ArticleHealthcare (Basel, Switzerland)2024
The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review.
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
77 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Approaches to early intervention for common mental health problems in young people: a systematic review.BMC medicine · 2025Pooled it
- Disparities in Adult Otolaryngology Patients with Limited English Proficiency: A Systematic Review.The Laryngoscope · 2025Pooled it
- Medication Errors after Hospital Discharge among Families who use a Language other than English.Journal of immigrant and minority health · 2026Article
- Health Literacy by Hispanic Ethnicity and its Association with Healthcare Experiences, Self-rated Health, and Quality of Life.Journal of immigrant and minority health · 2026Article
- Appendiceal Perforation as a Potential Indicator of Healthcare Disparities Between Thai and Non-Thai Populations: A Nationwide Study of Public Hospitals in Thailand.Journal of racial and ethnic health disparities · 2026Article
- Prescriber Practices and Barriers to Providing Prescription Medication Instructions for Patients With a Non-English Language Preference.Annals of family medicine · 2026Article
- Exploring Healthcare Continuity in Pediatric-Onset Multiple Sclerosis in the United States.Annals of the Child Neurology Society · 2026Article
- The development of a technologic approach to improve access to individualized clinical documentation in caregivers' preferred language.PLOS digital health · 2026Article
- Nurse-led care model to overcome migration-related language barriers in people with cancer (BMJ open · 2026Article
- Language-Serving Hospitals and Seven-Day Readmission Among Patients With a Non-English Primary Language.American journal of public health · 2026Article
- Inclusion of Participants With Limited English Proficiency in Autism Research.Autism research : official journal of the International Society for Autism Research · 2026Review
- 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
- Cervical Agenesis and Compressive Hydronephrosis in a Patient With Limited English Proficiency.Cureus · 2026Article
- Language access in the neonatal intensive care unit: inequities, legality, practice, and call to action.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Multilingual Voice AI for Postoperative Cataract Follow-Up in Turkish Speaking Patients in the United Kingdom: Patient and Public Involvement Focus Group Study.JMIR formative research · 2026Article
- Understanding how language barriers in the paediatric emergency care setting influences safety of care delivery: a scoping review.Emergency medicine journal : EMJ · 2026Article
- Perceptions of the Acceptability of Community-Based Breast Cancer Risk Assessment among Underserved Latinas in Maricopa County, Arizona.Journal of racial and ethnic health disparities · 2026Article
- Association of intervention fidelity and outcomes in implementation of the Thrive transitional care program for Medicaid-insured individuals.Journal of hospital medicine · 2026Article
- Wearable Real-Time Translation in Rhinology: A Comparative Study of Accuracy and Efficiency.International forum of allergy & rhinology · 2026Article
- Examining inclusive research practices to engage communities: a qualitative inquiry.BMC public health · 2026Article
17 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A majority of individuals with limited English proficiency (LEP) in the U.S. are foreign-born, creating a complex intersection of language, socio-economic, and policy barriers to healthcare access and achieving good outcomes. Mapping the research literature is key to addressing how LEP intersects with healthcare. This scoping review followed PRISMA-ScR guidelines and included PubMed/MEDLINE, CINAHL, Sociological Abstracts, EconLit, and Academic Search Premier. Study selection included quantitative studies since 2000 with outcomes specified for adults with LEP residing in the U.S. related to healthcare service access or defined health outcomes, including healthcare costs. A total of 137 articles met the inclusion criteria. Major outcomes included ambulatory care, hospitalization, screening, specific conditions, and general health. Overall, the literature identified differential access to and utilization of healthcare across multiple modalities with poorer outcomes among LEP populations compared with English-proficient populations. Current research includes inconsistent definitions for LEP populations, primarily cross-sectional studies, small sample sizes, and homogeneous language and regional samples. Current regulations and practices are insufficient to address the barriers that LEP individuals face to healthcare access and outcomes. Changes to EMRs and other data collection to consistently include LEP status and more methodologically rigorous studies are needed to address healthcare disparities for LEP individuals.
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What OpenQuestion holds
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.