Health services utilization by low-income limited English proficient adults.
OBJECTIVE
We evaluated the health care utilization of limited English proficiency (LEP) compared to English proficient (EP) adults with the same health insurance (Medicaid managed care) and full access to professional medical interpreters.


METHODS
Health care utilization over two years was compared for 567 LEP and 1162 EP adults. Multivariate analysis controlled for age, gender, months enrolled in Medicaid and morbidity.


RESULTS
LEP compared to EP subjects were enrolled longer and more continuously in Medicaid, were 94% more likely to use primary care and 78% less likely to use the emergency department. Specialty visits and hospitalization did not differ.


CONCLUSIONS
When language barriers are reduced and health insurance coverage is the same, LEP patients show ambulatory health care utilization associated with lower cost and more access to preventive care through establishing a primary care home.
Department of Pediatrics, University of Washington, Harborview Medical Center, Seattle, WA 98104, USA. ellieg@u.washington.edu
Elinor A
EA
Graham
Troy A
TA
Jacobs
Tao Sheng
TS
Kwan-Gett
Jane
J
Cover
D000328:Adult; D003144:Communication Barriers; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D007802:Language; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data; D008484:Medicaid / Q000706:statistics & numerical data; D008511:Medicine / Q000706:statistics & numerical data; D008875:Middle Aged; D011203:Poverty / Q000208:ethnology / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data; D013038:Specialization; D014481:United States