Review
Health Care Sciences & Services
Alison P. Woods, Andrea Alonso, Swetha Duraiswamy, Carl Ceraolo, Timothy Feeney, Christine M. Gunn, William R. Burns, Dorry L. Segev, F. Thurston Drake
Summary: Limited English proficiency (LEP) is common among hospitalized patients and may impact care. A systematic review comparing clinical outcomes for English-proficient (EP) and LEP patients found no significant association between English proficiency and mortality or complications. Findings on length of stay were mixed, and differences in readmissions were concentrated in chronic medical conditions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Jessica Himmelstein, Christopher Cai, David U. Himmelstein, Steffie Woolhandler, David H. Bor, Samuel L. Dickman, Danny McCormick
Summary: People with limited English proficiency (LEP) face barriers in accessing medical care. This study compares outpatient visit rates in 28 specialties between LEP and English-proficient (EP) individuals and finds that patients with LEP are underrepresented in most outpatient specialty practices, particularly in medical subspecialties and surgical specialties. These findings highlight the importance of removing language barriers.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Review
Medicine, General & Internal
Francisco J. Medrano, Alicia J. Fernandez, Rebecca L. Sudore, James N. Kirkpatrick, Natalie C. Benda, Ruth Masterson Creber, Parag Goyal, Craig Beavers, Mathew S. Maurer, Michael W. Rich, Karen P. Alexander, Ashok Krishnaswami
Summary: Limited English proficiency has a significant impact on the quality of cardiovascular care for older adults, and effective strategies are needed to overcome language barriers and ensure optimal delivery of medical information.
AMERICAN JOURNAL OF MEDICINE
(2023)
Article
Surgery
Hope Schwartz, Rebecca Menza, Karla Lindquist, Robert Mackersie, Alicia Fernandez, Deborah Stein, Tasce Bongiovanni
Summary: This study investigated the relationship between Limited English Proficiency (LEP) and pain assessment frequency and magnitude in hospitalized trauma patients. The study found that LEP patients had fewer pain assessments and lower pain scores compared to English proficient patients.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Lily Kornbluth, Celia P. Kaplan, Lisa Diamond, Leah S. Karliner
Summary: The study revealed that primary care ancillary staff mainly communicate with LEP patients in English, with minimal use of professional interpretation. Physicians reported taking on extra tasks to compensate for communication barriers between ancillary staff and LEP patients.
PATIENT EDUCATION AND COUNSELING
(2022)
Article
Surgery
Maria R. H. Castro, Hope Schwartz, Sophia Hernandez, Lucia Calthorpe, Alicia Fernandez, Deborah Stein, Robert C. Mackersie, Rebecca Menza, Tasce Bongiovanni
Summary: This study found that non-English proficient trauma patients experience longer hospital stay and are more frequently discharged to home with home health services or to skilled nursing facilities/rehabilitation. Non-English proficient patients speaking languages other than Chinese or Spanish have higher mortality rates.
JOURNAL OF SURGICAL RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Ai-Vi Tran, Kenneth P. Roberts
Summary: Over 25 million individuals living in America are limited English proficient, and providing adequate language accommodations is crucial for effective healthcare, especially in rural communities. A survey of 42 rural facilities in Washington State found that while most facilities were meeting the requirements for language services, many reported barriers to providing these services.
JOURNAL OF IMMIGRANT AND MINORITY HEALTH
(2023)
Article
Emergency Medicine
Elyse N. Portillo, Anne M. Stack, Michael C. Monuteaux, Alexa Curt, Catherine Perron, Lois K. Lee
Summary: Limited English proficiency (LEP) was associated with increased odds of pediatric emergency department (ED) revisits, particularly resulting in discharge and hospitalization. Sensitivity analyses suggest that insurance status may attenuate this association.
ACADEMIC EMERGENCY MEDICINE
(2021)
Article
Surgery
Juan Pablo Santana, Philip Kyung Woo Hong, Lauren A. Indelicato, Amy M. Berger, Shawn D. Larson, Janice A. Taylor, Moiz M. Mustafa, Saleem Islam, Dan Neal, Robin T. Petroze
Summary: This study explores the potential role of limited English proficiency (LEP) on clinical outcomes of pediatric burn patients. The study finds that there is no significant difference in burn severity and clinical outcomes between patients with LEP and patients with English as their primary language (EPL).
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Health Care Sciences & Services
Natalia Ramirez, Kewei Shi, K. Robin Yabroff, Xuesong Han, Stacey A. Fedewa, Leticia M. Nogueira
Summary: This study investigates the association between limited English proficiency (LEP) and access to healthcare in adults. The results show that adults with LEP have worse access to care and are more likely to be overdue for preventive services compared to those without LEP. System-level interventions can improve equity in access to care for adults with LEP.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Psychology, Multidisciplinary
Changmi Wang
Summary: The study reveals a significant relationship between English medium instruction (EMI) teachers' classroom English proficiency and teaching self-efficacy, with a particular emphasis on the impact of language of instruction and language of interaction. Therefore, strategic training to enhance teachers' language of instruction skills is crucial in fostering higher teaching self-efficacy.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Critical Care Medicine
Hope E. M. Schwartz, Zachary A. Matthay, Rebecca Menza, Alicia Fernandez, Robert Mackersie, Deborah M. Stein, Tasce Bongiovanni
Summary: This study found that trauma patients with limited English proficiency were less likely to receive any opioid prescription and were prescribed lower quantities of opiates, potentially impacting their pain management and recovery. Addressing these disparities should be a focus for future quality improvement efforts.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2021)
Article
Psychology, Multidisciplinary
Haihua Wang, Lin Xu, Jiaxin Li
Summary: This study aims to explore the connections between positive emotions, particularly foreign language enjoyment, L2 motivation, and English achievement. The results show that foreign language enjoyment and L2 motivation positively predict English achievement, with motivation partially mediating this pathway.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Health Care Sciences & Services
Leah Machen, Margaret A. Handley, Neil Powe, Delphine Tuot
Summary: This study aimed to examine the impact of limited English proficiency (LEP) on patient engagement and outcomes of a chronic disease management program. The results showed that patients with LEP were equally or more engaged with a language-concordant, culturally appropriate telehealth intervention compared to English-speaking counterparts.
JMIR MHEALTH AND UHEALTH
(2021)
Article
Health Care Sciences & Services
Jessica Himmelstein, David U. Himmelstein, Steffie Woolhandler, David H. Bor, Adam Gaffney, Leah Zallman, Samuel Dickman, Danny McCormick
Summary: In the US, Hispanic adults with limited English proficiency have lower healthcare expenditures and utilization compared to those with English proficiency, indicating potential access barriers due to language differences that result in underuse of medical services.
Article
Health Care Sciences & Services
Christine Gunn, Ariel Maschke, Timothy Bickmore, Mark Kennedy, Margaret F. Hopkins, Michael D. C. Fishman, Michael K. Paasche-Orlow, Erica T. Warner
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Surgery
Scott R. Levin, Susanna W. L. de Geus, Nyia L. Noel, Michael K. Paasche-Orlow, Alik Farber, Jeffrey J. Siracuse
JOURNAL OF VASCULAR SURGERY
(2020)
Article
Medicine, General & Internal
Gang Fang, Stacy Cooper Bailey, Izabela E. Annis, Michael K. Paasche-Orlow, Michael S. Wolf, Laurie T. Martin, Michael Emch, M. Alan Brookhart, Karen B. Farris
PATIENT PREFERENCE AND ADHERENCE
(2020)
Article
Urology & Nephrology
Nwamaka D. Eneanya, Shananssa G. Percy, Taylor L. Stallings, Wei Wang, David J. R. Steele, Michael J. Germain, Jane O. Schell, Michael K. Paasche-Orlow, Angelo E. Volandes
AMERICAN JOURNAL OF NEPHROLOGY
(2020)
Article
Health Care Sciences & Services
Christine M. Gunn, Ariel Maschke, Michael K. Paasche-Orlow, Nancy R. Kressin, Mara A. Schonberg, Tracy A. Battaglia
Summary: The study aimed to explore the informational needs and shared decision-making experiences between women with limited health literacy and primary care providers regarding mammography decisions. Findings revealed that patients lacked technical and process knowledge, viewing them as essential for decision-making. PCPs were hesitant to engage patients with limited health literacy in SDM due to time constraints and concerns that increased information might confuse or deter patients from undergoing mammograms.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Obstetrics & Gynecology
Jacqueline Ellison, Megan B. Cole, Amresh D. Hanchate, Lewis Kazis, Sarah Lindsay
Summary: The study showed an increase in nonindicated pelvic exams during contraceptive encounters from 2007 to 2017, particularly among obstetrician-gynecologists. These specialists oversaw over half of all contraceptive encounters and had the highest rate of performing nonindicated pelvic exams, driving the overall increase in pelvic exams during contraceptive visits.
Letter
Immunology
Anna Bershteyn, Mark D. Schwartz, Lorna E. Thorpe, Michael K. Paasche-Orlow, Patricia Kissinger, Helen C. Stankiewicz Karita, Miriam K. Laufer, Risa M. Hoffman, Raphael J. Landovitz, Kristopher Paolino, Ruanne V. Barnabas
EXPERT REVIEW OF CLINICAL IMMUNOLOGY
(2021)
Article
Health Care Sciences & Services
Souvik Banerjee, Michael K. Paasche-Orlow, Danny McCormick, Meng-Yun Lin, Amresh D. Hanchate
Summary: The study examined the impact of Medicare's Hospital Readmissions Reduction Program (HRRP) on 30-day readmissions rates and found that the penalties imposed by the program did not result in a change in readmissions rates. The CMS should explore alternative options, such as collaborating with hospitals, to reduce readmissions.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Health Care Sciences & Services
Amresh D. Hanchate, Danyang Qi, Jason P. Stopyra, Michael K. Paasche-Orlow, William E. Baker, James Feldman
Summary: The study aimed to estimate the prevalence of EMS transport to an ED other than the nearest one, with distance and time as main indicators of potential bypassing. Results showed approximately one-third of EMS transports potentially bypassed the nearest ED, suggesting that EMS transport destinations may be influenced by factors beyond just proximity.
HEALTH SERVICES RESEARCH
(2022)
Article
Surgery
Swetha Duraiswamy, Sabrina E. Sanchez, David R. Flum, Michael K. Paasche-Orlow, Kelly M. Kenzik, Jennifer F. Tseng, Frederick Thurston Drake
Summary: The accuracy of International Classification of Disease, ninth/tenth revision codes in classifying appendicitis as uncomplicated versus complicated was evaluated. The study found that these codes did not accurately identify surgeon-described complicated appendicitis, leading to potential reimbursement issues and misleading research results.
Article
Health Care Sciences & Services
Amresh D. D. Hanchate, Braden W. W. Strackman, Mengyun Lin, Michael K. K. Paasche-Orlow, Karen E. E. Lasser, Megan B. B. Cole
Summary: This study aimed to assess the impact of Medicaid expansion on the emergency department (ED) visit rate, hospitalization share of ED visits, and ED visit volumes among Hispanic, Black, and White adults. The results showed that Medicaid expansion was not associated with changes in the ED visit rate, hospitalization share of ED visits, and total ED visit volumes. However, there was a significant increase in the Medicaid share among Hispanic adults, but no significant change among Black adults. Therefore, expanding Medicaid eligibility may not have a significant impact on ED use, including among specific racial and ethnic subgroups.
HEALTH SERVICES RESEARCH
(2023)
Review
Health Care Sciences & Services
Sophia N. Zupanc, Joshua R. Lakin, Angelo E. Volandes, Michael K. Paasche-Orlow, Edward T. Moseley, Daniel A. Gundersen, Sophiya Das, Akhila Penumarthy, Diana Martins-Welch, Edith A. Burns, Maria T. Carney, Jennifer E. Itty, Kaitlin Emmert, James A. Tulsky, Charlotta Lindvall
Summary: This study aims to investigate structured and unstructured advance care planning (ACP) documentation in electronic health records and evaluate their comprehensiveness and accuracy. The findings indicate that the unstructured approach identifies more instances of ACP documentation, and some structured ACP documents were judged as misclassified or incomplete.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2023)
Proceedings Paper
Computer Science, Information Systems
Darley Sackitey, Teresa K. O'Leary, Michael Paasche-Orlow, Timothy Bickmore, Andrea G. Parker
Summary: Faith institutions play a vital role in providing social support and care in the United States. Black churches, in particular, have historically been a site for social change and care provision. However, the pandemic has highlighted the limitations of physical spaces in accessing social support. This study explores how hybrid faith communities that combine offline and online contexts can expand access to social support and care provision, and identifies barriers and strategies for integrating care networks into online environments.
PROCEEDINGS OF THE 2023 CHI CONFERENCE ON HUMAN FACTORS IN COMPUTING SYSTEMS (CHI 2023)
(2023)
Review
Oncology
A. J. Housten, C. M. Gunn, M. K. Paasche-Orlow, K. M. Basen-Engquist
Summary: This review aimed to identify and characterize the literature on health literacy interventions across the cancer care continuum, revealing gaps in the literature that necessitate further research in the development and implementation of evidence-based health literacy interventions to improve cancer outcomes.
JOURNAL OF CANCER EDUCATION
(2021)
Article
Health Policy & Services
Avik Chatterjee, Charlotte Greif, Robert Witzburg, Lori Henault, Kristen Goodell, Michael K. Paasche-Orlow
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
(2020)