ArticleJournal of general internal medicine2013
Primary care utilization and mental health diagnoses among adult patients requiring interpreters: a retrospective cohort study.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Closing the Gap: Participatory Formative Evaluation to Reduce Cancer Screening Disparities among Patients with Limited English Proficiency.Journal of cancer education : the official journal of the American Association for Cancer Education · 2021Review
- Impact of Language Barriers on Quality of Care and Patient Safety for Official Language Minority Francophones in Canada.Journal of patient experience · 2019Article
- Telephone triage utilization among patients with limited English proficiency.BMC health services research · 2017Article
- Diabetes Outcome and Process Measures Among Patients Who Require Language Interpreter Services in Minnesota Primary Care Practices.Journal of community health · 2017Article
- Characteristics of Successful and Unsuccessful Mental Health Referrals of Refugees.Administration and policy in mental health · 2016Article
- Language barriers in Hispanic patients: relation to upper-extremity disability.Hand (New York, N.Y.) · 2015Article
- Emergency department and inpatient health care utilization among patients who require interpreter services.BMC health services research · 2015Article
- Comparison of medical service use and human papillomavirus vaccination rates among Somali and white/non-Hispanic girls.Journal of lower genital tract disease · 2015Article
- What do we know about patient-clinician interactions with interpreters?Journal of general internal medicine · 2013Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients requiring interpreters may utilize the health care system differently or more frequently than patients not requiring interpreters; those with mental health issues may be particularly difficult to diagnose.
objectiveTo determine whether adult patients requiring interpreters exhibit different health care utilization patterns and rates of mental health diagnoses than their counterparts.
designRetrospective cohort study examining patient visits to primary care (PC), express care (EC), or the emergency department (ED) of a large group practice within 1 year. PATIENTS: Adult outpatients (n = 63,525) with at least one visit within the study interval and information regarding interpreter need. MAIN MEASURES: Mean visit counts, counts of mental disorders, and somatic symptom diagnoses between patients requiring interpreters (IS patients) and not requiring interpreters (non-IS patients). KEY
resultsIS patients (n = 1,566) had a higher mean number of visits overall (3.10 vs. 2.52), in PC (2.54 vs. 1.95), and in ED (0.53 vs. 0.44) than non-IS patients (all p < 0.01). IS patients had a lower mean number of visits in EC than non-IS patients (0.03 vs. 0.13; p < 0.01). Interpreter need remained a significant predictor of visit count in multivariate analyses including age, sex, insurance, and clinical complexity. A greater proportion of IS patients were high utilizers (10+ visits) than non-IS patients (3.6 % vs. 1.7 %; p < 0.01). IS patients had a lower frequency of mental health diagnoses (13.9 % vs. 16.7 %), but a higher frequency of diagnoses recognized as potential somatic symptoms including diseases of the nervous (29.3 % vs. 24.2 %), digestive (22.6 % vs. 14.5 %), and musculoskeletal systems (43.2 % vs. 34.5 %), and ill-defined conditions (61 % vs. 49.9 %), all p < 0.01.
conclusionsIS patients visited PC more often than their counterparts and were more often high utilizers of care. Two sources of high utilization, mental health diagnoses and somatic symptoms, differed appreciably between our populations and may be contributing factors.
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