonal factors;Sign language
Study Design
Cross Sectional Study
Study Approach
Qualitative
Country of Study
South Africa
Publication Country
Ireland