ArticleJournal of clinical gastroenterology2009
Non-English speakers attend gastroenterology clinic appointments at higher rates than English speakers in a vulnerable patient population.
Article in Journal of clinical gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Characterizing trauma encounters among patients with language other than English preference at a level 1 trauma center's emergency department.Journal of the American College of Emergency Physicians open · 2024Article
- Bridging the Gap: Patient Navigation Increases Colonoscopy Follow-up After Abnormal FIT.Clinical and translational gastroenterology · 2021Article
- Modified open-access scheduling for new patient evaluations at an academic chronic pain clinic increased patient access to care, but did not materially reduce their mean cancellation rate: A retrospective, observational study.Journal of clinical anesthesia · 2017Observational
- Inadequate Utilization of Diagnostic Colonoscopy Following Abnormal FIT Results in an Integrated Safety-Net System.The American journal of gastroenterology · 2017Article
- Prevalence and predictors of patient no-shows to outpatient endoscopic procedures scheduled with anesthesia.BMC gastroenterology · 2015Observational
- Race and inflammatory bowel disease in an urban healthcare system.Digestive diseases and sciences · 2010Article
- Low Rates of Colonoscopy Follow-up After a Positive Fecal Immunochemical Test in a Medicaid Health Plan Delivered Mailed Colorectal Cancer Screening Program.Journal of primary care & community healthArticle
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Authors and funding
4 authors.
Funding
Abstract
goalsWe sought to identify factors associated with gastroenterology clinic attendance in an urban safety net healthcare system.
backgroundMissed clinic appointments reduce the efficiency and availability of healthcare, but subspecialty clinic attendance among patients with established healthcare access has not been studied. STUDY: We performed an observational study using secondary data from administrative sources to study patients referred to, and scheduled for an appointment in, the adult gastroenterology clinic serving the safety net healthcare system of San Francisco, CA. Our dependent variable was whether subjects attended or missed a scheduled appointment. Analysis included multivariable logistic regression and classification tree analysis. A total of 1833 patients were referred and scheduled for an appointment between May 2005 and August 2006. Prisoners were excluded. All patients had a primary care provider.
resultsSix hundred eighty-three patients (37.3%) missed their appointment; 1150 patients (62.7%) attended. Language was highly associated with attendance in the logistic regression; non-English speakers were less likely than English speakers to miss an appointment [adjusted odds ratio 0.42 (0.28, 0.63) for Spanish, 0.56 (0.38, 0.82) for Asian language, P<0.001]. Other factors were also associated with attendance, but classification tree analysis identified language to be the most highly associated variable.
conclusionsIn an urban safety net healthcare population, among patients with established healthcare access and a scheduled gastroenterology clinic appointment, not speaking English was most strongly associated with higher attendance rates. Patient-related factors associated with not speaking English likely influence subspecialty clinic attendance rates, and these factors may differ from those affecting general healthcare access.
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