ArticleJournal of general internal medicine2014
Language concordance, interpersonal care, and diabetes self-care in rural Latino patients.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is Primary Care Patient Experience Associated with Provider-Patient Language Concordance and Use of Interpreters for Spanish-preferring Patients: A Systematic Literature Review.Journal of racial and ethnic health disparities · 2025Pooled it
- Language Access in Healthcare: Aligning Policy and Evidence to Improve Patient Experience Through Professional Interpretation and Language- Concordant Care.Journal of patient experience · 2026Article
- Article
- Operationalizing machine-assisted translation in healthcare.NPJ digital medicine · 2025Review
- Evaluation of Disparities in Emergency Department Admission and Wait Times for Non-English Preferred Patients.The western journal of emergency medicine · 2025Article
- Observational
- Practice Intention: Addressing the Needs of Diverse Underserved Communities in Medical Education.Family medicine · 2025Article
- Latine Patients' Beliefs, Attitudes, and Experience With Psoriasis.JAMA dermatology · 2025Article
- Review
- Impact of patient-family physician language concordance on healthcare utilisation and mortality: a retrospective cohort study of home care recipients in Ontario, Canada.BMJ public health · 2024Article
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Navigating linguistic barriers: a case for and against medical Spanish certification for medical students in border states.Proceedings (Baylor University. Medical Center) · 2024Review
- Human Connection: Oncologist Characteristics and Behaviors Associated With Therapeutic Bonding With Latino Patients With Advanced Cancer.JCO oncology practice · 2024Article
- A Case Study of the Impact of Language Concordance on Patient Care, Satisfaction, and Comfort with Sharing Sensitive Information During Medical Care.Journal of immigrant and minority health · 2023Article
- The ACTIVATE Digital Health Pilot Program for Diabetes and Hypertension in an Underserved and Rural Community.Applied clinical informatics · 2023Article
- Disparities in diabetes prevalence and management by race and ethnicity in the USA: defining a path forward.The lancet. Diabetes & endocrinology · 2023Review
- Impact of Native Language, English Proficiency, and Language Concordance on Interpersonal Care During Evaluation of Acute Coronary Syndrome.Journal of general internal medicine · 2023Article
- Diabetes control is worse in children and young people with type 1 diabetes requiring interpreter support.Frontiers in clinical diabetes and healthcare · 2023Article
- Multilingual competencies among ambulatory care providers in three German Federal States.BMC primary care · 2022Article
- Patient-physician language concordance and quality and safety outcomes among frail home care recipients admitted to hospital in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundInterpersonal care (IPC) is increasingly emphasized as health care systems focus on implementing patient-centered care. Language barriers may be a particularly important influence on IPC ratings among rural Spanish-speaking Latinos.
objectiveTo examine the associations between provider Spanish fluency and Spanish-speaking patients' ratings of IPC and between patient-provider language concordance and patient engagement in diabetes self-care activities.
designCross-sectional survey combined with chart reviews. SETTING/
participantsTwo hundred fifty Latino adults with diabetes receiving care at safety-net community health centers in two rural California counties. MAIN MEASURES: Using a validated questionnaire, we assessed patient ratings of IPC in three areas: communication, decision-making, and interpersonal style. Patient-provider language concordance was measured by physician self-reported fluency in Spanish. We measured participation in diabetes self-care activities by patient self-report. The survey response rate was 68%. KEY
resultsPatients with language-concordant providers had more favorable IPC ratings (20% to 41% of language-discordant patients had optimal scores for IPC scales vs. 35% to 69% of language-concordant patients, p < 0.05), except with respect to discrimination. Patients with language-concordant providers reported higher levels of participation in diabetic foot care (1.4 days vs. 0.7 days per week, p value 0.01) compared to patients with language discordance. There was no association between language concordance and participation in other self-care activities.
conclusionThis study provides evidence that language concordance is independently associated with high IPC scores in rural Latino adults with diabetes. Moreover, this study suggests that language concordance may contribute to improved participation diabetes self-care activities.
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.