Asian patients missing out on interpreters when giving consent for surgery

Publicly released:
New Zealand
Photo by Piron Guillaume on Unsplash
Photo by Piron Guillaume on Unsplash

A study looking at Asian patients struggling with English at Waikato Hospital, found that 1 in 5 were not given an interpreter when asked to sign consent forms before surgery. The authors reviewed records from over 500 patients and found that Indian patients were particularly disadvantaged, and patients with limited English tended to be older than fluent English speakers. They point out that there are risks in relying on informal translation by family members or untrained staff, and they recommend better systems and more clinician training to ensure all patients can make genuinely informed decisions.

News release

From: Pasifika Medical Association Group

This study looked at whether Asian patients at Waikato Hospital who struggle with English were given an interpreter when asked to sign consent forms before surgery—a critical moment when patients need to fully understand what they are agreeing to. Reviewing records from over 500 patients treated in 2022–2023, the researchers found that roughly one in five patients who clearly needed an interpreter did not receive one. Indian patients were particularly disadvantaged, being less likely to receive interpreter support than other Asian patients. Patients with limited English were older than fluent English speakers, making them a more vulnerable group. The study concludes that current practices are inconsistent and fall short of ethical and legal standards for informed consent and that better systems and staff training are needed to ensure all patients can make genuinely informed decisions about their care.

Journal/
conference:
New Zealand Medical Journal
Organisation/s: University of Auckland, Waikato Hospital
Funder: Samantha Turnwald was awarded a Health Research Council of New Zealand (HRC) 2024 Ethics Summer Studentship for this research.
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