当前位置： SCI文献检索 > JOURNAL OF GENERAL INTERNAL MEDICINE期刊下所有文献 > Identification of limited English proficient patients in clinical care.

Identification of limited English proficient patients in clinical care.

Abstract：

BACKGROUND:Standardized means to identify patients likely to benefit from language assistance are needed. OBJECTIVE:To evaluate the accuracy of the U.S. Census English proficiency question (Census-LEP) in predicting patients' ability to communicate effectively in English. DESIGN:We investigated the sensitivity and specificity of the Census-LEP alone or in combination with a question on preferred language for medical care for predicting patient-reported ability to discuss symptoms and understand physician recommendations in English. PARTICIPANTS:Three hundred and two patients > 18 who spoke Spanish and/or English recruited from a cardiology clinic and an inpatient general medical-surgical ward in 2004-2005. RESULTS:One hundred ninety-eight (66%) participants reported speaking English less than "very well" and 166 (55%) less than "well"; 157 (52%) preferred receiving their medical care in Spanish. Overall, 135 (45%) were able to discuss symptoms and 143 (48%) to understand physician recommendations in English. The Census-LEP with a high-threshold (less than "very well") had the highest sensitivity for predicting effective communication (100% Discuss; 98.7% Understand), but the lowest specificity (72.6% Discuss; 67.1% Understand). The composite measure of Census-LEP and preferred language for medical care provided a significant increase in specificity (91.9% Discuss; 83.9% Understand), with only a marginal decrease in sensitivity (99.4% Discuss; 96.7% Understand). CONCLUSIONS:Using the Census-LEP item with a high-threshold of less than "very well" as a screening question, followed by a language preference for medical care question, is recommended for inclusive and accurate identification of patients likely to benefit from language assistance.

journal_name

J Gen Intern Med

journal_title

Journal of general internal medicine

authors

Karliner LS,Napoles-Springer AM,Schillinger D,Bibbins-Domingo K,Pérez-Stable EJ

doi

10.1007/s11606-008-0693-y

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

1555-60

issue

10

eissn

0884-8734

issn

1525-1497

journal_volume

23

pub_type

杂志文章

相关文献

JOURNAL OF GENERAL INTERNAL MEDICINE文献大全
  • Admission Laboratory Values Accurately Predict In-hospital Mortality: a Retrospective Cohort Study.

    abstract：BACKGROUND:The greater the severity of illness of a patient, the more likely the patient will have a poor hospital outcome. However, hospital-wide severity of illness scores that are simple, widely available, and not diagnosis-specific are still needed. Laboratory tests could potentially be used as an alternative to es...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05282-2

    authors： Blanco N,Leekha S,Magder L,Jackson SS,Tamma PD,Lemkin D,Harris AD

    更新日期：2020-03-01 00:00:00

  • VA Provider Perspectives on Coordinating COPD Care Across Health Systems.

    abstract：BACKGROUND:More and more Veterans are receiving care from community providers, increasing the need for effective coordination across health systems. For Veterans with chronic obstructive pulmonary disease (COPD), this need is intensified by complex comorbidity patterns that often include multiple providers co-managing ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-019-04971-2

    authors： Rinne ST,Resnick K,Wiener RS,Simon SR,Elwy AR

    更新日期：2019-05-01 00:00:00

  • Lump detection is enhanced in silicone breast models simulating postmenopausal breast tissue.

    abstract：:We varied the softness and nodularity of silicone breast models to assess the effects of age-related breast tissue characteristics on lump detection. In two sets of six silicone breast models manufactured to simulate premenopausal and postmenopausal breast tissue, respectively, 82 internal medicine attending and house...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/BF02599588

    authors： McDermott MM,Dolan NC,Huang J,Reifler D,Rademaker AW

    更新日期：1996-02-01 00:00:00

  • Do physicians spend more time with non-English-speaking patients?

    abstract：OBJECTIVE:To determine whether physicians at a general internal medicine clinic spend more time with non-English-speaking patients. DESIGN:A time-motion study comparing physician time spent with non-English-speaking patients and time spent with English-speaking patients during 5 months of observation. We also tested p...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.1999.00338.x

    authors： Tocher TM,Larson EB

    更新日期：1999-05-01 00:00:00

  • Overcoming poor attendance to first scheduled colonoscopy: a randomized trial of peer coach or brochure support.

    abstract：OBJECTIVES:Among patients unlikely to attend a scheduled colonoscopy, we examined the impact of peer coach versus educational brochure support and compared these with concurrent patients who did not receive support. METHODS:From health system data, we identified 275 consecutive patients aged >50 who kept <75% of visit...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s11606-007-0445-4

    authors： Turner BJ,Weiner M,Berry SD,Lillie K,Fosnocht K,Hollenbeak CS

    更新日期：2008-01-01 00:00:00

  • Does affiliation of physician groups with one another produce higher quality primary care?

    abstract：PURPOSE:Recent reports have emphasized the importance of delivery systems in improving health care quality. However, few prior studies have assessed differences in primary care quality between physician groups that differ in size and organizational configuration. We examined whether larger physician group size and affi...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-007-0234-0

    authors： Friedberg MW,Coltin KL,Pearson SD,Kleinman KP,Zheng J,Singer JA,Schneider EC

    更新日期：2007-10-01 00:00:00

  • Healthcare workplace conversations on race and the perspectives of physicians of African descent.

    abstract：BACKGROUND:Although experts recommend that healthcare organizations create forums for honest dialogue about race, there is little insight into the physician perspectives that may influence these conversations across the healthcare workforce. OBJECTIVE:To identify the range of perspectives that might contribute to work...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-008-0709-7

    authors： Nunez-Smith M,Curry LA,Berg D,Krumholz HM,Bradley EH

    更新日期：2008-09-01 00:00:00

  • Insurance status, not race, is associated with mortality after an acute cardiovascular event in Maryland.

    abstract：BACKGROUND:It is unclear how lack of health insurance or otherwise being underinsured contributes to observed racial disparities in health outcomes related to cardiovascular disease. OBJECTIVE:To determine the relative risk of death associated with insurance and race after hospital admission for an acute cardiovascula...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-012-2147-9

    authors： Ng DK,Brotman DJ,Lau B,Young JH

    更新日期：2012-10-01 00:00:00

  • Agreement of four competing guidelines on prevention of venous thromboembolism and comparison with observed physician practices: a cross-sectional study of 1,032 medical inpatients.

    abstract：OBJECTIVE:To assess the degree of agreement between four competing guidelines regarding the recommendation for prophylactic heparin therapy and to report to what extent actual practice agreed with or differed from the recommendations made before these guidelines were disseminated. DESIGN:Four French guidelines were ap...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1111/j.1525-1497.2004.30603.x

    authors： Labarère J,Bosson JL,Bergmann JF,Thilly N

    更新日期：2004-08-01 00:00:00

  • Painting a Rational Picture During Highly Emotional End-of-Life Discussions: a Qualitative Study of Internal Medicine Trainees and Faculty.

    abstract：BACKGROUND:High-quality communication about end-of-life care results in greater patient and family satisfaction. End-of-life discussions should occur early during the patient's disease trajectory and yet is often addressed only when patients become severely ill. As a result, end-of-life discussions are commonly initiat...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-019-05615-1

    authors： El-Rouby D,McNaughton N,Piquette D

    更新日期：2020-04-01 00:00:00

  • Confined to ignorance: the absence of prisoner information from nationally representative health data sets.

    abstract：BACKGROUND:Incarceration is associated with poor health and high costs. Given the dramatic growth in the criminal justice system's population and associated expenses, inclusion of questions related to incarceration in national health data sets could provide essential data to researchers, clinicians and policy-makers. ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-011-1858-7

    authors： Ahalt C,Binswanger IA,Steinman M,Tulsky J,Williams BA

    更新日期：2012-02-01 00:00:00

  • Receipt of preventive services among privately insured minorities in managed care versus fee-for-service insurance plans.

    abstract：OBJECTIVE:We compare preventive services utilization among privately insured African Americans and Hispanics in managed care organizations (MCOs) versus fee-for-service (FFS) plans. We also examine racial/ethnic disparities in the receipt of preventive services among enrollees in FFS or MCO plans. DESIGN:Analysis of t...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1046/j.1525-1497.2002.10512.x

    authors： DeLaet DE,Shea S,Carrasquillo O

    更新日期：2002-06-01 00:00:00

  • Training Primary Care Physicians to Employ Self-Efficacy-Enhancing Interviewing Techniques: Randomized Controlled Trial of a Standardized Patient Intervention.

    abstract：BACKGROUND:Primary care providers (PCPs) have few tools for enhancing patient self-efficacy, a key mediator of myriad health-influencing behaviors. OBJECTIVE:To examine whether brief standardized patient instructor (SPI)-delivered training increases PCPs' use of self-efficacy-enhancing interviewing techniques (SEE IT)...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s11606-016-3644-z

    authors： Jerant A,Kravitz RL,Tancredi D,Paterniti DA,White L,Baker-Nauman L,Evans-Dean D,Villarreal C,Ried L,Hudnut A,Franks P

    更新日期：2016-07-01 00:00:00

  • Nicotine dependence: a preventable risk factor for other diseases.

    abstract：:Nicotine meets all critical criteria for an addictive drug. Furthermore, there is no evidence that there would be widespread compulsive use of tobacco without nicotine. These findings have led to consideration of the cigarette as a contaminated vehicle for an addictive drug (nicotine). Nevertheless, nicotine itself ma...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/BF02600847

    authors： Cohen C,Henningfield JE

    更新日期：1990-09-01 00:00:00

  • Elements of Program Design in Medicare's Value-based and Alternative Payment Models: a Narrative Review.

    abstract：:Increasing emphasis on value in health care has spurred the development of value-based and alternative payment models. Inherent in these models are choices around program scope (broad vs. narrow); selecting absolute or relative performance targets; rewarding improvement, achievement, or both; and offering penalties, r...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-017-4125-8

    authors： Joynt Maddox KE,Sen AP,Samson LW,Zuckerman RB,DeLew N,Epstein AM

    更新日期：2017-11-01 00:00:00

  • Comparing 3 values clarification methods for colorectal cancer screening decision-making: a randomized trial in the US and Australia.

    abstract：PURPOSE:To compare the effects of three methods of values clarification (VCM): balance sheet; rating and ranking; and a discrete choice experiment (DCE) on decision-making about colorectal cancer (CRC) screening among adults in the US and Australia. METHODS:Using online panels managed by a survey research organization...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s11606-013-2701-0

    authors： Brenner A,Howard K,Lewis C,Sheridan S,Crutchfield T,Hawley S,Reuland D,Kistler C,Pignone M

    更新日期：2014-03-01 00:00:00

  • Clinic HIV-focused features and prevention of Pneumocystis carinii pneumonia.

    abstract：OBJECTIVE:To examine the association of clinic HIV-focused features and advanced HIV care experience with Pneumocystis carinii pneumonia (PCP) prophylaxis and development of PCP as the initial AIDS diagnosis. DESIGN:Nonconcurrent prospective study. SETTING:New York State Medicaid Program. PARTICIPANTS:Medicaid enrol...

    journal_title：Journal of general internal medicine

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1046/j.1525-1497.1998.00003.x

    authors： Turner BJ,Markson L,Cocroft J,Cosler L,Hauck WW

    更新日期：1998-01-01 00:00:00

  • Real-time EBM: from bed board to keyboard and back.

    abstract：BACKGROUND:To practice Evidence-Based Medicine (EBM), physicians must quickly retrieve evidence to inform medical decisions. Internal Medicine (IM) residents receive little formal education in electronic database searching, and have identified poor searching skills as a barrier to practicing EBM. OBJECTIVE:To design a...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,随机对照试验

    doi：10.1007/s11606-007-0387-x

    authors： Stark R,Helenius IM,Schimming LM,Takahara N,Kronish I,Korenstein D

    更新日期：2007-12-01 00:00:00

  • Potentially Preventable Spending Among High-Cost Medicare Patients: Implications for Healthcare Delivery.

    abstract：BACKGROUND:High-cost patients account for a disproportionate share of healthcare spending. The proportion and distribution of potentially preventable spending among subgroups of high-cost patients are largely unknown. OBJECTIVE:To examine the distribution of potentially preventable spending among high-cost Medicare pa...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-020-05691-8

    authors： Khullar D,Zhang Y,Kaushal R

    更新日期：2020-10-01 00:00:00

  • Relationship between anxiety and standardized patient test performance in the medicine clerkship.

    abstract：PURPOSE:Anxiety is thought to affect test performance. Studies have shown that students with low levels of test anxiety achieve higher scores on multiple choice question (MCQ) examinations than those with high anxiety levels. Female students have been shown to have higher test anxiety levels than male students. Standar...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1111/j.1525-1497.2006.00419.x

    authors： Reteguiz JA

    更新日期：2006-05-01 00:00:00

  • Sexual minority status and violence among HIV infected and at-risk women.

    abstract：IMPORTANCE:Sexual minority women with and at-risk for human immunodeficiency virus (HIV) may face increased risks of violence. OBJECTIVE:To understand the relationship between sexual minority status and violence; and how high-risk sex and substance use mediate that relationship among women with and at-risk for HIV. D...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-014-2832-y

    authors： Pyra M,Weber K,Wilson TE,Cohen J,Murchison L,Goparaju L,Cohen MH

    更新日期：2014-08-01 00:00:00

  • Care management dosage.

    abstract：BACKGROUND:The care of patients with complex illnesses requires careful management, but systems of care management (CM) vary in their structure and effectiveness. OBJECTIVE:To create a framework identifying components of broad-based CM interventions and validate the framework, including using this framework to evaluat...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-007-0138-z

    authors： Dorr DA,Wilcox A,Jones S,Burns L,Donnelly SM,Brunker CP

    更新日期：2007-06-01 00:00:00

  • Using Peer Feedback to Promote Clinical Excellence in Hospital Medicine.

    abstract：:Hospitalists provide a significant amount of direct clinical care in both academic and community hospitals. Peer feedback is a potentially underutilized and low resource method for improving clinical performance, which lends itself well to the frequent patient care handoffs that occur in the practice of hospital medic...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s11606-020-06235-w

    authors： Rosenthal MA,Sharpe BA,Haber LA

    更新日期：2020-12-01 00:00:00

  • Correction to: Internal Medicine Point of Care Ultrasound: Indicators It's Here to Stay.

    abstract：:This editorial, "Internal Medicine Point of Care Ultrasound: Indicators It's Here to Stay" (DOI: 10.1007/s11606-019-05268-0), was intended to accompany "Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group". ...

    journal_title：Journal of general internal medicine

    pub_type： 已发布勘误

    doi：10.1007/s11606-020-05632-5

    authors： Ambasta A,Balan M,Mayette M,Goffi A,Mulvagh S,Buchanan B,Montague S,Ruzycki S,Ma IWY,Canadian Internal Medicine Ultrasound (CIMUS) Group.,Ambasta A,Balan M,Blouw M,Buchanan B,Card SE,Chan B,Desy J,Demchuk G,Gebhardt C

    更新日期：2020-02-01 00:00:00

  • Guideline-based antibiotics and mortality in healthcare-associated pneumonia.

    abstract：BACKGROUND:Guidelines recommend administration of antibiotics with activity against methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa for treatment of healthcare-associated pneumonia (HCAP). It is unclear if this therapy improves outcomes for patients with HCAP. OBJECTIVE:To determine if ad...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s11606-012-2011-y

    authors： Madaras-Kelly KJ,Remington RE,Sloan KL,Fan VS

    更新日期：2012-07-01 00:00:00

  • Intimate partner violence identification and response: time for a change in strategy.

    abstract：BACKGROUND:While victims of intimate partner violence (IPV) present to health care settings for a variety of complaints; rates and predictors of case identification and intervention are unknown. OBJECTIVE:Examine emergency department (ED) case finding and response within a known population of abused women. DESIGN:Ret...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-011-1662-4

    authors： Rhodes KV,Kothari CL,Dichter M,Cerulli C,Wiley J,Marcus S

    更新日期：2011-08-01 00:00:00

  • Simulating Strategies for Improving Control of Hypertension Among Patients with Usual Source of Care in the United States: The Blood Pressure Control Model.

    abstract：BACKGROUND:Only half of hypertensive adults achieve blood pressure (BP) control in the United States, and it is unclear how BP control rates may be improved most effectively and efficiently at the population level. OBJECTIVE:We sought to compare the potential effects of system-wide isolated improvements in medication ...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-015-3231-8

    authors： Fontil V,Bibbins-Domingo K,Kazi DS,Sidney S,Coxson PG,Khanna R,Victor RG,Pletcher MJ

    更新日期：2015-08-01 00:00:00

  • Cultural sensitivity in screening adults for a history of childhood abuse: evidence from a community sample.

    abstract：BACKGROUND:A number of practice guidelines and recommendations call for the assessment of childhood abuse history among adult medical patients. The cultural sensitivity of screening questions, however, has not been examined. OBJECTIVE:To assess whether questions that inquire about childhood abuse history function diff...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-006-0026-y

    authors： Thombs BD,Bennett W,Ziegelstein RC,Bernstein DP,Scher CD,Forde DR

    更新日期：2007-03-01 00:00:00

  • Auscultatory percussion: a simple method to detect pleural effusion.

    abstract：OBJECTIVE:To assess a new technique for the detection of free pleural fluid. DESIGN:118 consecutive inpatients with radiologic evidence of free pleural fluid and a control group of 175 randomly selected inpatients were examined over a three-year period in a prospective blind study by auscultatory percussion (AP) for e...

    journal_title：Journal of general internal medicine

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1007/BF02600204

    authors： Guarino JR,Guarino JC

    更新日期：1994-02-01 00:00:00

  • A transitional opioid program to engage hospitalized drug users.

    abstract：BACKGROUND:Many opioid-dependent patients do not receive care for addiction issues when hospitalized for other medical problems. Based on 3 years of clinical practice, we report the Transitional Opioid Program (TOP) experience using hospitalization as a "reachable moment" to identify and link opioid-dependent persons t...

    journal_title：Journal of general internal medicine

    pub_type： 杂志文章

    doi：10.1007/s11606-010-1311-3

    authors： Shanahan CW,Beers D,Alford DP,Brigandi E,Samet JH

    更新日期：2010-08-01 00:00:00