Association between pediatric asthma care quality and morbidity and English language proficiency in Ohio

Montgomery, Martha P.; Allen, Edward D.; Thomas, Olivia; Clark, Donnie; Connelly, Ann; Mott, Joshua A.; Conrey, Elizabeth J.

doi:10.1080/02770903.2018.1474364

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…T A G G E D E N D ACADEMIC PEDIATRICS LANGUAGE BARRIERS AND MANAGEMENT OF BRONCHIOLITIS interpreters. 13 In our study, we still found differences among families who requested an interpreter. Although there has been a robust body of research that indicates that medical interpreters improve patient satisfaction and understanding, 14−17 exactly how the use of medical interpreters impacts the disparities in patient management in the emergency department is unknown.…”

Section: Article In Pressmentioning

confidence: 47%

“…However, in a recent study involving pediatric patients with asthma, there was no difference in pulmonary function testing or rates of asthma exacerbation in patients with limited English proficiency compared to patients who only spoke English. 13 The investigators concluded that the lack of differences found in patients with limited English proficiency may be due to the widespread availability of aOR indicates adjusted odds ratio; CBC, complete blood count; CI, confidence interval; ICU, intensive care unit; CXR, chest x-ray; and ED, emergency department.…”

Section: Article In Pressmentioning

confidence: 99%

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Language Barriers and the Management of Bronchiolitis in a Pediatric Emergency Department

Zamor

Byczkowski

Yin

et al. 2020

Academic Pediatrics

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Section: Article In Pressmentioning

confidence: 47%

Section: Article In Pressmentioning

confidence: 99%

Language Barriers and the Management of Bronchiolitis in a Pediatric Emergency Department

Zamor

Byczkowski

Yin

et al. 2020

Academic Pediatrics

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“…[25][26][27] Additionally, we will determine whether we can use ICEES to demonstrate a relationship between asthma and established socioeconomic risk factors such as race, ethnicity, poverty, household educational attainment, and English language proficiency. [28][29][30][31][32][33][34] We note that several healthcare organizations have launched large-scale open-data initiatives, including COHD 9 and MIMIC. 10 Our results complement and extend these other initiatives by providing capabilities beyond those available through COHD or MIMIC.…”

Section: Discussionmentioning

confidence: 99%

A novel approach for exposing and sharing clinical data: the Translator Integrated Clinical and Environmental Exposures Service

Fecho

Pfaff

et al. 2019

Journal of the American Medical Informatics Association

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Objective This study aimed to develop a novel, regulatory-compliant approach for openly exposing integrated clinical and environmental exposures data: the Integrated Clinical and Environmental Exposures Service (ICEES). Materials and Methods The driving clinical use case for research and development of ICEES was asthma, which is a common disease influenced by hundreds of genes and a plethora of environmental exposures, including exposures to airborne pollutants. We developed a pipeline for integrating clinical data on patients with asthma-like conditions with data on environmental exposures derived from multiple public data sources. The data were integrated at the patient and visit level and used to create de-identified, binned, “integrated feature tables,” which were then placed behind an OpenAPI. Results Our preliminary evaluation results demonstrate a relationship between exposure to high levels of particulate matter ≤2.5 µm in diameter (PM2.5) and the frequency of emergency department or inpatient visits for respiratory issues. For example, 16.73% of patients with average daily exposure to PM2.5 >9.62 µg/m3 experienced 2 or more emergency department or inpatient visits for respiratory issues in year 2010 compared with 7.93% of patients with lower exposures (n = 23 093). Discussion The results validated our overall approach for openly exposing and sharing integrated clinical and environmental exposures data. We plan to iteratively refine and expand ICEES by including additional years of data, feature variables, and disease cohorts. Conclusions We believe that ICEES will serve as a regulatory-compliant model and approach for promoting open access to and sharing of integrated clinical and environmental exposures data.

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“…Some studies have shown that LEP is associated with poor asthma outcomes and higher healthcare resource utilization [12][13][14]. Multiple studies show that LEP is independently associated with lower use of preventive healthcare, poorer health behaviors linked to chronic disease, and a longer length of hospital stay for diabetes diagnoses [15][16][17].…”

Section: Rationale For the Current Studymentioning

confidence: 99%

The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review

Twersky,

Jefferson,

Garcia-Ortiz

et al. 2024

Healthcare

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A majority of individuals with limited English proficiency (LEP) in the U.S. are foreign-born, creating a complex intersection of language, socio-economic, and policy barriers to healthcare access and achieving good outcomes. Mapping the research literature is key to addressing how LEP intersects with healthcare. This scoping review followed PRISMA-ScR guidelines and included PubMed/MEDLINE, CINAHL, Sociological Abstracts, EconLit, and Academic Search Premier. Study selection included quantitative studies since 2000 with outcomes specified for adults with LEP residing in the U.S. related to healthcare service access or defined health outcomes, including healthcare costs. A total of 137 articles met the inclusion criteria. Major outcomes included ambulatory care, hospitalization, screening, specific conditions, and general health. Overall, the literature identified differential access to and utilization of healthcare across multiple modalities with poorer outcomes among LEP populations compared with English-proficient populations. Current research includes inconsistent definitions for LEP populations, primarily cross-sectional studies, small sample sizes, and homogeneous language and regional samples. Current regulations and practices are insufficient to address the barriers that LEP individuals face to healthcare access and outcomes. Changes to EMRs and other data collection to consistently include LEP status and more methodologically rigorous studies are needed to address healthcare disparities for LEP individuals.

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Association between pediatric asthma care quality and morbidity and English language proficiency in Ohio

Abstract: In this urban, pediatric population with reliable interpreter services, limited English proficiency was not associated with worse asthma care quality or morbidity.

Cited by 6 publications

References 15 publications

Language Barriers and the Management of Bronchiolitis in a Pediatric Emergency Department

Language Barriers and the Management of Bronchiolitis in a Pediatric Emergency Department

A novel approach for exposing and sharing clinical data: the Translator Integrated Clinical and Environmental Exposures Service

The Impact of Limited English Proficiency on Healthcare Access and Outcomes in the U.S.: A Scoping Review

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