Evidence map›Paper›PMID 33059522›Full record

ArticleJournal of health communication2020

Use and Usefulness of After-Visit Summaries by Language and Health Literacy among Latinx and Chinese Primary Care Patients.

Sarah S Nouri, Sarita Pathak, Jennifer Livaudais-Toman, Steven E Gregorich, Celia P Kaplan, Lisa Diamond, Leah Karliner

Open access · greenAbstract read
In one paragraph

Article in Journal of health communication, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Advancing Home-Based Outpatient Department (OPD) Booking Systems: Multilingual and Voice-Guided Platforms for Rural Healthcare Access.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Sarah S NouriDivision of General Internal Medicine, Department of Medicine, University of California San Francisco , San Francisco, California, USA.ORCID 0000-0001-7163-0366
Sarita PathakDivision of General Internal Medicine, Department of Medicine, University of California San Francisco , San Francisco, California, USA.
Jennifer Livaudais-TomanDivision of General Internal Medicine, Department of Medicine, University of California San Francisco , San Francisco, California, USA.
Steven E GregorichDivision of General Internal Medicine, Department of Medicine, University of California San Francisco , San Francisco, California, USA.
Celia P KaplanDivision of General Internal Medicine, Department of Medicine, University of California San Francisco , San Francisco, California, USA.
Lisa DiamondDepartment of Psychiatry and Behavioral Sciences and Department of Medicine, Memorial Sloan Kettering Cancer Center , New York, New York, USA.
Leah KarlinerDivision of General Internal Medicine, Department of Medicine, University of California San Francisco , San Francisco, California, USA.
University of California, San Francisco · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
RESOURCE CENTER FOR AGING RESEARCH IN DIVERSE POPULATIONP30AG015272 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAH S KARLINER · 1997 to 2026
$19.5M
Psychosocial Palliative & Community Research in CancerT32CA009461 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JENNIFER L HAY, Jamie S. Ostroff · 1985 to 2026
$10.1M
Clinician Use of Non-English Language Skills in Cancer CareK07CA184037 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI DIAMOND, LISA C · 2015 to 2019
$900k
NCI NIH HHS K07 CA184037NCI NIH HHS P30 CA008748NCI NIH HHS T32 CA009461NIA NIH HHS P30 AG015272
6 · The paper itself

Abstract

The after-visit summary (AVS), a document generated from the electronic health record that summarizes patients' encounters with the healthcare system, is a widely used communication tool. Its use by and usefulness for populations with limited English proficiency (LEP) and limited health literacy (LHL) is poorly understood. In this cross-sectional study, we assessed use and usefulness of the AVS among English-, Spanish-, Cantonese-, or Mandarin-speaking Latinx and Chinese primary-care patients. Outcome measures were self-reported AVS use (did not use/looked-at only/shared only/looked-at and shared) and usefulness (useful/not useful). Among 993 participants, 57% were ≥65 years old, 61% had LEP, 21% had LHL, 30.2% were Latinx, 69.8% were Chinese. The majority used the AVS (86%) and found it useful (65%). In adjusted models, participants with LEP were more likely to "look at" (OR 1.68, 95% CI 1.07-2.62) and "look at and share" (OR 1.65, 1.02-2.66) the AVS, but less likely to find it useful (OR 0.68, 0.47-0.98) compared to English speakers. Those with LHL were less likely to "look at" (OR 0.60, 0.39-0.93) and less likely to find the AVS useful (OR 0.67, 0.46-0.99) compared to those with adequate health literacy. Our results emphasize the need for easy-to-understand and fully language-concordant AVS.

Indexed as

LanguagePrimary Health CareAdultAgedAsianCross-Sectional StudiesElectronic Health RecordsFemaleHealth CommunicationHealth LiteracyHispanic or LatinoHumansMaleMiddle AgedPatient Satisfaction

Identifiers

PMID33059522
PMCPMC8362332
OpenAlexW3093107577

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.