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Detecting Disparities in Medication Management Among Limited English Proficient and English Proficient Home Health
Sarah M Miner1, Allison P Squires2, Chenjuan Ma2
1St. John Fisher College, Rochester, NY, USA.
Home Health Care Management & Practice
|July 21, 2025
Summary
Patients with limited English proficiency (LEP) receiving home health care (HHC) showed less improvement in medication management. LEP patients were more likely to experience worsening medication management compared to English-speaking HHC patients.
Area of Science:
- Health Services Research
- Health Disparities
- Patient Safety
Background:
- Approximately 20% of U.S. residents speak a language other than English at home.
- Limited English Proficiency (LEP) in home health care (HHC) patients increases risks for medication mismanagement and adverse health outcomes.
- Effective medication management is crucial for HHC patient well-being.
Purpose of the Study:
- To investigate differences in medication management between English-speaking HHC patients and those with LEP.
- To identify potential disparities in care experienced by LEP HHC patients.
Main Methods:
- Cross-sectional observational study utilizing data from 2010-2014.
- Medication management assessed using Outcomes Assessment Information Set (OASIS) items.
- Inverse Probability of Treatment Weighting (IPTW) with a marginal structural model applied to control for patient characteristics.
Main Results:
- Limited English Proficiency (LEP) was associated with reduced improvement in medication management during HHC episodes.
- Patients with LEP demonstrated a higher likelihood of medication management decline compared to English-speaking counterparts.
- Findings suggest disparities in medication management for LEP patients in HHC settings.
Conclusions:
- This study provides evidence of medication management disparities for LEP patients in home health care.
- Addressing language barriers is essential to improve medication management and health outcomes for diverse HHC populations.
- Further research is needed to develop targeted interventions for LEP patients in HHC.
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