Research Summary

Dr. Karliner is Professor in Residence in the Division of General Internal Medicine, Department of Medicine at the University of California, San Francisco (UCSF). She is Director of the Center for Aging in Diverse Communities (CADC), an NIA funded Resource Center on Minority Aging Research. She is also Director of the Multiethnic Health Equity Research Center (MERC) in the Division of General Internal Medicine, and a member of the UCSF Helen Diller Family Comprehensive Cancer Center. She is both a practicing general internist and a health services researcher, with expertise in practice-based and communication research. She completed her training – including her MD degree, a residency in primary care internal medicine, a general internal medicine research fellowship and a Master’s of Advanced Studies in Clinical Research all at UCSF. Dr. Karliner’s scholarly work centers on improving quality of care for limited English speaking patients, and the study of health disparities and communication at critical clinical junctures for older patients such as hospital transitions and breast cancer diagnosis, as well as in chronic care management in primary care. Ultimately, the goal of her research agenda is aimed at achieving health equity through improved communication and clinical outcomes.

Research Funding

  • March 15, 2021 - February 28, 2026 - Mentoring Researchers on Clinical Communication With Diverse Aging Populations , Principal Investigator . Sponsor: NIH, Sponsor Award ID: K24AG067003
  • September 30, 1997 - June 30, 2023 - Center for Aging in Diverse Communities: Ending Health Inequities in Older Adults , Principal Investigator . Sponsor: NIH, Sponsor Award ID: P30AG015272
  • September 1, 2016 - June 30, 2020 - An Electronic Clinical Decision Support Stytem (CDSS) to Lower Blood Pressure in Persons with CKD in Primary Care: A Randomized Trial , Co-Principal Investigator . Sponsor: NIH, Sponsor Award ID: R18DK110959
  • October 1, 2015 - September 30, 2019 - Clinician Language Concordance and Interpreter Use: Impact of a Systems Intervention on Communication and clinical Outcomes , Principal Investigator . Sponsor: Patient Centered Outcomes Research Institute, Sponsor Award ID: AD-1409-23627

Education

Columbia College, Columbia University, NY, BA, 1984-1988, History
University of California at San Francisco, MD, 1992-1996, Medicine
University of California at San Francisco, MCR, 2003-2005, Clinical Research

Honors & Awards

  • 1988
    Magna Cum Laude, Columbia University
  • 1988
    Phi Beta Kappa, Columbia University
  • 1988
    Boyer History of Science Prize
  • 2002-
    Recipient NIH Health Disparities Research Loan Repayment Program
  • 2003
    Best Abstract by a Junior Investigator, Bay Area Clinical Research Symposium

Selected Publications

  1. Evelyn Y. Ho, Genevieve Leung, Brady Lauer, Jane Jih, Leah Karliner. Complementary and integrative healthcare communication in Chinese American patient / primary care visits: An observational discourse analysis. PEC Innovation. 2022 Dec 1; 1:100082.  View on PubMed
  2. Coley RY, Smith JJ, Karliner L, Idu AE, Lee SJ, Fuller S, Lam R, Barnes DE, Dublin S. External Validation of the eRADAR Risk Score for Detecting Undiagnosed Dementia in Two Real-World Healthcare Systems. J Gen Intern Med. 2022 Jul 29.  View on PubMed
  3. Lowenstein M, Karliner L, Livaudais-Toman J, Gregorich S, Velazquez AI, Vijayaraghavan M, Walsh JME, Kaplan CP. Barriers and Facilitators to Lung Cancer Screening: A Physician Survey. Am J Health Promot. 2022 Sep; 36(7):1208-1212.  View on PubMed
  4. Xu E, Nicosia FM, Zamora K, Barrientos M, Spar MJ, Reyes-Farias D, Karliner LS, Potter MB, Brown RT. When Functional Impairment Develops Early: Perspectives from Middle-Aged Adults. J Gen Intern Med. 2022 Apr 07.  View on PubMed
  5. Manuel SP, Nguyen K, Karliner LS, Ward DT, Fernandez A. Association of English Language Proficiency With Hospitalization Cost, Length of Stay, Disposition Location, and Readmission Following Total Joint Arthroplasty. JAMA Netw Open. 2022 03 01; 5(3):e221842.  View on PubMed
  6. Riddle L, Karliner LS, Livaudais-Toman J, Guerra C, Roat CE, Rope AF, Wade A, Caruncho M, Zepp JM, Giang J, Wilfond BS, Joseph G. Development and evaluation of an exome sequencing training course for medical interpreters. Per Med. 2022 03; 19(2):125-138.  View on PubMed
  7. Holt HK, Gildengorin G, Karliner L, Fontil V, Pramanik R, Potter MB. Differences in Hypertension Medication Prescribing for Black Americans and Their Association with Hypertension Outcomes. J Am Board Fam Med. 2022 Jan-Feb; 35(1):26-34.  View on PubMed
  8. Chu JN, Kaplan C, Lee JS, Livaudais-Toman J, Karliner L. Increasing Telehealth Access to Care for Older Adults During the COVID-19 Pandemic at an Academic Medical Center: Video Visits for Elders Project (VVEP). Jt Comm J Qual Patient Saf. 2022 03; 48(3):173-179.  View on PubMed
  9. Kaplan CP, Karliner L, Lee A, Livaudais-Toman J, Tice JA, Ozanne E. Acceptability of an mHealth breast cancer risk-reduction intervention promoting risk assessment, education, and discussion of risk in the primary care setting. Mhealth. 2021; 7:54.  View on PubMed
  10. Malevanchik L, Wheeler M, Gagliardi K, Karliner L, Shah SJ. Disparities After Discharge: The Association of Limited English Proficiency and Postdischarge Patient-Reported Issues. Jt Comm J Qual Patient Saf. 2021 12; 47(12):775-782.  View on PubMed
  11. Kornbluth L, Kaplan CP, Diamond L, Karliner LS. Communication methods between outpatients with limited-English proficiency and ancillary staff: LASI study results. Patient Educ Couns. 2022 01; 105(1):246-249.  View on PubMed
  12. Garcia ME, Hinton L, Gregorich SE, Livaudais-Toman J, Kaplan CP, Feldman M, Karliner L. Primary Care Physician Recognition and Documentation of Depressive Symptoms Among Chinese and Latinx Patients During Routine Visits: A Cross-Sectional Study. Health Equity. 2021; 5(1):236-244.  View on PubMed
  13. Pathak S, Gregorich SE, Diamond LC, Mutha S, Seto E, Livaudais-Toman J, Karliner L. Patient Perspectives on the Quality of Professional Interpretation: Results from LASI Study. J Gen Intern Med. 2021 08; 36(8):2386-2391.  View on PubMed
  14. Karliner LS. Protocols can lead to equitable emergency cardiac care for patients with language barriers, but quality communication remains important for access, outcomes, and prevention. Eur Heart J Qual Care Clin Outcomes. 2020 10 01; 6(4):229-230.  View on PubMed
  15. Roter DL, Gregorich SE, Diamond L, Livaudais-Toman J, Kaplan C, Pathak S, Karliner L. Loss of patient centeredness in interpreter-mediated primary care visits. Patient Educ Couns. 2020 11; 103(11):2244-2251.  View on PubMed
  16. Nouri SS, Pathak S, Livaudais-Toman J, Gregorich SE, Kaplan CP, Diamond L, Karliner L. Use and Usefulness of After-Visit Summaries by Language and Health Literacy among Latinx and Chinese Primary Care Patients. J Health Commun. 2020 08 02; 25(8):632-639.  View on PubMed
  17. Diamond LC, Jacobs EA, Karliner L. Providing equitable care to patients with limited dominant language proficiency amid the COVID-19 pandemic. Patient Educ Couns. 2020 08; 103(8):1451-1452.  View on PubMed
  18. Peralta CA, Livaudais-Toman J, Stebbins M, Lo L, Robinson A, Pathak S, Scherzer R, Karliner LS. Electronic Decision Support for Management of CKD in Primary Care: A Pragmatic Randomized Trial. Am J Kidney Dis. 2020 11; 76(5):636-644.  View on PubMed
  19. Kenny JD, Karliner LS, Kerlikowske K, Kaplan CP, Fernandez-Lamothe A, Burke NJ. Organization Communication Factors and Abnormal Mammogram Follow-up: a Qualitative Study Among Ethnically Diverse Women Across Three Healthcare Systems. J Gen Intern Med. 2020 10; 35(10):3000-3006.  View on PubMed
  20. Gagliardi KS, Coleman S, Intinarelli G, Karliner L, Appelle N, Taylor B, Grumbach K. An Automated Telephone Call System Improves the Reach and Cost-effectiveness of Panel Management Outreach for Cancer Screening. J Ambul Care Manage. 2020 Apr/Jun; 43(2):148-156.  View on PubMed

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