ArticleBMC health services research2015
Emergency department and inpatient health care utilization among patients who require interpreter services.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- The Relationship Between Limited English Proficiency and Outcomes in Stroke Prevention, Management, and Rehabilitation: A Systematic Review.Frontiers in neurology · 2022Pooled it
- Collaborative Care for Depression among Patients with Limited English Proficiency: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Factors associated with imaging overuse in the emergency department: A systematic review.The American journal of emergency medicine · 2018Pooled it
- Patient and Caregiver Perspectives on Language Access in Two St. Louis Emergency Departments.Journal of immigrant and minority health · 2026Article
- Knowledge of Interpreter Rights and Medication Delays in Diabetes Care.Journal of immigrant and minority health · 2026Article
- Emergency Department Utilization by Race, Ethnicity, Language, and Medicaid Status.The western journal of emergency medicine · 2025Article
- Unveiling the gaps: A comprehensive, equity-focused observational examination of Emergency Department discharge.PloS one · 2025Observational
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Open to interpretation: An integrated primary care behavioral health training approach for treating linguistically diverse patients.Families, systems & health : the journal of collaborative family healthcare · 2023Article
- Differences in Telemedicine, Emergency Department, and Hospital Utilization Among Nonelderly Adults with Limited English Proficiency Post-COVID-19 Pandemic: a Cross-Sectional Analysis.Journal of general internal medicine · 2023Article
- Access to Care Among Adults with Limited English Proficiency.Journal of general internal medicine · 2023Article
- 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
- Health Equity and Disparities in ROP Care: A Need for Systematic Evaluation.Frontiers in pediatrics · 2022Review
- Prior Frequent Emergency Department Use as a Predictor of Emergency Department Visits After a New Cancer Diagnosis.JCO oncology practice · 2021Article
- Severity of Inpatient Hospitalizations Among Undocumented Immigrants and Medi-Cal Patients in a Los Angeles, California, Hospital: 2019.American journal of public health · 2021Article
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- Limited English Proficient Patient Visits and Emergency Department Admission Rates for Ambulatory Care Sensitive Conditions in California: a Retrospective Cohort Study.Journal of general internal medicine · 2021Article
- 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
- The Role of Health Disparities and Socioeconomic Status in Emergent Gastrointestinal Procedures.Health equity · 2021Article
- Too Little Information: Accessibility of Information About Language Services on Hospital Websites.Journal of immigrant and minority health · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundLimited English proficiency is associated with health disparities and suboptimal health outcomes. Although Limited English proficiency is a barrier to effective health care, its association with inpatient health care utilization is unclear. The aim of this study was to examine the association between patients with limited English proficiency, and emergency department visits and hospital admissions.
methodsWe compared emergency department visits and hospitalizations in 2012 between patients requiring interpreter services and age-matched English-proficient patients (who did not require interpreters), in a retrospective cohort study of adult patients actively empanelled to a large primary health care network in a medium-sized United States city (n = 3,784).
resultsPatients who required interpreter services had significantly more Emergency Department visits (841 vs 620; P ≤ .001) and hospitalizations (408 vs 343; P ≤ .001) than patients who did not require interpreter services. On regression analysis the risk of a first Emergency Department visit was 60% higher for patients requiring interpreter services than those who did not (unadjusted hazard ratio [HR], 1.6; 95% confidence interval (CI), 1.4-1.9; P < .05), while that of a first hospitalization was 50% higher (unadjusted HR, 1.5; 95% CI, 1.2-1.8; P < .05). These findings remained significant after adjusting for age, sex, medical complexity, residency and outpatient health care utilization.
conclusionsPatients who required interpreter services had higher rates of inpatient health care utilization compared with patients who did not require an interpreter. Further research is required to understand factors associated with this utilization and to develop sociolinguistically tailored interventions to facilitate appropriate health care provision for this population.
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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.