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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Main Authors: Naomi Cano-Ibáñez, Yasmin Zolfaghari, Carmen Amezcua-Prieto, Khalid Saeed Khan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-03-01
Series:Frontiers in Public Health
Subjects:
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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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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