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

Abstract

Objective

To explore whether there are other factors besides communication difficulties that hamper access to health care services for deaf patients.

Methods

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.

Results

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.

Conclusion

These interpersonal factors play a unique role in how open and accepting health services feel to deaf patients.

Practice implications

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.

Category

Academic article

Language

English

Author(s)

Affiliation

  • University of Stellenbosch
  • University of Cape Town
  • SINTEF Digital / Health Research

Year

2014

Published in

Patient Education and Counseling

ISSN

0738-3991

Publisher

Elsevier

Volume

94

Issue

3

Page(s)

379 - 383

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