biostudies-literatureHimmelstein JInstitutional National Research Service Award4130-4136https://www.ebi.ac.uk/biostudies/studies/S-EPMC9708984biostudies-literatureUnknown37(16)<h4>Background</h4>People with limited English proficiency (LEP) face greater barriers to accessing medical care than those who are English proficient (EP). Language-related differences in the use of outpatient care across the full spectrum of physician specialties have not been studied.<h4>Objective</h4>To compare outpatient visit rates to physicians in 28 specialties by people with LEP vs EP.<h4>Design</h4>Multivariable negative binomial regression analysis of nationally representative data from the Medical Expenditure Panel Survey (pooled 2013-2018) with adjustment for age, sex, and self-reported health status.<h4>Participants</h4>149,611 survey respondents aged 18 and older.<h4>Exposure</h4>LEP, defined as taking the survey in a language other than English.<h4>Main measures</h4>Annual Journal of general internal medicineSpecialty Care Utilization Among Adults with Limited English Proficiency.PMC9708984T32HP32715Dickman SLMcCormick DHimmelstein JCai CHimmelstein DUWoolhandler SBor DHfalseSpecialty Care Utilization Among Adults with Limited English Proficiency.<h4>Background</h4>People with limited English proficiency (LEP) face greater barriers to accessing medical care than those who are English proficient (EP). Language-related differences in the use of outpatient care across the full spectrum of physician specialties have not been studied.<h4>Objective</h4>To compare outpatient visit rates to physicians in 28 specialties by people with LEP vs EP.<h4>Design</h4>Multivariable negative binomial regression analysis of nationally representative data from the Medical Expenditure Panel Survey (pooled 2013-2018) with adjustment for age, sex, and self-reported health status.<h4>Participants</h4>149,611 survey respondents aged 18 and older.<h4>Exposure</h4>LEP, defined as taking the survey in a language other than English.<h4>Main measures</h4>Annual 2022-01-01T00:00:00Z2022 Dec2025-04-21T23:08:02.927Z2025-04-05T19:04:27.705ZS-EPMC97089843534902610.1007/s11606-022-07477-6