The effect of limited English proficiency on admission rates from a pediatric ED: Stratification by triage acuity

Rogers, Alexander; Delgado, C Alfredo; Simon, Harold K.

doi:10.1016/j.ajem.2004.08.012

Cited by 33 publications

(23 citation statements)

References 5 publications

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“…Third, our measure of acuity, the triage score, might not have fully captured the level of acuity and might have been biased towards higher acuity scores for LEP patients related to uncertainty. 31 Both of these limitation, however, would likely bias our results towards the null. Additionally, we were not able to account for patient's comorbidities.…”

Section: Discussionmentioning

confidence: 87%

Emergency Department Care for Patients with Limited English Proficiency: a Retrospective Cohort Study

et al. 2018

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Section: Discussionmentioning

confidence: 87%

Emergency Department Care for Patients with Limited English Proficiency: a Retrospective Cohort Study

et al. 2018

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“…Language barriers have been shown to lead to greater rates of hospitalization at an index ED visit. 33 It is possible in our study, that such patients were already hospitalized on the index visit, precluding them from having a revisit.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Revisits by Urban Immigrant Children in Canada: A Population-Based Cohort Study

Saunders

Parkin

et al. 2016

The Journal of Pediatrics

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“…Significant health disparities exist for limited English proficient patients who are less likely to receive preventive services [2], [3] and health education, [4], [5] and more likely to lack continuity of care and experience problems understanding medical recommendations than English-proficient patients [6], [7], [8]. Language barriers have been implicated in reduced medication adherence [9], greater likelihood of hospital admission, [10] longer hospital stays [11], and increased resource utilization [12].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics

et al. 2012

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BackgroundSignificant health disparities exist between limited English proficient and English-proficient patients. Little is known about the impact of language services on chronic disease outcomes such as for diabetes.Methods/Principal FindingsTo determine whether the amount and type of language services received during primary care visits had an impact on diabetes-related outcomes (hospitalization, emergency room utilization, glycemic control) in limited English proficient patients, a retrospective cohort design was utilized. Hospital and medical record data was examined for 1425 limited English proficient patients in the Cambridge Health Alliance diabetes registry. We categorized patients receiving usual care into 7 groups based on the amount and combination of language services (language concordant providers, formal interpretation and nothing) received at primary care visits during a 9 month period. Bivariate analyses and multiple logistic regression were used to determine relationships between language service categories and outcomes in the subsequent 6 months. Thirty-one percent of patients (445) had no documentation of interpreter use or seeing a language concordant provider in any visits. Patients who received 100% of their primary care visits with language concordant providers were least likely to have diabetes-related emergency department visits compared to other groups (p<0001) in the following 6 months. Patients with higher numbers of co-morbidities were more likely to receive formal interpretation.Conclusions/SignificanceLanguage concordant providers may help reduce health care utilization for limited English proficient patients with diabetes. However, given the lack of such providers in sufficient numbers to meet patients' communication needs, strategies are needed to both increase their numbers and ensure that the highest risk patients receive the most appropriate language services. In addition, systems serving diverse populations must clarify why some limited English proficient patients do not receive language services at some or all of their visits and whether this has an impact on quality of care.

show abstract

The effect of limited English proficiency on admission rates from a pediatric ED: Stratification by triage acuity

Cited by 33 publications

References 5 publications

Emergency Department Care for Patients with Limited English Proficiency: a Retrospective Cohort Study

Emergency Department Care for Patients with Limited English Proficiency: a Retrospective Cohort Study

Emergency Department Revisits by Urban Immigrant Children in Canada: A Population-Based Cohort Study

Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics

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