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What solutions to improve communication with deaf patients in primary care consultations? The example of video remote interpreting in French Sign Language (FSL)

Marie-Ange MONOTE and Frederic MILESI

In France, about 500,000 people are affected by profound deafness. For those who cannot, or choose not to, use hearing aids, accessing primary care is often challenging due to the language barrier between French Sign Language (FSL) and spoken French. Yet, primary care should be accessible to everyone. The availability of on-site interpreters is limited, making remote video interpreting a potential alternative.This study set out to explore its relevance by gathering the perspectives of deaf patients and healthcare providers after using the platform.We conducted a qualitative study based on semi-structured interviews with five deaf patients and five healthcare providers. Data were analyzed using interpretative phenomenological analysis with the software Sonal. The consultations relied on the Tadeo-Acceo platform.Both patients and providers viewed remote interpreting positively, as it facilitated clearer and more comfortable communication. While it was seen as a valuable alternative to in-person interpretation, the latter remained the preferred option. Remote interpreting was considered less essential for patients who could lip-read or speak orally.: This innovative and unprecedented study in Europe nevertheless has several limitations. The data are based on a small sample size, and only one video remote interpreting platform was tested. The findings are therefore not generalisable. However, several limitations to the widespread implementation of this system across the territory were identified, notably the need for a reliable internet connection and suitable audiovisual equipment, as well as its cost, which emerged as a major barrier.Remote interpreting in FSL offers a promising way to improve access to primary care for deaf patients. However, its implementation requires careful consideration of funding and organizational aspects of consultations. Looking ahead, advances in artificial intelligence may provide new solutions, but at present, video interpreting stands out as a reliable and viable option. Keywords: French Sign Language, primary care, remote interpreting, deafness, deaf patients