SynthesisJournal of general internal medicine2019
A Systematic Review of the Impact of Patient-Physician Non-English Language Concordance on Quality of Care and Outcomes.
Synthesis in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05453357 (Feasibility and Acceptability of a Remote Glucose Monitoring Program for Pregnant Marshallese Women with Pregnancies Complicated by Diabetes), which is not on this map. Cited by 293 papers, 4 of them syntheses 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.
Feasibility and Acceptability of a Remote Glucose Monitoring Program for Pregnant Marshallese Women with Pregnancies Complicated by Diabetes
Who cites it
293 citing papers in PubMed, 4 syntheses or guidelines pooled it, 499 citations in OpenAlex.
- Advancing equity and value in United States healthcare: an umbrella review.International journal for equity in health · 2026Pooled 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
- Implementing and Delivering Culturally Centred Pharmacy Services Tailored to Ethnically Minoritised Populations: A Qualitative Systematic Review and Meta-Ethnography.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- The patient perspective on diversity-sensitive care: a systematic review.International journal for equity in health · 2024Pooled it
- The STAR-MAMA RCT: Bilingual Mobile Health Coaching for Postpartum Weight Loss.American journal of preventive medicine · 2023Trial
- Patient and clinician experiences of language barriers in Qatar's multilingual public mental health care: a qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Non-English Preferred Language and Hospital Mortality in Candidemia: A Retrospective Cohort Study.Open forum infectious diseases · 2026Article
- Influence of Language and Physician-Patient Racial Concordance on Diabetes Control: An Analysis of Consultations in California Clinics.Journal of racial and ethnic health disparities · 2026Article
- Health Literacy by Hispanic Ethnicity and its Association with Healthcare Experiences, Self-rated Health, and Quality of Life.Journal of immigrant and minority health · 2026Article
- Race, ethnicity, and language are underreported in hip fracture CPGs.Archives of orthopaedic and trauma surgery · 2026Review
- Pediatrician Preparedness and Referrals to Resources for Children in Immigrant Families.Academic pediatrics · 2026Article
- Addressing Social and Cultural Needs with Lean Management in a National Sample of US Physician Practices.The Milbank quarterly · 2026Article
- Race, Ethnicity, and Language Concordance Between Patients and Physicians and Atrial Fibrillation DOAC Treatment.JAMA network open · 2026Article
- Integrating Nonpharmacologic Strategies for Pain with Inclusion, Respect, and Equity (INSPIRE): Cultural and linguistic tailoring for a digital health intervention.Internet interventions · 2026Article
- Language-Serving Hospitals and Seven-Day Readmission Among Patients With a Non-English Primary Language.American journal of public health · 2026Article
- Equity in Neurotoxicity Care in the Era of Cancer Immunotherapy.Seminars in neurology · 2026Article
- 'Families are Intimidated…Really Confused…Afraid': Healthcare Service Disparities for Spanish-Speaking Patients Witnessed by their Language Interpreters.Journal of immigrant and minority health · 2026Article
- Adapting evidence-based practices for Asian American and Asian immigrant communities: insights from community-based organizations and therapists.Journal of behavioral medicine · 2026Article
- 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
- When Language is Care.Journal of immigrant and minority health · 2026Article
233 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundApproximately 25 million people in the USA are limited English proficient (LEP). When LEP patients receive care from physicians who are truly language concordant, some evidence show that language disparities are reduced, but others demonstrate worse outcomes. We conducted a systematic review of the literature to compare the impact of language-concordant care for LEP patients with that of other interventions, including professional and ad hoc interpreters.
methodsData was collected through a systematic review of the literature using PubMed, PsycINFO, Web of Science, Cochrane Library, and EMBASE in October 2017. The literature search strategy had three main components, which were immigrant/minority status, language barrier/proficiency, and healthcare provider/patient relationship. The quality of the articles was appraised using the Downs and Black checklist.
resultsThe 33 studies were grouped by the outcome measure studied, including quality of care (subdivided into primary care, diabetes, pain management, cancer, and inpatient), satisfaction with care/communication, medical understanding, and mental health. Of the 33, 4 (6.9%) were randomized controlled trials and the remaining 29 (87.9%) were cross-sectional studies. Seventy-six percent (25/33) of the studies demonstrated that at least one of the outcomes assessed was better for patients receiving language-concordant care, while 15% (5/33) of studies demonstrated no difference in outcomes, and 9% (3/33) studies demonstrated worse outcomes in patients receiving language-concordant care. DISCUSSION: The findings of this review indicate that, in the majority of situations, language-concordant care improves outcomes. Although most studies included were of good quality, none provided a standardized assessment of provider language skills. To systematically evaluate the impact of truly language-concordant care on outcomes and draw meaningful conclusions, future studies must include an assessment of clinician language proficiency. Language-concordant care offers an important way for physicians to meet the unique needs of their LEP patients.
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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.