RT Journal Article T1 Physician-Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review A1 Cano-Ibáñez, Naomi A1 Zolfaghari, Yasmin A1 Amezcua-Prieto, Carmen A1 Khan, Khalid Saeed K1 Language concordance K1 Physician K1 Patient K1 Health outcomes K1 Migrants K1 Lenguaje K1 Médicos K1 Pacientes K1 Evaluación de resultado en la atención de salud K1 Migrantes AB 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. PB Frontiers YR 2021 FD 2021-03-19 LK http://hdl.handle.net/10668/4217 UL http://hdl.handle.net/10668/4217 LA en NO Cano-Ibáñez N, Zolfaghari Y, Amezcua-Prieto C, Khan KS. Physician-Patient Language Discordance and Poor Health Outcomes: A Systematic Scoping Review. Front Public Health. 2021 Mar 19;9:629041 DS RISalud RD Apr 8, 2025