ArticleJoint Commission journal on quality and patient safety2021
Disparities After Discharge: The Association of Limited English Proficiency and Postdischarge Patient-Reported Issues.
Article in Joint Commission journal on quality and patient safety, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The trial behind it
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Who cites it
23 citing papers in PubMed.
- Medication Errors after Hospital Discharge among Families who use a Language other than English.Journal of immigrant and minority health · 2026Article
- Communication Barriers in Patient-Provider Interactions in Health Care: Scoping Review.Journal of medical Internet research · 2026Article
- Adapting a Complex Health Intervention Guided by the Core Functions and Form Model: A Methodology and Case Example of Participatory Adaptation.Research square · 2026Article
- Closing the Equity Gap in Hospital-to-Home Care Transitions with Automated Post-Discharge Calls, Text Messages, and Focused Nursing Outreach.Journal of general internal medicine · 2026Article
- Development of a language access index: a mixed methods analysis.Population health metrics · 2026Article
- Language concordance in the digital collection of patient-reported outcome measures.JAMIA open · 2026Article
- Adapting a complex health intervention guided by the core functions and forms model: a methodology and case example of participatory adaptation.Frontiers in health services · 2026Article
- Factors Associated with EMS Clinician Preparedness to Provide Care for Patients with Limited English Proficiency.Prehospital emergency care · 2026Article
- Language Barriers in the Delivery of Musculoskeletal Care and Future Directions.Current reviews in musculoskeletal medicine · 2025Review
- Effects of Limited English Proficiency on Outcomes Following Burn Injury.Journal of burn care & research : official publication of the American Burn Association · 2025Article
- Evaluation of Disparities in Emergency Department Admission and Wait Times for Non-English Preferred Patients.The western journal of emergency medicine · 2025Article
- Partial language concordance in primary care communication: What is lost, what is gained, and how to optimize.Patient education and counseling · 2025Article
- Reasoning on Rounds Volume 2: a Framework for Teaching Management Reasoning in the Inpatient Setting.Journal of general internal medicine · 2025Review
- Achieving Language Justice in Pediatric Hematology-Oncology: A Multinational Perspective for Language-Concordant Equitable Patient- and Family-Centered Care and Research Inclusion.Pediatric blood & cancer · 2025Review
- Evaluating the quality and equity of patient hospital discharge instructions.BMC health services research · 2025Article
- Unveiling the gaps: A comprehensive, equity-focused observational examination of Emergency Department discharge.PloS one · 2025Observational
- Characterizing Spanish-speaking patients' patient-centered care experiences in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.Healthcare (Basel, Switzerland) · 2024Article
- Evaluating Prognostic Bias of Critical Illness Severity Scores Based on Age, Sex, and Primary Language in the United States: A Retrospective Multicenter Study.Critical care explorations · 2024Article
- Utilization and perceptions of language assistance services by medical trainees: a pathway to language certification.AIMS public health · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThe transition from hospital to home is a vulnerable period for all patients, particularly for those who have limited English proficiency (LEP).
methodsThe research team retrospectively studied adults discharged home from a hospital in 2018-2019 to determine the association of LEP with (1) reach of a care transitions outreach program phone call (automated call within three days after discharge or a subsequent manual phone call) and (2) postdischarge issues reported on the phone calls. All results were adjusted for measured confounders; associations using predicted probabilities and average marginal effects were described.
resultsA total of 13,860 patients were included, and 11.3% had LEP. After adjustment, the program reached most patients regardless of LEP status; automated calls were more likely to reach English proficient patients (81.1% vs. 75.6%, p < 0.01), and when the automated call was unsuccessful, manual calls were more likely to reach LEP patients (47.8% vs. 28.3%, p < 0.001). After adjustment, patients with LEP reported more difficulty with all measured issues: understanding discharge instructions (11.3% vs. 6.5%), obtaining prescriptions (8.3% vs. 5.5%), medication concerns (12.9% vs. 10.6%), follow-up questions (16.1% vs. 13.3%), new or worsening symptoms (15.1% vs. 11.9%), and any other clinical issues (16.6% vs. 13.0%); p < 0.05 for all comparisons.
conclusionAlthough reach was high for the care transitions program, among patients with LEP, important disparities exist in patient-reported postdischarge issues. These results indicate the need for better discharge processes that focus on communication quality and health equity.
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