ArticleMedical care2014
Relationship between self-assessed and tested non-English-language proficiency among primary care providers.
Article in Medical care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed.
- Reliability and Validity of Patient Ratings and Clinician Self-Report in the Assessment of Clinician Non-English Language Skills.Journal of general internal medicine · 2026Observational
- Spanish-Speaking Resident Physicians in the United States: Aligning Workforce Skill and Population Need.Journal of immigrant and minority health · 2026Article
- Article
- Language-Concordant Health Care: Implementation of a Bilingual Competency Program.Joint Commission journal on quality and patient safety · 2025Article
- Partial language concordance in primary care communication: What is lost, what is gained, and how to optimize.Patient education and counseling · 2025Article
- Language Proficiency: How the Physician Data Initiative's Data Collection and Reporting Standard Impacts Graduate Medical Education.Journal of graduate medical education · 2025Article
- Physicians' Perspectives on Using Direct Observation to Assess Non-English Language Proficiency for Clinical Practice: A Qualitative Study.Joint Commission journal on quality and patient safety · 2025Article
- Current State and Proposal of Best Practices of Standardized Patients for Spanish-Language Objective Structured Clinical Encounters in US Medical Schools.Simulation in healthcare : journal of the Society for Simulation in Healthcare · 2024Article
- Review
- Healthcare Professionals' Views of Supportive Care Needs for Chinese, Korean, and Vietnamese Americans with Metastatic Cancer.Asian American journal of psychology · 2024Article
- Validity Evidence for the Physician Oral Language Observation Matrix as a Measure of Medical Spanish Proficiency.Journal of general internal medicine · 2024Article
- Improving Assessment and Learning Environments for Graduate Medical Trainees to Advance Healthcare Language Equity.Journal of general internal medicine · 2024Article
- Functional characterization of the language network of polyglots and hyperpolyglots with precision fMRI.Cerebral cortex (New York, N.Y. : 1991) · 2024Article
- Functional characterization of the language network of polyglots and hyperpolyglots with precision fMRI.bioRxiv : the preprint server for biology · 2024Article
- Language Access Systems Improvement initiative: impact on professional interpreter utilisation, a natural experiment.BMJ open · 2024Article
- Utilization and perceptions of language assistance services by medical trainees: a pathway to language certification.AIMS public health · 2024Article
- Article
- Language-Concordant Care: a Qualitative Study Examining Implementation of Physician Non-English Language Proficiency Assessment.Journal of general internal medicine · 2023Article
- Characteristics of Cancer Hospitals with Written Language Access Policies.Journal of immigrant and minority health · 2023Article
- Impact of Native Language, English Proficiency, and Language Concordance on Interpersonal Care During Evaluation of Acute Coronary Syndrome.Journal of general internal medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundIndividuals with limited English proficiency experience poor patient-clinician communication. Most studies of language concordance have not measured clinician non-English-language proficiency.
objectivesTo evaluate the accuracy of the self-assessment of non-English-language proficiency by clinicians compared with an oral proficiency interview. SUBJECTS: Primary care providers (PCPs) in California and Massachusetts. MEASURES: PCPs first completed a self-assessment of non-English-language proficiency using a version of the Interagency Language Roundtable (ILR) Scale, followed by the Clinician Cultural and Linguistic Assessment (CCLA), a validated oral proficiency interview. We used nonparametric approaches to analyze CCLA scores at each ILR scale level and the correlation between CCLA and ILR scale scores.
resultsSixteen PCPs in California and 51 in Massachusetts participated (n=67). Participants spoke Spanish (79%), followed by Cantonese, Mandarin, French, Portuguese, and Vietnamese. The respondents self-assessed as having "excellent" proficiency 9% of the time, "very good" proficiency 24% of the time, "good" proficiency 46% of the time, "fair" proficiency 18% of the time, and "poor" proficiency 3% of the time. The average CCLA score was 76/100. There was a positive correlation between self-reported ILR scale and CCLA score (σ=0.49, P<0.001). The variance in CCLA scores was wider in the middle categories than in the low or high ILR categories (P=0.003).
conclusionsSelf-assessment of non-English-language proficiency using the ILR correlates to tested language proficiency, particularly on the low and high ends of the scale. Participants who self-assess in the middle of the scale may require additional testing. Further research needs to be conducted to identify the characteristics of PCP whose self-assessments are inaccurate and, thus, require proficiency testing.
Indexed as
Identifiers
What OpenQuestion holds
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.