ArticleJournal of hospital medicine2023
Impact of standardized, language-concordant hospital discharge instructions on postdischarge medication questions.
Article in Journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between language discordance and unplanned hospital readmissions or emergency department revisits: a systematic review and meta-analysis.BMJ quality & safety · 2024Pooled it
- From "No Mortality Difference" to "No Communication Debt": Operationalizing Language Access as a Heart Failure Quality Metric.Journal of immigrant and minority health · 2026Article
- Acute-Care Utilization and Cost Offsets Associated With Language-Concordant, Pharmacist-Integrated Care Management Among High-Need, High-Cost Adults.Health services research · 2026Article
- Evaluating Spanish Translations of Emergency Department Discharge Instructions by a Large Language Model: Tool Validation and Reliability Study.JMIR formative research · 2026Article
- Language Barriers in the Delivery of Musculoskeletal Care and Future Directions.Current reviews in musculoskeletal medicine · 2025Review
- Tools to improve discharge equity: Protocol for the pilot TIDE trial.Contemporary clinical trials communications · 2025Article
- Generative Artificial Intelligence to Transform Inpatient Discharge Summaries to Patient-Friendly Language and Format.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Written instructions improve patient comprehension of discharge instructions but are often provided only in English even for patients with a non-English language preference (NELP). We implemented standardized written discharge instructions in English, Spanish, and Chinese for hospital medicine patients at an urban academic medical center. Using an interrupted time series analysis, we assessed the impact on medication-related postdischarge questions for patients with English, Spanish, or Chinese language preferences. Of 4013 patients, ∼15% had NELP. Preintervention, Chinese-preferring patients had a 5.6 percentage point higher probability of questions (adjusted odds ratio [aOR] = 1.55, 95% confidence interval [CI]: 1.08, 2.21) compared to English-preferring patients; Spanish-preferring and English-preferring patients had similar rates of questions. Postintervention, English-preferring and Spanish-preferring patients had no significant change; Chinese-preferring patients had a significant 10.9 percentage point decrease in the probability of questions (aOR = 0.38, 95% CI: 0.21, 0.69) thereby closing the disparity. Language-concordant written discharge instructions may reduce disparities in medication-related postdischarge questions for patients with NELP.
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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.