ArticleJournal of general internal medicine2022
Specialty Care Utilization Among Adults with Limited English Proficiency.
Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Disparities in Adult Otolaryngology Patients with Limited English Proficiency: A Systematic Review.The Laryngoscope · 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
- Article
- Disparate Use of Diagnostic Modalities for Patients With Limited English Proficiency and Neurologic Disorders.Neurology. Clinical practice · 2025Article
- Strategies for Overcoming Barriers in Access to Cardiovascular Care for Women.Circulation research · 2025Review
- Language and racial disparities in treatment initiation for patients with pulmonary non-tuberculous mycobacteria.BMC research notes · 2025Article
- Spanish Translation and Validation of the LIMB-Q: A Patient-reported Outcome Measure for Lower Extremity Trauma.Plastic and reconstructive surgery. Global open · 2025Article
- Explaining Racial/Ethnic Disparities in Telehealth Use with Different Levels of English Proficiency: A Decomposition Approach.Telemedicine reports · 2025Article
- Social Determinants of Health and Lifetime History of Parent-Reported Concussion in School-Aged Children and Adolescents in the United States.Neurotrauma reports · 2025Article
- Exploring the Telephone Call Experience of Patients with Non-English Language Preference in Primary Care vs. Specialty.Journal of general internal medicine · 2024Article
- Availability of Non-English Language Telephone Recordings at Ambulatory Clinics.Journal of general internal medicine · 2024Article
- Differences in Telemedicine, Emergency Department, and Hospital Utilization Among Nonelderly Adults with Limited English Proficiency Post-COVID-19 Pandemic: a Cross-Sectional Analysis.Journal of general internal medicine · 2023Article
- Impact of Limited English Proficiency on the Presentation and Management of Vestibular Schwannomas.OTO openArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople with limited English proficiency (LEP) face greater barriers to accessing medical care than those who are English proficient (EP). Language-related differences in the use of outpatient care across the full spectrum of physician specialties have not been studied.
objectiveTo compare outpatient visit rates to physicians in 28 specialties by people with LEP vs EP.
designMultivariable negative binomial regression analysis of nationally representative data from the Medical Expenditure Panel Survey (pooled 2013-2018) with adjustment for age, sex, and self-reported health status.
participants149,611 survey respondents aged 18 and older. EXPOSURE: LEP, defined as taking the survey in a language other than English. MAIN MEASURES: Annual per capita adjusted visit rate ratios (ARRs) comparing visit rates by LEP and EP persons to individual specialties, and to three categories of specialties: (1) primary care (internal or family medicine, geriatrics, general practice, or obstetrics/gynecology), (2) medical-subspecialties, or (3) surgical specialties. KEY
resultsPatients with LEP were underrepresented in 26 of 28 specialties. Disparities were particularly large for the following: pulmonology (ARR, 0.26; 95% CI, 0.20-0.35), orthopedics (ARR, 0.35; 95% CI, 0.30-0.40), otolaryngology (ARR, 0.40; 95% CI, 0.27-0.59), and psychiatry (ARR, 0.43; 95% CI, 0.32-0.58). Among individuals with several specific common chronic conditions, LEP-EP disparities in visits to specialties in those conditions generally persisted. Disparities were larger for medical subspecialties (ARR, 0.41; 95% CI, 0.36-0.46) and surgical specialties (ARR, 0.46; 95% CI, 0.42-0.50) than for primary care (ARR, 0.76; 95% CI, 0.72 to 0.79).
conclusionsPatients with LEP are underrepresented in most outpatient specialty practices, particularly medical subspecialties and surgical specialties. Our findings highlight the need to remove language barriers to physician services in order to ensure access to the full spectrum of outpatient specialty care for people with LEP.
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