ArticleJournal of general internal medicine2023
Access to Care Among Adults with Limited English Proficiency.
Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- 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
- Language preference or navigation structure? Interpreting follow-up disparities after emergency department visits for acute renal colic.World journal of urology · 2026Article
- Influence of primary language on follow-up after emergency department visits for acute renal colic: evidence from an ethnically diverse urban cohort.World journal of urology · 2026Article
- Race, Ethnicity, and Language Differences in Inpatient Discharge Prescriptions for Alcohol Use Disorder at an Academic Medical Center.Journal of general internal medicine · 2026Article
- Language Serving Hospitals and Their Impact on Readmission for Surgical Patients With a Non-English Primary Language: A Retrospective Cohort Study.Annals of surgery · 2026Article
- Medicare Advantage Prior-Authorizations Are Linked to Racial Differences in End-of-Life Home Health Use.Journal of the American Geriatrics Society · 2026Article
- Understanding Multilevel Barriers to Healthcare Access Among Immigrants with Limited English Proficiency: A Qualitative Study.Journal of immigrant and minority health · 2026Article
- Mexican American Fathers in Research: Understanding Perceptions, Barriers, and Contributors to Participation.Journal of family issues · 2026Article
- Development of a language access index: a mixed methods analysis.Population health metrics · 2026Article
- Translating Cancer Genetics Care: Digital Tools to Improve Cancer Genetics Risk Assessment for Patients With Limited English Proficiency.JCO oncology practice · 2026Article
- Breaking Barriers: Exploring Patient Satisfaction With the U.S. Healthcare System Among Iranian and Afghan Immigrants With Limited English Proficiency.Health services research · 2026Article
- Patient-Clinician Sex and Race and/or Ethnicity Concordance and Adherence to Preventive Services Guidelines: MEPS 2018-2020.Journal of general internal medicine · 2026Article
- Language Access in Healthcare: Aligning Policy and Evidence to Improve Patient Experience Through Professional Interpretation and Language- Concordant Care.Journal of patient experience · 2026Article
- Factors Associated with EMS Clinician Preparedness to Provide Care for Patients with Limited English Proficiency.Prehospital emergency care · 2026Article
- A "Grounded in Health" Fair: Applying Environmental Health Approaches in a Cross-Specialty Community-Based Initiative.Environmental health insights · 2026Article
- Quality of Web-Based Patient Education on Osteoporosis Lifestyle Changes.PRiMER (Leawood, Kan.) · 2026Article
- How limited english proficiency impacts patient engagement with telemedicine: a systematic review.NPJ digital medicine · 2025Article
- Emergency Medical Services Time on Scene and Non-Transport: Role of Communication Barriers.The western journal of emergency medicine · 2025Observational
- Research on Patients with Non-English Language Preference: More of the Same.Journal of general internal medicine · 2025Article
- Monitoring Use of Language Interpreting Services for Patients with Limited English Proficiency: Methods to Match Patient Medical Records with Interpreter Billing Logs.Journal of general internal medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere are approximately 25.6 million individuals with limited English proficiency (LEP) in the USA, and this number is increasing.
objectiveInvestigate associations between LEP and access to care in adults.
designCross-sectional nationally representative survey.
participantsAdults with (n = 18,908) and without (n = 98,060) LEP aged ≥ 18 years identified from the 2014-2018 Medical Expenditure Panel Survey MAIN MEASURES: Associations between LEP and access to healthcare and preventive services were evaluated with multivariable logistic regression models, stratified by age group (18-64 and ≥ 65 years). The official government definition of LEP (answers "not at all/not well/well" to the question "How well do you speak English?") was used. Access to care included having a usual source of care (and if so, distance from usual source of care, difficulty contacting usual source of care, and provision of extended hours), visiting a medical provider in the past 12 months, having to forego or delay care, and having trouble paying for medical bills. Preventive services included blood pressure and cholesterol check, flu vaccination, and cancer screening. KEY
resultsAdults aged 18-64 years with LEP were significantly more likely to lack a usual source of care (adjusted odds ratios [aOR] = 2.48; 95% confidence interval [CI] = 2.27-2.70), not have visited a medical provider (aOR = 2.02; CI = 1.89-2.16), and to be overdue for receipt of preventive services, including blood pressure check (aOR = 2.00; CI = 1.79-2.23), cholesterol check (aOR = 1.22; CI = 1.03-1.44), and colorectal cancer screening (aOR = 1.58; CI = 1.37-1.83) than adults without LEP. Results were similar among adults aged ≥ 65 years.
conclusionsAdults with LEP had consistently worse access to care than adults without LEP. System-level interventions, such as expanding access to health insurance coverage, providing language services, improving provider training in cultural competence, and increasing diversity in the medical workforce may minimize barriers and improve equity in access to care.
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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.