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

  • 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
  • September 1, 2016 - June 30, 2018 - 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/NIDDK, Sponsor Award ID: R18DK110959
  • January 1, 2016 - December 31, 2017 - Disparities in Abnormal Mammogram Follow-up: Actionable Communication and Care Coordination Strategies, Principal Investigator. Sponsor: NIH/NCI, Sponsor Award ID: R21CA195429
  • April 15, 2011 - March 31, 2015 - Bedside Interpreter Intervention, Hospital Outcomes of Older LEP Patients, Principal Investigator. Sponsor: NIH/NIA, Sponsor Award ID: R01AG038684

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. 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. 2021 May 06.  View on PubMed
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. Anderson TS, Karliner LS, Lin GA. Association of Primary Language and Hospitalization for Ambulatory Care Sensitive Conditions. Med Care. 2020 01; 58(1):45-51.  View on PubMed
  12. Rosenwohl-Mack S, Rubinsky A, Karliner L, López L, Peralta CA. Association of Patient Language with Guideline-Concordant Care for Individuals with Chronic Kidney Disease (CKD) in Primary Care. J Gen Intern Med. 2019 11; 34(11):2348-2350.  View on PubMed
  13. Garcia ME, Hinton L, Gregorich SE, Livaudais-Toman J, Kaplan C, Karliner L. Unmet Mental Health Need Among Chinese and Latino Primary Care Patients: Intersection of Ethnicity, Gender, and English Proficiency. J Gen Intern Med. 2020 04; 35(4):1245-1251.  View on PubMed
  14. Valente J, Johnson N, Edu U, Karliner LS. Importance of Communication and Relationships: Addressing Disparities in Hospitalizations for African-American Patients in Academic Primary Care. J Gen Intern Med. 2020 01; 35(1):228-236.  View on PubMed
  15. Pathak S, Summerville G, Kaplan CP, Nouri SS, Karliner LS. Patient-Reported Use of the After Visit Summary in a Primary Care Internal Medicine Practice. J Patient Exp. 2020 Oct; 7(5):703-707.  View on PubMed
  16. Lee JS, Karliner LS, Julian KA, Linzer M, Feldman MD. Change in Faculty Perceptions of Burnout and Work Life in an Academic General Medicine Clinic: a Pre-Post Study. J Gen Intern Med. 2019 10; 34(10):1973-1974.  View on PubMed
  17. Semere W, Nápoles AM, Gregorich S, Livaudais-Toman J, Karliner L. Caregiving for Older Adults with Limited English Proficiency: Transitioning from Hospital to Home. J Gen Intern Med. 2019 09; 34(9):1744-1750.  View on PubMed
  18. Khoong EC, Karliner L, Lo L, Stebbins M, Robinson A, Pathak S, Santoyo-Olsson J, Scherzer R, Peralta CA. A Pragmatic Cluster Randomized Trial of an Electronic Clinical Decision Support System to Improve Chronic Kidney Disease Management in Primary Care: Design, Rationale, and Implementation Experience. JMIR Res Protoc. 2019 Jun 07; 8(6):e14022.  View on PubMed
  19. Karliner L. Establishing the Necessary Conditions for Achieving Language Access and Equitable, Quality Care for Populations with Limited English Proficiency. Jt Comm J Qual Patient Saf. 2019 06; 45(6):395-396.  View on PubMed
  20. Bui-Duy MK, Wong S, Lam R, Karliner LS. Development of a Multistep Hypertension Quality Improvement Program in an Academic General Medicine Practice. J Healthc Qual. 2019 May/Jun; 41(3):172-179.  View on PubMed

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