ArticlePediatrics2013
Changes in language services use by US pediatricians.
Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed.
- Language Disparities in Caregiver Satisfaction with Physician Communication at Well Visits from 0-2 Years.Academic pediatrics · 2024Trial
- Response to language barriers with patients from refugee background in general practice in Australia: findings from the OPTIMISE study.BMC health services research · 2021Trial
- Patterns and Predictors of Professional Interpreter Use in the Pediatric Emergency Department.Pediatrics · 2021Trial
- Testing a novel theoretical framework to study language services implementation in health care.PEC innovation · 2025Article
- A Secret Shopper Study of Language Accessibility of Community-Based Behavioral Health Services for Children in Families Who Speak Spanish and English.The Journal of pediatrics · 2025Article
- Impact of Strict Isolation Precautions on Families with a Language Other than English.Health equity · 2025Article
- Management of race, ethnicity, and language data in the pediatric emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- Patient Caregiver Perspectives on Accessing Language Interpretation in a Pediatric Emergency Department.Health equity · 2024Article
- A sequential, multiple assignment randomized trial comparing web-based education to mobile video interpreter access for improving provider interpreter use in primary care clinics: the mVOCAL hybrid type 3 study protocol.Implementation science : IS · 2023Article
- Shades of care: Understanding the needs of racially and ethnically diverse paediatric patients, their families, and health care providers in North America.Journal of child health care : for professionals working with children in the hospital and community · 2023Review
- Listening to the Voice of the Hospitalized Child: Comparing Children's Experiences to Their Parents.Children (Basel, Switzerland) · 2022Article
- Breaking through barriers: the need for effective research to promote language-concordant communication as a facilitator of equitable emergency care.Journal of the American College of Emergency Physicians open · 2022Article
- Parental limited English proficiency in pediatric stem cell transplantation: Clinical impact and health care utilization.Pediatric blood & cancer · 2021Article
- Disparity in Nurse Discharge Communication for Hospitalized Families Based on English Proficiency.Hospital pediatrics · 2021Article
- Association Between Parent Comfort With English and Adverse Events Among Hospitalized Children.JAMA pediatrics · 2020Article
- Increasing Health Care Workers' Proficiency With Using Professional Medical Interpretation: A Workshop.MedEdPORTAL : the journal of teaching and learning resources · 2020Article
- Beyond Interpretation: The Unmet Need for Linguistically and Culturally Competent Care for Latinx People Living with HIV in a Southern Region with a Low Density of Spanish Speakers.AIDS research and human retroviruses · 2020Article
- Children in Immigrant Families: Advocacy Within and Beyond the Pediatric Emergency Department.Clinical pediatric emergency medicine · 2020Article
- Inpatient Communication Barriers and Drivers When Caring for Limited English Proficiency Children.Journal of hospital medicine · 2019Article
- Translating Discharge Instructions for Limited English-Proficient Families: Strategies and Barriers.Hospital pediatrics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
BACKGROUND AND
objectivesAccess to appropriate language services is critical for ensuring patient safety and reducing the impact of language barriers. This study compared language services use by US pediatricians in 2004 and 2010 and examined variation in use in 2010 by pediatrician, practice, and state characteristics.
methodsWe used data from 2 national surveys of pediatricians (2004: n = 698; 2010: n = 683). Analysis was limited to postresidency pediatricians with patients with limited English proficiency (LEP). Pediatricians reported use of ≥ 1 communication methods with LEP patients: bilingual family member, staff, physician, formal interpreter (professional, telephone), and primary-language written materials. Bivariate analyses examined 2004 to 2010 changes in methods used, and 2010 use by characteristics of pediatricians (age, sex, ethnicity), practices (type, location, patient demographics), and states (LEP population, Latino population growth, Medicaid/Children's Health Insurance Program language services reimbursement). Multivariate logistic regression was performed to determine adjusted odds of use of each method.
resultsMost pediatricians reported using family members to communicate with LEP patients and families, but there was a decrease from 2004 to 2010 (69.6%, 57.1%, P < .01). A higher percentage of pediatricians reported formal interpreter use (professional and/or telephone) in 2010 (55.8%) than in 2004 (49.7%, P < .05); the increase was primarily attributable to increased telephone interpreter use (28.2%, 37.8%, P < .01). Pediatricians in states with reimbursement had twice the odds of formal interpreter use versus those in nonreimbursing states (odds ratio 2.34; 95% confidence interval 1.24-4.40).
conclusionsUS pediatricians' use of appropriate language services has only modestly improved since 2004. Expanding language services reimbursement may increase formal interpreter use.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.