Research Topics
| Alicia FernandezSummaryAffiliation: University of California Country: USA Publications
Research Grants
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Detail Information
Publications
Associations between aspects of culturally competent care and clinical outcomes among patients with diabetesAlicia Fernandez
Department of General Internal Medicine, San Francisco General Hospital, San Francisco, CA 94143, USA
Med Care 50:S74-9. 2012..The recent development and validation of the Consumer Assessment of Healthcare Providers and Systems Cultural Competence tool enables investigation of possible associations...
The impact of language barriers on documentation of informed consent at a hospital with on-site interpreter servicesYael Schenker
Department of Medicine, University of California, San Francisco, CA, USA
J Gen Intern Med 22:294-9. 2007..Informed consent is legally and ethically required before invasive non-emergent procedures. Language barriers make obtaining informed consent more complex...- Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: the Diabetes Study of Northern California (DISTANCE)Alicia Fernandez
Department of Medicine, University of California, San Francisco, CA, USA
J Gen Intern Med 26:170-6. 2011..A significant proportion of US Latinos with diabetes have limited English proficiency (LEP). Whether language barriers in health care contribute to poor glycemic control is unknown... - Impact of student ethnicity and primary childhood language on communication skill assessment in a clinical performance examinationAlicia Fernandez
UCSF Department of Medicine, School of Medicine, University of California, P O Box 1364, San Francisco, CA 94143 1364, USA
J Gen Intern Med 22:1155-60. 2007..Clinical performance examinations (CPX) with standardized patients (SPs) have become a preferred method to assess communication skills in US medical schools. Little is known about how trainees' backgrounds impact CPX performance... - Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinicsHilary K Seligman
Division of General Internal Medicine, University of California, San Francisco, CA 94143 1364, USA
Med Care 50:S56-61. 2012..The Consumer Assessment of Healthcare Providers and Systems Cultural Competency Item Set assesses patient perceptions of aspects of the cultural competence of their health care... - Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net populationRachel J Stern
Division of General Internal Medicine, University of California, San Francisco, CA 94143 1364, USA
Med Care 50:S49-55. 2012.... - The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE studyYael Schenker
Department of Medicine, University of California, San Francisco, CA 94143, USA
Patient Educ Couns 81:222-8. 2010..To assess the association of limited English proficiency (LEP) and physician language concordance with patient reports of clinical interactions... - Aspects of culturally competent care are associated with less emotional burden among patients with diabetesGeraldine Rosaura Slean
Joint Medical Program, University of California, San Francisco and Berkeley, CA 94143, USA
Med Care 50:S69-73. 2012..Diabetes distress is associated with poor diabetes self-management and worse clinical outcomes. Whether there is an association between patient experience of health care and degree of emotional burden (EB) of diabetes distress is not known... - Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patientsAlicia Fernandez
Department of Medicine, University of California, San Francisco, Calif 94110, USA
J Gen Intern Med 19:167-74. 2004..We studied physician-patient dyads to determine how physician self-rated Spanish-language ability and cultural competence affect Spanish-speaking patients' reports of interpersonal processes of care... - Effects of limited English proficiency and physician language on health care comprehensionElisabeth Wilson
Department of Family and Community Medicine, University of California, San Francisco, California, USA
J Gen Intern Med 20:800-6. 2005..Access to language-concordant physicians substantially mitigates but does not eliminate language barriers... - The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adultsMaya Vijayaraghavan
Division of General Internal Medicine San Francisco General Hospital at the University of California, San Francisco, San Francisco, CA 94143, USA
J Health Care Poor Underserved 22:1279-91. 2011..64, 95% CI -1.57, 0.31). Our findings suggest that inadequate access to food lowers self-efficacy among adults with diabetes, and supports provision of food to unstably housed adults as part of diabetes care... 
Navigating language barriers under difficult circumstancesYael Schenker
University of California, San Francisco, California 94143, USA
Ann Intern Med 149:264-9. 2008..This conceptual and practical approach can help clinicians to improve the quality of care provided to patients with limited English proficiency...- Accuracy of physician self-report of Spanish language proficiencyAnne Rosenthal
Maxine Hall Health Center, San Francisco Department of Public Health, San Francisco, CA, 94115, USA
J Immigr Minor Health 13:239-43. 2011..In settings where no financial or other incentives are linked to language skills, simple questions may be a useful way to assess physician language proficiency... - Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic reviewYael Schenker
Department of Medicine, University of California, San Francisco, CA 94143, USA
Med Decis Making 31:151-73. 2011..Little is known about the effectiveness of interventions to improve comprehension or the extent to which such interventions address different elements of understanding in informed consent... - Shared decision making and the experience of partnership in primary careGeorge W Saba
Department of Family and Community Medicine, University of California, San Francisco General Hospital, San Francisco, Calif 94110, USA
Ann Fam Med 4:54-62. 2006..To determine the relationship between these perspectives, we examined shared decision making (SDM) and the subjective experience of partnership for patients and physicians in primary care... - Acute myocardial infarction length of stay and hospital mortality are not associated with language preferenceVanessa Grubbs
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94143, USA
J Gen Intern Med 23:190-4. 2008..Language barriers between patients and providers may influence the process and quality of care... - Assessment of medical students' shared decision-making in standardized patient encountersKaren E Hauer
Department of Medicine, University of California, San Francisco, 505 Parnassus Ave, M1078, Box 0120, San Francisco, CA 94143 0120, USA
J Gen Intern Med 26:367-72. 2011..There are currently no universally accepted methods to assess medical students' competence in shared decision-making... - Impact of student ethnicity and patient-centredness on communication skills performanceKaren E Hauer
Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA 94143 0120, USA
Med Educ 44:653-61. 2010..We designed this multicentre study to examine the relationships among students' demographic characteristics, patient-centredness and communication scores on an SP examination... - Food insecurity and glycemic control among low-income patients with type 2 diabetesHilary K Seligman
Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, San Francisco, California, USA
Diabetes Care 35:233-8. 2012.... - Effect of awareness of language law on language access in the health care settingVanessa Grubbs
Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, CA 94110, USA
J Gen Intern Med 21:683-8. 2006..Federal law obligates health care providers receiving federal funding to ensure language access to limited English-proficient (LEP) individuals who cannot communicate with their provider... - BiDil for heart failure in black patients: implications of the U.S. Food and Drug Administration approvalKirsten Bibbins-Domingo
Division of General Internal Medicine, San Francisco General Hospital, University of California, San Francisco, San Francisco, California 94143 1364, USA
Ann Intern Med 146:52-6. 2007.... - Unintended consequences of a quality improvement program designed to improve treatment of alcohol withdrawal in hospitalized patientsMark J Pletcher
Department of Epidemiology and Biostatistics, University of California San Francisco, USA
Jt Comm J Qual Patient Saf 31:148-57. 2005..New guidelines, accompanied by an educational campaign, introduced standardized monitoring of withdrawal severity while emphasizing prophylactic fixed-schedule benzodiazepine (BDZ) treatment of at-risk patients... - Asian Americans and obesity in California: a protective effect of biculturalismSophia Wang
School of Medicine, University of California, San Francisco, San Francisco, CA, USA
J Immigr Minor Health 13:276-83. 2011..Biculturalism in Asian Americans as measured by Asian language retention appears protective against obesity. Further research is needed to understand the mechanisms underlying this association... - Birthplace, language use, and body size among Mexican American women and men: findings from the National Health and Nutrition Examination Survey (NHANES) 2001-2006Sylvia Guendelman
School of Public Health, University of California, Berkeley, CA 94720, USA
J Health Care Poor Underserved 22:590-605. 2011..We draw from 2001-2006 NHANES data on Mexican Americans to examine whether body mass index (BMI) and waist circumference vary by country of birth and among the U.S.-born by language... - Teaching about health care disparities in the clinical settingSusan B Glick
Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL 60637, USA
J Gen Intern Med 25:S95-101. 2010..The TEST model is straightforward, easy to use, and enables the incorporation of teaching about health care disparities into routine clinical teaching... - High and rising health care costs. Part 4: can costs be controlled while preserving quality?Thomas Bodenheimer
University of California, San Francisco, California 94110, USA
Ann Intern Med 143:26-31. 2005..Physicians have a central role to play in fostering these quality-enhancing strategies that can help to slow the growth of health care expenditures... - BiDil for heart failure in black patientsKirsten Bibbins-Domingo
Ann Intern Med 147:214-5; author reply 215-6. 2007 - Primary care physicians who treat blacks and whitesAlicia Fernandez
N Engl J Med 351:2126-7; author reply 2126-7. 2004 - Reducing language barriers and racial/ethnic disparities in health care: an investment in our futureSomnath Saha
J Gen Intern Med 22:371-2. 2007 - Language barriers in health careSomnath Saha
Section of General Internal Medicine, Portland VA Medical Center, Portland, OR, USA
J Gen Intern Med 22:281-2. 2007 - Recommendations for teaching about racial and ethnic disparities in health and health careWally R Smith
Division of Quality Health Care, Center on Health Disparities, Virginia Commonwealth University, Richmond, Virginia 23298 0306, USA
Ann Intern Med 147:654-65. 2007.... - Physicians' ability to predict the risk of coronary heart diseaseMichael Pignone
Division of General Internal Medicine and Cecil Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, NC, USA
BMC Health Serv Res 3:13. 2003..The aim of this study is to measure the ability of physicians to estimate the risk of CHD events in patients with no previous history of coronary heart disease...
Research Grants
- Improving the Care of Frequently Hospitalized Urban PoorAlicia Fernandez; Fiscal Year: 2007..abstract_text> ..