{"id":"https://openalex.org/W7222690285","doi":"https://doi.org/10.17161/kjm.vol19.25667","title":"Clinical Workflow Associated with Spanish-Speaking Patient Encounters at JayDoc Community Clinic-Wichita: A Quality Improvement Project","display_name":"Clinical Workflow Associated with Spanish-Speaking Patient Encounters at JayDoc Community Clinic-Wichita: A Quality Improvement Project","publication_year":2026,"publication_date":"2026-10-16","ids":{"openalex":"https://openalex.org/W7222690285","doi":"https://doi.org/10.17161/kjm.vol19.25667","pmid":"https://pubmed.ncbi.nlm.nih.gov/42921645","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13694173"},"language":"en","primary_location":{"id":"doi:10.17161/kjm.vol19.25667","doi":"https://doi.org/10.17161/kjm.vol19.25667","is_oa":true,"landing_page_url":"https://doi.org/10.17161/kjm.vol19.25667","pdf_url":"https://journals.ku.edu/kjm/article/download/25667/23031","source":{"id":"https://openalex.org/S4210188808","display_name":"Kansas Journal of Medicine","issn_l":"1948-2035","issn":["1948-2035"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320314","host_organization_name":"University of Kansas","host_organization_lineage":["https://openalex.org/P4310320314"],"host_organization_lineage_names":["University of Kansas"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kansas Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journals.ku.edu/kjm/article/download/25667/23031","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002189913","display_name":"Leah Duncan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Leah Duncan","raw_affiliation_strings":["The University of Kansas School of Medicine-Wichita, Wichita, Kansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Kansas School of Medicine-Wichita, Wichita, Kansas","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5129069320","display_name":"Wyel Halimeh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Wyel Halimeh","raw_affiliation_strings":["The University of Kansas School of Medicine-Wichita, Wichita, Kansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Kansas School of Medicine-Wichita, Wichita, Kansas","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093496218","display_name":"Dania Jumpa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dania Jumpa","raw_affiliation_strings":["The University of Kansas School of Medicine-Wichita, Wichita, Kansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Kansas School of Medicine-Wichita, Wichita, Kansas","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158889259","display_name":"Carlos Schwindt","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carlos Schwindt","raw_affiliation_strings":["The University of Kansas School of Medicine-Wichita, Wichita, Kansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Kansas School of Medicine-Wichita, Wichita, Kansas","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158928634","display_name":"Evie Schmitz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Evie Schmitz","raw_affiliation_strings":["The University of Kansas School of Medicine-Wichita, Wichita, Kansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Kansas School of Medicine-Wichita, Wichita, Kansas","institution_ids":["https://openalex.org/I146416000"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5117187537","display_name":"Dulcinea Rakestraw","orcid":"https://orcid.org/0009-0003-6747-3750","observed_orcids":["https://orcid.org/0009-0003-6747-3750"]},"institutions":[{"id":"https://openalex.org/I146416000","display_name":"University of Kansas","ror":"https://ror.org/001tmjg57","country_code":"US","type":"education","lineage":["https://openalex.org/I146416000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dulcinea Rakestraw","raw_affiliation_strings":["The University of Kansas School of Medicine-Wichita, Wichita, Kansas"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The University of Kansas School of Medicine-Wichita, Wichita, Kansas","institution_ids":["https://openalex.org/I146416000"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5002189913"],"corresponding_institution_ids":["https://openalex.org/I146416000"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8624177,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"5","first_page":"160","last_page":"166"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12151","display_name":"Interpreting and Communication in Healthcare","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12151","display_name":"Interpreting and Communication in Healthcare","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spanish-speaking-patients","display_name":"Spanish-speaking patients","score":0.8930000066757202},{"id":"https://openalex.org/keywords/medical-interpreters","display_name":"medical interpreters","score":0.7300000190734863},{"id":"https://openalex.org/keywords/clinic-workflow","display_name":"clinic workflow","score":0.7900000214576721},{"id":"https://openalex.org/keywords/free-clinics","display_name":"free clinics","score":0.6729999780654907},{"id":"https://openalex.org/keywords/student-run-clinics","display_name":"student-run clinics","score":0.6940000057220459},{"id":"https://openalex.org/keywords/patient-visits","display_name":"patient encounters","score":0.4020000100135803},{"id":"https://openalex.org/keywords/language-barriers","display_name":"language barriers","score":0.6150000095367432}],"concepts":[{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.7936000227928162},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6710000038146973},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.5631999969482422},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.5246999859809875},{"id":"https://openalex.org/C2779182362","wikidata":"https://www.wikidata.org/wiki/Q17126187","display_name":"Session (web analytics)","level":2,"score":0.5235999822616577},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.504800021648407},{"id":"https://openalex.org/C112758219","wikidata":"https://www.wikidata.org/wiki/Q16038819","display_name":"Duration (music)","level":2,"score":0.4912000000476837},{"id":"https://openalex.org/C122783720","wikidata":"https://www.wikidata.org/wiki/Q183065","display_name":"Interpreter","level":2,"score":0.4832000136375427},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.3952000141143799},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3174000084400177},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.31540000438690186},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.31049999594688416},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3068999946117401},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.30570000410079956},{"id":"https://openalex.org/C73555534","wikidata":"https://www.wikidata.org/wiki/Q622825","display_name":"Cluster analysis","level":2,"score":0.3003000020980835},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.2921999990940094},{"id":"https://openalex.org/C2779861157","wikidata":"https://www.wikidata.org/wiki/Q5154967","display_name":"Community hospital","level":2,"score":0.27900001406669617},{"id":"https://openalex.org/C53059260","wikidata":"https://www.wikidata.org/wiki/Q374758","display_name":"Multilevel model","level":2,"score":0.2784999907016754},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.27720001339912415},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.27630001306533813},{"id":"https://openalex.org/C88579808","wikidata":"https://www.wikidata.org/wiki/Q1046955","display_name":"Case mix index","level":2,"score":0.2750000059604645},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.2721000015735626},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.271699994802475},{"id":"https://openalex.org/C152877465","wikidata":"https://www.wikidata.org/wiki/Q208042","display_name":"Regression analysis","level":2,"score":0.26820001006126404},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.26759999990463257},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.263700008392334},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.260699987411499},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2547000050544739},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.25360000133514404}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.17161/kjm.vol19.25667","doi":"https://doi.org/10.17161/kjm.vol19.25667","is_oa":true,"landing_page_url":"https://doi.org/10.17161/kjm.vol19.25667","pdf_url":"https://journals.ku.edu/kjm/article/download/25667/23031","source":{"id":"https://openalex.org/S4210188808","display_name":"Kansas Journal of Medicine","issn_l":"1948-2035","issn":["1948-2035"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320314","host_organization_name":"University of Kansas","host_organization_lineage":["https://openalex.org/P4310320314"],"host_organization_lineage_names":["University of Kansas"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kansas Journal of Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13694173","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13694173/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13694173/pdf/19-160.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kans J Med","raw_type":"Text"},{"id":"pmid:42921645","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42921645","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kansas journal of medicine","raw_type":"Journal Article"},{"id":"pmh:oai:ojs.pkp.sfu.ca:article/25667","doi":null,"is_oa":true,"landing_page_url":"https://journals.ku.edu/kjm/article/view/25667","pdf_url":"https://sciencepubco.com/index.php/ijet/article/view/25667","source":{"id":"https://openalex.org/S4306401558","display_name":"Latin American Theatre Review (The University of Kansas)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I146416000","host_organization_name":"University of Kansas","host_organization_lineage":["https://openalex.org/I146416000"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"10.17161/kjm.vol19.i5","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.17161/kjm.vol19.25667","doi":"https://doi.org/10.17161/kjm.vol19.25667","is_oa":true,"landing_page_url":"https://doi.org/10.17161/kjm.vol19.25667","pdf_url":"https://journals.ku.edu/kjm/article/download/25667/23031","source":{"id":"https://openalex.org/S4210188808","display_name":"Kansas Journal of Medicine","issn_l":"1948-2035","issn":["1948-2035"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310320314","host_organization_name":"University of Kansas","host_organization_lineage":["https://openalex.org/P4310320314"],"host_organization_lineage_names":["University of Kansas"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kansas Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7222690285.pdf","grobid_xml":"https://content.openalex.org/works/W7222690285.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2427094658","https://openalex.org/W3087548960","https://openalex.org/W3096256406","https://openalex.org/W4322154816","https://openalex.org/W2041079412","https://openalex.org/W7202366132","https://openalex.org/W3084108908","https://openalex.org/W3018604504","https://openalex.org/W4377086176","https://openalex.org/W4399976914"],"abstract_inverted_index":{"Introduction:":[0],"JayDoc":[1,50],"Community":[2],"Clinic-Wichita":[3],"is":[4],"a":[5,10,24,171,199],"student-run":[6],"free":[7],"clinic":[8,31,47,73,78,94,102],"serving":[9],"predominantly":[11],"Spanish-speaking":[12,61,87,104,123,166,193,209,220],"patient":[13,42,88,167,181,221,252],"population.":[14],"Authors":[15],"of":[16,244],"this":[17],"study":[18],"evaluated":[19,64,84],"whether":[20],"interpreter":[21,91,184,230,249],"staffing":[22,185,231],"represents":[23],"potentially":[25],"modifiable":[26],"systems-level":[27],"factor":[28],"associated":[29,169,197,224,235],"with":[30,170,198,225,236,251],"workflow.":[32,95],"Methods:":[33],"This":[34],"retrospective":[35],"observational":[36],"quality":[37],"improvement":[38],"evaluation":[39,243],"included":[40],"715":[41],"encounters":[43,105,124,210],"nested":[44],"within":[45,72],"128":[46],"sessions":[48,74],"at":[49],"from":[51],"November":[52],"2023":[53],"to":[54,139,155,246],"July":[55],"2025.":[56],"Encounter-level":[57],"workflow":[58],"differences":[59],"by":[60],"status":[62],"were":[63,106],"using":[65],"linear":[66,82],"mixed-effects":[67],"models":[68],"accounting":[69,98],"for":[70,77,99,179],"clustering":[71,100],"and":[75,93,101,144,183,215],"adjusting":[76],"day.":[79],"Clinic-session-level":[80],"multivariable":[81],"regression":[83],"associations":[85],"among":[86],"volume,":[89],"in-person":[90],"staffing,":[92],"Results:":[96],"After":[97],"day,":[103],"5.3":[107],"minutes":[108],"longer":[109,127,212,226],"than":[110],"non-Spanish-speaking":[111],"encounters,":[112],"although":[113],"the":[114,161,192],"difference":[115],"was":[116,168,196,223,232],"not":[117,233],"statistically":[118],"significant":[119],"(p":[120,186,205],"=":[121,142,158,206],"0.065).":[122],"had":[125,211],"significantly":[126],"medical":[128,213],"preparation":[129,214],"time":[130,146],"(adjusted":[131,147],"mean":[132,148],"difference,":[133,149],"2.57":[134],"minutes;":[135,151],"95%":[136,152],"CI,":[137,153],"0.83":[138],"4.31;":[140],"p":[141,157],"0.004)":[143],"wait-to-present":[145,216],"3.46":[150],"0.47":[154],"6.45;":[156],"0.024).":[159],"At":[160],"clinic-session":[162,175,203,227],"level,":[163],"each":[164],"additional":[165],"6.7-minute":[172],"increase":[173,190,201],"in":[174,191,202],"duration":[176,204],"after":[177],"controlling":[178],"total":[180],"volume":[182,222],"<0.001).":[187],"Each":[188],"1-unit":[189],"patient-to-interpreter":[194],"ratio":[195],"3.72-minute":[200],"0.052).":[207],"Conclusions:":[208],"times,":[217],"while":[218],"greater":[219],"duration.":[228,238],"In-person":[229],"independently":[234],"session":[237],"These":[239],"findings":[240],"support":[241],"further":[242],"strategies":[245],"better":[247],"align":[248],"resources":[250],"needs.":[253]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2022-02-08T00:00:00"}
