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, fr...
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Frontiers Media S.A.
2021-03-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2021.629041/full |
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author | Naomi Cano-Ibáñez Naomi Cano-Ibáñez Naomi Cano-Ibáñez Yasmin Zolfaghari Carmen Amezcua-Prieto Carmen Amezcua-Prieto Carmen Amezcua-Prieto Khalid Saeed Khan Khalid Saeed Khan |
author_facet | Naomi Cano-Ibáñez Naomi Cano-Ibáñez Naomi Cano-Ibáñez Yasmin Zolfaghari Carmen Amezcua-Prieto Carmen Amezcua-Prieto Carmen Amezcua-Prieto Khalid Saeed Khan Khalid Saeed Khan |
author_sort | Naomi Cano-Ibáñez |
collection | DOAJ |
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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format | Article |
id | doaj.art-7d7821c0b33d459fbd076e39b6487275 |
institution | Directory Open Access Journal |
issn | 2296-2565 |
language | English |
last_indexed | 2024-12-22T16:44:06Z |
publishDate | 2021-03-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Public Health |
spelling | doaj.art-7d7821c0b33d459fbd076e39b64872752022-12-21T18:19:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-03-01910.3389/fpubh.2021.629041629041Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping ReviewNaomi Cano-Ibáñez0Naomi Cano-Ibáñez1Naomi Cano-Ibáñez2Yasmin Zolfaghari3Carmen Amezcua-Prieto4Carmen Amezcua-Prieto5Carmen Amezcua-Prieto6Khalid Saeed Khan7Khalid Saeed Khan8Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, SpainConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Granada, SpainInstituto de Investigación Biosanitaria ibs. GRANADA, Granada, SpainWomen's Health Research Unit, Barts and the London School of Medicine and Dentistry, London, United KingdomDepartment of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, SpainConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Granada, SpainInstituto de Investigación Biosanitaria ibs. GRANADA, Granada, SpainDepartment of Preventive Medicine and Public Health, Faculty of Medicine, University of Granada, Granada, SpainConsortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Granada, SpainObjective: 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.https://www.frontiersin.org/articles/10.3389/fpubh.2021.629041/fulllanguage concordancephysicianpatienthealth outcomesmigrants |
spellingShingle | Naomi Cano-Ibáñez Naomi Cano-Ibáñez Naomi Cano-Ibáñez Yasmin Zolfaghari Carmen Amezcua-Prieto Carmen Amezcua-Prieto Carmen Amezcua-Prieto Khalid Saeed Khan Khalid Saeed Khan Physician–Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review Frontiers in Public Health language concordance physician patient health outcomes migrants |
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 | language concordance physician patient health outcomes migrants |
url | https://www.frontiersin.org/articles/10.3389/fpubh.2021.629041/full |
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