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Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review

Objective: This systematic review assessed whether physician–patient language concordance, compared with discordance, is associated with better health outcomes. Methods: A systematic literature search was conducted, without language restrictions, using PubMed, EMBASE, Web of Science, and PsycINFO, f...

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Autores principales: Cano-Ibáñez, Naomi, Zolfaghari, Yasmin, Amezcua-Prieto, Carmen, Khan, Khalid Saeed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017287/
https://www.ncbi.nlm.nih.gov/pubmed/33816420
http://dx.doi.org/10.3389/fpubh.2021.629041
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author Cano-Ibáñez, Naomi
Zolfaghari, Yasmin
Amezcua-Prieto, Carmen
Khan, Khalid Saeed
author_facet Cano-Ibáñez, Naomi
Zolfaghari, Yasmin
Amezcua-Prieto, Carmen
Khan, Khalid Saeed
author_sort Cano-Ibáñez, Naomi
collection PubMed
description Objective: This systematic review assessed whether physician–patient language concordance, compared with discordance, is associated with better health outcomes. Methods: A systematic literature search was conducted, without language restrictions, using PubMed, EMBASE, Web of Science, and PsycINFO, from inception to July 2020. We included studies that evaluated the effects of physician–patient language concordance on health outcomes. Articles were screened, selected, and data-extracted in duplicate. Review protocol was prospectively registered (PROSPERO, CRD42020157229). Results: There were 541 citations identified through databases and eight citations through reverse search and Google Scholar. A total of 15 articles (84,750 participants) were included reporting outcomes within five domains: diabetes care (four studies), inpatient care (five studies), cancer screening (three studies), healthcare counseling (two studies), and mental health care (one study). Ten studies were of good quality, four were fair, and one was poor, according to the modified Newcastle-Ottawa Scale. Eight studies (53%) showed a significant negative association between language discordance and at least one clinical outcome. Five studies (33%) found no association. Conclusion: Over half the evidence collated showed that physician–patient language concordance was associated with better health clinical outcomes.
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spelling pubmed-80172872021-04-03 Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review Cano-Ibáñez, Naomi Zolfaghari, Yasmin Amezcua-Prieto, Carmen Khan, Khalid Saeed Front Public Health Public Health Objective: This systematic review assessed whether physician–patient language concordance, compared with discordance, is associated with better health outcomes. Methods: A systematic literature search was conducted, without language restrictions, using PubMed, EMBASE, Web of Science, and PsycINFO, from inception to July 2020. We included studies that evaluated the effects of physician–patient language concordance on health outcomes. Articles were screened, selected, and data-extracted in duplicate. Review protocol was prospectively registered (PROSPERO, CRD42020157229). Results: There were 541 citations identified through databases and eight citations through reverse search and Google Scholar. A total of 15 articles (84,750 participants) were included reporting outcomes within five domains: diabetes care (four studies), inpatient care (five studies), cancer screening (three studies), healthcare counseling (two studies), and mental health care (one study). Ten studies were of good quality, four were fair, and one was poor, according to the modified Newcastle-Ottawa Scale. Eight studies (53%) showed a significant negative association between language discordance and at least one clinical outcome. Five studies (33%) found no association. Conclusion: Over half the evidence collated showed that physician–patient language concordance was associated with better health clinical outcomes. Frontiers Media S.A. 2021-03-19 /pmc/articles/PMC8017287/ /pubmed/33816420 http://dx.doi.org/10.3389/fpubh.2021.629041 Text en Copyright © 2021 Cano-Ibáñez, Zolfaghari, Amezcua-Prieto and Khan. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Cano-Ibáñez, Naomi
Zolfaghari, Yasmin
Amezcua-Prieto, Carmen
Khan, Khalid Saeed
Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
title Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
title_full Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
title_fullStr Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
title_full_unstemmed Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
title_short Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review
title_sort physician–patient language discordance and poor health outcomes: a systematic scoping review
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8017287/
https://www.ncbi.nlm.nih.gov/pubmed/33816420
http://dx.doi.org/10.3389/fpubh.2021.629041
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