Patient-Physician Language Concordance and Lifestyle Counseling Among Spanish-Speaking Patients

  • Pracha P. Eamranond
  • Roger B. Davis
  • Russell S. Phillips
  • Christina C. Wee
Original Paper

DOI: 10.1007/s10903-008-9222-7

Cite this article as:
Eamranond, P.P., Davis, R.B., Phillips, R.S. et al. J Immigrant Minority Health (2009) 11: 494. doi:10.1007/s10903-008-9222-7

Abstract

Objective Patient-physician language discordance is associated with worse quality of healthcare for patients with limited English proficiency. Patients with language-discordant physicians have more problems understanding medical situations. The impact of patient-physician language concordance on lifestyle counseling among Spanish-speaking patients is not known. Methods We performed a retrospective medical record review and identified 306 Spanish-speaking patients who used interpreter services between June 2001 and June 2006 in two Boston-based primary care practices. Our primary outcome was counseling on exercise, diet, and smoking. Our main predictor of interest was patient-physician language concordance. Results Patients with language-concordant physicians were more likely to be counseled on diet and physical activity compared to patients with language-discordant physicians. After adjustment for age, sex, insurance status, number of primary care visits, and comorbidity score, these differences in counseling persisted for diet [odds ratio (OR) = 2.2, CI 1.3–3.7] and physical activity (OR = 2.3, CI 1.4–3.8). There was no significant difference with regard to discussion of smoking (OR = 1.3, CI 0.8–2.1). Conclusions Spanish-speaking patients are more likely to discuss diet and exercise modification if they have a Spanish-speaking physician compared to those having a non-Spanish-speaking physician. Further research is needed to explore whether matching Spanish-speaking patients with Spanish-speaking providers may improve lifestyle counseling.

Keywords

Diet Exercise Counseling Hispanic Language concordance 

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Pracha P. Eamranond
    • 1
  • Roger B. Davis
    • 1
  • Russell S. Phillips
    • 1
  • Christina C. Wee
    • 1
  1. 1.Division of General Medicine and Primary CareBeth Israel Deaconess Medical CenterBrookline, BostonUSA

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