Alicia Fernandez

Summary

Affiliation: University of California
Country: USA

Publications

  1. pmc Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey
    Daniel S Reuland
    Division of General Medicine and Clinical Epidemiology, University of North Carolina, Campus Box 7110, Chapel Hill, NC 27599, USA
    BMC Med Inform Decis Mak 12:53. 2012
  2. doi request reprint Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes
    Alicia Fernandez
    Department of General Internal Medicine, San Francisco General Hospital, San Francisco, CA 94143, USA
    Med Care 50:S74-9. 2012
  3. pmc The impact of language barriers on documentation of informed consent at a hospital with on-site interpreter services
    Yael Schenker
    Department of Medicine, University of California, San Francisco, CA, USA
    J Gen Intern Med 22:294-9. 2007
  4. pmc 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
  5. pmc Impact of student ethnicity and primary childhood language on communication skill assessment in a clinical performance examination
    Alicia 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
  6. pmc Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics
    Hilary K Seligman
    Division of General Internal Medicine, University of California, San Francisco, CA 94143 1364, USA
    Med Care 50:S56-61. 2012
  7. pmc Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net population
    Rachel J Stern
    Division of General Internal Medicine, University of California, San Francisco, CA 94143 1364, USA
    Med Care 50:S49-55. 2012
  8. pmc The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study
    Yael Schenker
    Department of Medicine, University of California, San Francisco, CA 94143, USA
    Patient Educ Couns 81:222-8. 2010
  9. doi request reprint Aspects of culturally competent care are associated with less emotional burden among patients with diabetes
    Geraldine Rosaura Slean
    Joint Medical Program, University of California, San Francisco and Berkeley, CA 94143, USA
    Med Care 50:S69-73. 2012
  10. pmc Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients
    Alicia Fernandez
    Department of Medicine, University of California, San Francisco, Calif 94110, USA
    J Gen Intern Med 19:167-74. 2004

Research Grants

Detail Information

Publications34

  1. pmc Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: results from a pre-post trial and four month follow-up survey
    Daniel S Reuland
    Division of General Medicine and Clinical Epidemiology, University of North Carolina, Campus Box 7110, Chapel Hill, NC 27599, USA
    BMC Med Inform Decis Mak 12:53. 2012
    ....
  2. doi request reprint Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes
    Alicia 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...
  3. pmc The impact of language barriers on documentation of informed consent at a hospital with on-site interpreter services
    Yael 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...
  4. pmc 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...
  5. pmc Impact of student ethnicity and primary childhood language on communication skill assessment in a clinical performance examination
    Alicia 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...
  6. pmc Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics
    Hilary 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...
  7. pmc Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net population
    Rachel J Stern
    Division of General Internal Medicine, University of California, San Francisco, CA 94143 1364, USA
    Med Care 50:S49-55. 2012
    ....
  8. pmc The impact of limited English proficiency and physician language concordance on reports of clinical interactions among patients with diabetes: the DISTANCE study
    Yael 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...
  9. doi request reprint Aspects of culturally competent care are associated with less emotional burden among patients with diabetes
    Geraldine 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...
  10. pmc Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients
    Alicia 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...
  11. pmc Effects of limited English proficiency and physician language on health care comprehension
    Elisabeth Wilson
    Department of Family and Community Medicine, University of California, San Francisco, California, USA
    J Gen Intern Med 20:800-6. 2005
    ..To determine the effect of limited English proficiency on medical comprehension in the presence and absence of language-concordant physicians...
  12. doi request reprint The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults
    Maya 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...
  13. ncbi request reprint Navigating language barriers under difficult circumstances
    Yael 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...
  14. pmc Accuracy of physician self-report of Spanish language proficiency
    Anne 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...
  15. pmc Acute myocardial infarction length of stay and hospital mortality are not associated with language preference
    Vanessa 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...
  16. pmc Shared decision making and the experience of partnership in primary care
    George 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...
  17. doi request reprint Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review
    Yael 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...
  18. doi request reprint Impact of student ethnicity and patient-centredness on communication skills performance
    Karen 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...
  19. pmc Assessment of medical students' shared decision-making in standardized patient encounters
    Karen 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...
  20. pmc Food insecurity and glycemic control among low-income patients with type 2 diabetes
    Hilary 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
    ....
  21. pmc Effect of awareness of language law on language access in the health care setting
    Vanessa 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...
  22. ncbi request reprint BiDil for heart failure in black patients: implications of the U.S. Food and Drug Administration approval
    Kirsten 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
    ....
  23. ncbi request reprint Unintended consequences of a quality improvement program designed to improve treatment of alcohol withdrawal in hospitalized patients
    Mark 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...
  24. pmc Asian Americans and obesity in California: a protective effect of biculturalism
    Sophia 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...
  25. doi request reprint Birthplace, language use, and body size among Mexican American women and men: findings from the National Health and Nutrition Examination Survey (NHANES) 2001-2006
    Sylvia 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...
  26. doi request reprint Age and glycemic control among low-income latinos
    Diana M Naranjo
    Department of Pediatrics, UCSF School of Medicine, 400 Parnassus Ave, Box 0318, San Francisco, CA, 94143 0318, USA
    J Immigr Minor Health 15:898-902. 2013
    ..Having a diet high in fat partially explained this relationship. Future epidemiological studies are needed to understand the multifaceted relationship between age and glycemic control. ..
  27. pmc Teaching about health care disparities in the clinical setting
    Susan 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...
  28. ncbi request reprint 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...
  29. ncbi request reprint BiDil for heart failure in black patients
    Kirsten Bibbins-Domingo
    Ann Intern Med 147:214-5; author reply 215-6. 2007
  30. pmc Reducing language barriers and racial/ethnic disparities in health care: an investment in our future
    Somnath Saha
    J Gen Intern Med 22:371-2. 2007
  31. ncbi request reprint Primary care physicians who treat blacks and whites
    Alicia Fernandez
    N Engl J Med 351:2126-7; author reply 2126-7. 2004
  32. ncbi request reprint Recommendations for teaching about racial and ethnic disparities in health and health care
    Wally 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
    ....
  33. pmc Language barriers in health care
    Somnath Saha
    Section of General Internal Medicine, Portland VA Medical Center, Portland, OR, USA
    J Gen Intern Med 22:281-2. 2007
  34. pmc Physicians' ability to predict the risk of coronary heart disease
    Michael 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 Grants5

  1. Improving the Care of Frequently Hospitalized Urban Poor
    Alicia Fernandez; Fiscal Year: 2007
    ..abstract_text> ..