Evidence map›Paper›PMID 40798934›Full record

ArticleHealth services research2026

Breaking Barriers: Exploring Patient Satisfaction With the U.S. Healthcare System Among Iranian and Afghan Immigrants With Limited English Proficiency.

Sara Imanpour, Rifat Sultana, Victoria Williams

Abstract read
In one paragraph

Article in Health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sara ImanpourSchool of Public Affairs, Pennsylvania State University, Harrisburg, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-8638-3265
Rifat SultanaSchool of Public Affairs, Pennsylvania State University, Harrisburg, Pennsylvania, USA.
Victoria WilliamsSchool of Business, Rhode Island College, Providence, Rhode Island, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the satisfaction of limited English proficiency (LEP) Farsi- and Dari-speaking patients with the U.S. healthcare system using a qualitative approach. STUDY SETTING AND

designWe employed a grounded theory approach to analyze qualitative data collected from five focus groups involving 25 Farsi- and Dari-speaking immigrants with LEP. DATA SOURCE AND ANALYTICAL SAMPLE: A total of 25 individuals with LEP participated in the focus group sessions, which were transcribed and analyzed using grounded theory methodology. PRINCIPAL

findingsTwo primary categories influencing satisfaction with care emerged: systemic factors and individual factors. Individual factors encompassed cultural beliefs, cross-contextual comparisons, experiences of misdiagnosis, and language barriers. Systemic factors, including discrimination, the high cost of care, the complexity of the U.S. healthcare system, and a pharmaco-centric approach to care, were found to negatively impact satisfaction among immigrants with LEP.

conclusionsAlthough many Farsi- and Dari-speaking individuals with LEP expressed satisfaction with the structured aspects of the U.S. healthcare system, dissatisfaction with healthcare providers and interpersonal interactions persisted. Addressing these issues will require targeted interventions to enhance trust, communication, and cultural competency in healthcare delivery.

Indexed as

Communication BarriersDelivery of Health CareEmigrants and ImmigrantsLimited English ProficiencyPatient SatisfactionAdultAfghanistanCultural CompetencyFemaleFocus GroupsGrounded TheoryHealth Services AccessibilityHumansIranLanguageMaleimmigrantslimited English proficiency (LEP)satisfaction of care

Identifiers

PMID40798934
PMCPMC12932022

What OpenQuestion holds

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Registered trials

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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.