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This book guides healthcare professionals, hospital administrators,
and medical interpreters in the United States (and internationally)
in ways to better communicate with Deaf and Hard of Hearing (D/HH)
patients and sign language interpreters in healthcare settings. It
also provides an overview of the healthcare communication issues
with healthcare professionals and D/HH patients, and the advantages
and disadvantages of using in-person interpreters vs. video remote
interpreting (VRI). Due to technology development, hospital
administrators have popularized the use of VRI and reduced the
number of in-person interpreting services, which have negatively
affected the quality of medical interpreting services and
patient-provider communication. The COVID-19 pandemic also has
accelerated the move toward more VRI, particularly in the US. The
book addresses an understudied aspect of access and is written by
an international deaf researcher from Japan who uses American Sign
Language (ASL) and English as non-native languages. In order to
identify appropriate interpreting services for specific treatments,
the author focuses on healthcare professionals' and D/HH patients'
interpreting preferences for critical and non-critical care in the
US, and offers a new theoretical framework, an Ecology of Health
Communication, to contextualize and analyze these preferences. The
ecological matrix and its five analytical dimensions (i.e.,
physical-material, psychological, social, spatial, and temporal)
allow readers to understand how these dimensions influence
healthcare professionals' and D/HH patients' interpreting
preferences as well as the treatment outcomes. This book concludes
by prioritizing the use of an appropriate interpreter for specific
treatments and allocating funds for in-person interpreters for
critical care treatments. Deaf Rhetoric: An Ecology of Health
Communication is primarily designed for healthcare professional
students and professionals, hospital administrators, medical
interpreters, VRI companies, and healthcare researchers. Scholars
interested in the communication preferences of healthcare
professionals and deaf people also will find this text useful. The
book counters some of the power differences between healthcare
providers and those who use medical services, and subtly reminds
others that deaf people are not solely the receivers of medical
care but actually are full people. The field of health care is
growing and medical schools are increasingly called on to address
cultural competencies; this resource provides a needed
intervention.
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