ArticleJournal of general internal medicine2023
Differences in Telemedicine, Emergency Department, and Hospital Utilization Among Nonelderly Adults with Limited English Proficiency Post-COVID-19 Pandemic: a Cross-Sectional Analysis.
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 11 papers.
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Who cites it
11 citing papers in PubMed, 19 citations in OpenAlex.
- Does Language Proficiency Affect Completion of Telerehabilitation Video Visits? A Retrospective Study.Journal of immigrant and minority health · 2026Article
- The role of patient, clinician, and neighborhood characteristics in predicting telemedicine engagement and modality in primary care: a cross-sectional analysis.BMC primary care · 2025Article
- How limited english proficiency impacts patient engagement with telemedicine: a systematic review.NPJ digital medicine · 2025Article
- Implementation and Evaluation of a Virtual Transitional Care Intervention Using Automated Text Messaging and Virtual Visits After Emergency Department Discharges: Retrospective Cohort Study.JMIR mHealth and uHealth · 2025Observational
- Emergency Department Utilization by Race, Ethnicity, Language, and Medicaid Status.The western journal of emergency medicine · 2025Article
- Challenges to Video Visits for Patients With Non-English Language Preference: A Qualitative Study.JAMA network open · 2025Article
- Downstream Emergency Department and Hospital Utilization Comparably Low Following In-Person Versus Telemedicine Primary Care for High-Risk Conditions.Journal of general internal medicine · 2024Observational
- Patient Characteristics and Telemedicine Use in the US, 2022.JAMA network open · 2024Article
- Motivation and Use of Telehealth Among People with Depression in the United States.Journal of primary care & community healthArticle
- The Tell on Telehealth.Epilepsy currentsReview
- Caregiver and Pediatric Clinician Perspectives on Artificial Intelligence for Language Services.Academic pediatricsArticle
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe unprecedented use of telemedicine during the COVID-19 pandemic provided an opportunity to examine its uptake among individuals with limited English proficiency (LEP).
objectiveTo assess telemedicine use among nonelderly adults with LEP and the association between use of telehealth and emergency department (ED) and hospital visits.
designCross-sectional study using the National Health Interview Survey (July 2020-December 2021)
participantsAdults (18-64 years), with LEP (N=1488) or English proficiency (EP) (N=25,873) MAIN MEASURES: Telemedicine, ED visits, and hospital visits in the past 12 months. We used multivariate logistic regression to assess (1) the association of English proficiency on having telemedicine visits; and (2) the association of English proficiency and telemedicine visits on having ED and hospital visits. KEY
resultsBetween July 2020 and December 2021, 22% of adults with LEP had a telemedicine visit compared to 35% of adults with EP. After controlling for predisposing, enabling, and need factors, adults with LEP had 20% lower odds of having a telemedicine visit than adults with EP (p=0.02). While English proficiency was not associated with ED or hospital visits during this time, adults with telemedicine visits had significantly greater odds of having any ED (aOR: 1.80, p<0.001) and hospital visits (aOR: 2.03, p<0.001) in the past 12 months.
conclusionsWhile telemedicine use increased overall during the COVID-19 pandemic, its use remained much less likely among adults with LEP. Interventions targeting structural barriers are needed to address disparities in access to telemedicine. More research is needed to understand the relationship between English proficiency, telemedicine visits, and downstream ED and hospital visits.
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