ArticleJournal of general internal medicine2023
Language-Specific Challenges and Solutions for Equitable Telemedicine Implementation in the Primary Care Safety Net During COVID-19.
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 13 papers.
What it found
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Who cites it
13 citing papers in PubMed.
- Bridging the Digital Divide with Digital Navigation in the California Safety Net: A Mixed-Methods Study.Journal of general internal medicine · 2026Article
- Provider perspectives on telehealth for contraceptive care: "the provider isn't going want to use it unless it's easy to use".Reproductive health · 2026Article
- Clinic Personnel Perspectives on Barriers to Video Visits for Patients with Non-English Language Preferences: A Qualitative Study.Journal of general internal medicine · 2026Article
- Delivery of interpreting services in UK primary care by population needs: a multisite case study.BMJ public health · 2026Article
- Testing a novel theoretical framework to study language services implementation in health care.PEC innovation · 2025Article
- Cancer care disparities among patients with limited English proficiency: challenges and strategies for equity.BJC reports · 2025Review
- Implementing telemedicine for medical abortion within the public health system: a qualitative study on implementation bottlenecks and solutions in South Africa.BMC public health · 2025Article
- Video and Telephone Telehealth Use and Web-Based Patient Portal Activation Among Rural-Dwelling Patients: Retrospective Medical Record Review and Policy Implications.Journal of medical Internet research · 2025Article
- Telehealth Visits in Health Centers Serving Low-Income Patients in California: Final Results from the Connected Care Accelerator Initiative (2022-2024).Rand health quarterly · 2025Article
- Challenges to Video Visits for Patients With Non-English Language Preference: A Qualitative Study.JAMA network open · 2025Article
- Access and Inequities: Differential Effects of Digital Access by Race, Ethnicity, and Language.The Journal of pediatrics · 2024Article
- Evaluating Feasibility and Acceptability of a Telehealth Integrative Pain Management Program Among Primary Care Safety-Net Patients.Global advances in integrative medicine and healthArticle
- Appointments aren't Access: The Hidden Work of Getting Care.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
purposeTelemedicine care dramatically expanded during the COVID-19 pandemic. We characterized facilitators and barriers to telemedicine implementation among safety-net primary care clinics serving patients with limited English proficiency (LEP).
methodsWe collected data on telemedicine volume and patient demographics among safety-net clinics participating in a telemedicine learning collaborative. Data on various metrics were reported to the collaborative from February 2019 through August 2021. We conducted semi-structured interviews with clinical and quality leaders, purposively sampling clinics serving high proportions of patients with LEP. We analyzed interviews with a mixed inductive-deductive approach applying the Consolidated Framework for Implementation Research.
resultsBy September 2020, the 23 sites served 121,589 unique patients with in-person and 120,338 with telephone visits; 47% of these patients had LEP. Of 10,897 unique patients served by video visits, 38% had LEP. As a proportion of total visits, telemedicine (telephone and video) visits increased from 0-17% in October 2019-March 2020 to 10-98% in March-August 2020. We conducted 14 interviews at 11 sites. Themes included (1) existing telemedicine platforms and interpreter services were not optimized to support patients with LEP; (2) clinics invested significant labor iterating workflows; (3) sites with technological infrastructure and language-concordant staff were best suited to serve patients; (4) patients speaking less-represented languages or experiencing intersecting literacy barriers were underserved with telemedicine. Interviewees recommended innovations in telemedicine platforms and community-based access.
conclusionsSafety-net sites relied on existing resources to accommodate patients with LEP, but struggled providing access for the most marginalized. Proactive, data-driven strategies to address patient and community barriers as well as optimize clinical workflows with high-quality, certified medical interpreters are needed to ensure equitable access.
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