Evidence map›Paper›PMID 41272096›Full record

ArticleNPJ digital medicine2025

How limited english proficiency impacts patient engagement with telemedicine: a systematic review.

Andrea Huang, John Geracitano, Melissa Coffel, Carl Seashore, Saif Khairat

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Andrea HuangGillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
John GeracitanoCarolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Melissa CoffelSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Carl SeashoreGeneral Pediatrics and Adolescent Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Saif KhairatSchool of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Saif@unc.edu.

Funding

Center for Virtual Care Value and Excellence (ViVE). RC2TR004380 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Saif Khairat · 2023 to 2026
$3.0M
NCATS NIH HHS RC2 TR004380NCATS NIH HHS RC2TR004380
6 · The paper itself

Abstract

Since the COVID-19 pandemic, telemedicine has become increasingly prevalent in healthcare delivery. While telemedicine holds promise to improve health equity, it may exacerbate pre-existing disparities for patients, including those with limited English proficiency (LEP). We systematically reviewed studies examining telemedicine utilization by LEP and English proficient (EP) patients in the United States. Four databases were searched, and 17 studies were included in this review. Among the seven studies analyzing overall utilization of telemedicine, five reported significantly lower utilization for patients with LEP than those with EP. Similarly, five out of seven studies investigating the utilization of telemedicine over in-person visits found lower telemedicine utilization for LEP patients. All seven studies analyzing telemedicine utilization by modality found significantly lower video use for patients with LEP than those with EP. Future work should address access to technology, digital literacy, healthcare system preparedness, and adequate interpreter accessibility.

Identifiers

PMID41272096
PMCPMC12638763

What OpenQuestion holds

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LicenceCC BY
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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.