Evidence map›Paper›PMID 34023171›Full record

ArticlePatient education and counseling2022

Communication methods between outpatients with limited-English proficiency and ancillary staff: LASI study results.

Lily Kornbluth, Celia P Kaplan, Lisa Diamond, Leah S Karliner

Abstract read
In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

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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

4 authors.

Lily KornbluthDivision of General Internal Medicine, Department of Medicine, University of California San Francisco (UCSF), USA. Electronic address: lily.kornbluth@ucsf.edu.
Celia P KaplanDivision of General Internal Medicine, Department of Medicine, University of California San Francisco (UCSF), USA; Multiethnic Health Equity Research Center, Division of General Internal Medicine, University of California San Francisco (UCSF), USA.
Lisa DiamondDepartment of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan-Kettering Cancer Center, USA.
Leah S KarlinerDivision of General Internal Medicine, Department of Medicine, University of California San Francisco (UCSF), USA; Multiethnic Health Equity Research Center, Division of General Internal Medicine, University of California San Francisco (UCSF), USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 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
Mentoring Researchers on Clinical Communication With Diverse Aging PopulationsK24AG067003 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KARLINER, LEAH S · 2021 to 2025
$943k
NCI NIH HHS P30 CA008748NIA NIH HHS K24 AG067003NIA NIH HHS P30 AG015272
6 · The paper itself

Abstract

objectiveDescribe communication methods between primary care ancillary staff, including front desk administrative staff and medical assistants (MAs), and patients with limited-English proficiency (LEP).

methodsPatients with LEP completed a telephone survey after a primary care visit including questions about communication with ancillary staff (n = 1029). To inform practice improvements and lend qualitative perspective to these quantitative data, we subsequently conducted semi-structured interviews with ancillary staff and physicians.

resultsProfessional interpreter use was minimal with ancillary staff (<4%). Among patients who did not use their preferred language with bilingual staff, about one-third reported using English to communicate, despite most (≥ 80%) speaking English 'not well' or 'not at all.' In semi-structured interviews, ancillary staff felt basic English sufficient for most patient communication. However, physicians reported taking on extra visit tasks to compensate for the communication barriers between ancillary staff and patients with LEP.

conclusionsUse of professional interpretation by front desk staff and MAs was minimal. This led many patients with LEP to 'get by' with limited English when communicating with ancillary staff, in turn increasing burden on the physician visit. PRACTICE IMPLICATIONS: Future interventions should focus on increasing use of professional interpretation by outpatient ancillary staff when communicating with LEP patients.

Indexed as

Communication BarriersLimited English ProficiencyOutpatientsHumansLanguageAncillary staffLanguage barriersLimited English proficiencyPrimary care

Identifiers

PMID34023171
PMCPMC8868014

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Registered trials

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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.