background hispanics comprise 17% of the total u.s. population, surpassing african-americans as the largest minority group. linguistically, almost 60 million people speak a language other than english. this language diversity can create barriers and additional burden and risk when seeking health services. patients with limited english proficiency (lep) for example, have been shown to experience...

Patients with limited English proficiency (LEP) are among the most vulnerable populations. They experience high rates of medical errors with worse clinical outcomes than English-proficient patients and receive lower quality of care by other metrics. However, we have yet to take the issue of linguistic inequities seriously in the medical system and in medical education, tacitly accepting that su...

OBJECTIVE To describe perceptions of how a lack of house staff Spanish proficiency adversely affects communication with Spanish-speaking families with limited English proficiency (LEP). METHODS An anonymous, structured questionnaire was administered to the house staff an of urban, university-affiliated children's hospital that serves a population in which 10%-20% have LEP. RESULTS Ninety-fo...

BACKGROUND Medical patients with limited English proficiency (LEP) frequently receive health care services of suboptimal quality. METHODS We explored whether clients served with staff interpreters (language-discordant, LDI) receive reproductive health care of lower quality than clients seen by a bilingual clinician (language concordant, LC). We conducted a medical record review of 1,589 repro...

Communication barriers faced by limited English proficient (LEP) patients have led to worse outcomes. Such disparities are entrenched in digital health and call into question the impact of tools such as patient portals, primary touchpoint for patients. Over last decade, portals been implemented broadly but done little address needs LEP communities, who make up almost 10% U.S. population. The su...

BACKGROUND In the United States, people with limited English proficiency (LEP) receive poorer medical care than those proficient in English. Few studies demonstrate how linguistic barriers complicate psychiatric care; in consultation-liaison (C-L) psychiatry, there are no published data about care disparities for patients with LEP or for whom English is not the preferred language (PL). OBJECT...

Objective Limited English proficiency (LEP) is a risk factor for health care inequity and an important focus improving communication quality. This study examines the association between LEP pediatric emergency department (ED) revisits. Methods was retrospective, cross-sectional of patients 0 to 21 years old discharged home after initial visit from academic, tertiary ED January 1, 2017, June 30,...

A collaborative primary health care service demonstration program was conducted to improve diabetes care among limited English-proficient (LEP) Latino patients. The intervention provided a multilevel approach aimed at patients and health care providers: Community health workers (CHWs) were mobilized to offer diabetes education in Spanish to LEP Latino diabetes patients, and health professions s...