ArticleJournal of immigrant and minority health2022
Rethinking the Term "Limited English Proficiency" to Improve Language-Appropriate Healthcare for All.
Article in Journal of immigrant and minority health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.
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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
51 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Strategies to Increase Professional Interpreting in Clinical Settings: A Systematic Review.JAMA network open · 2025Pooled it
- Is Limited English Proficiency Associated With Differences in Care Processes and Treatment Outcomes in Patients Undergoing Orthopaedic Surgery? A Systematic Review.Clinical orthopaedics and related research · 2024Pooled it
- A language-matching model to improve equity and efficiency of COVID-19 contact tracing.Proceedings of the National Academy of Sciences of the United States of America · 2021Trial
- "Sometimes I take the Stories with me and I cannot let them go": Vicarious Trauma and Mental Health of Spanish-language Medical Interpreters.Community mental health journal · 2026Article
- The English-Only Nature of Vaccine Deservedness and Harms of Racialized Administrative Burdens.Journal of racial and ethnic health disparities · 2026Article
- Beyond Words: A Call to Action for Language Inclusivity in Prospective Research.Journal of general internal medicine · 2026Article
- Virtual and in-person interpretation: a qualitative study from the perspective of professional medical interpreters.Family practice · 2026Article
- Development of a Tool for Patient-Reported Incidents of Race and Language Bias in an Academic Medical Center.Journal of racial and ethnic health disparities · 2026Article
- Enhancing Medical Students' Interpreter Skills and Resource Knowledge: A Standardized Patient Simulation Intervention.Journal of immigrant and minority health · 2026Article
- Building Research Capacity to Enroll Spanish-Speaking Patients and Families in a Traumatic Brain Injury Transitional Care Intervention.Western journal of nursing research · 2026Article
- Spanish-Speaking Resident Physicians in the United States: Aligning Workforce Skill and Population Need.Journal of immigrant and minority health · 2026Article
- Patient experiences of consulting advanced practice nurses in primary care: a cross-sectional study.BMC health services research · 2026Article
- Artificial intelligence and digital health equity: a post-pandemic evidence synthesis and implementation safeguards framework.Frontiers in digital health · 2026Review
- Language Barriers in the Delivery of Musculoskeletal Care and Future Directions.Current reviews in musculoskeletal medicine · 2025Review
- Associations between english proficiency and HPV vaccine uptake among foreign-born men and women in the United States: a cross-sectional study using data from the National Health Interview Survey.BMC public health · 2025Article
- How limited english proficiency impacts patient engagement with telemedicine: a systematic review.NPJ digital medicine · 2025Article
- Addressing Social Determinants of Health Service Gaps in Chinese American Caregivers During the COVID-19 Pandemic.Children (Basel, Switzerland) · 2025Review
- Medical Interpreters' Experiences With Patients Who Are Near End-of-Life and Their Family Members.Journal of pain and symptom management · 2025Article
- Research on Patients with Non-English Language Preference: More of the Same.Journal of general internal medicine · 2025Article
- English-Only Policies and Allegations of Racism in Nursing: Safety, Culture and Respect Prevail.Journal of advanced nursing · 2025Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The concept of limited English proficiency (LEP) presents significant challenges when applied to the healthcare needs of the diverse and growing multilingual population in the U.S. We expound on the following ways in which the concept of LEP is problematic: the ethnocentric notion of a "primary language," the ambiguous idea of "limited ability," and the deficit-oriented construct of "language assistance." We provide examples that illustrate the negative healthcare impact of LEP terminology, including the unaccounted-for complexities of health communication within the concept of "primary language," the "limited abilities" of health professionals whose language skills are often unassessed, and the ignored role of "language assistance" resources such as interpreters as essential collaborators. Finally, we propose rethinking LEP by (a) reframing patient language using the term non-English language preference and (b) assessing health professional non-English language skills. These actionable strategies have the potential to improve language-appropriate healthcare for diverse populations.
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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.