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Leah Karliner, MD

Title(s)Professor, Medicine
SchoolSchool of Medicine
Phone415-885-7893
ORCID ORCID Icon0000-0003-2204-5114 Additional info
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    Collapse Biography 
    Collapse Education and Training
    Columbia UniversityBA1988Columbia College
    UCSFM.D.1996School of Medicine
    UCSFMasters in Advanced Studies2005Epidemiology and Biostatistics

    Collapse Overview 
    Collapse Overview
    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.

    Collapse Research 
    Collapse Research Activities and Funding
    An Electronic Clinical Decision Support Stytem (CDSS) to Lower Blood Pressure in Persons with CKD in Primary Care: A Randomized Trial
    NIH/NIDDK R18DK110959Sep 1, 2016 - Jun 30, 2018
    Role: Co-Principal Investigator
    Disparities in Abnormal Mammogram Follow-up: Actionable Communication and Care Coordination Strategies
    NIH/NCI R21CA195429Jan 1, 2016 - Dec 31, 2017
    Role: Principal Investigator
    Clinician Language Concordance and Interpreter Use: Impact of a Systems Intervention on Communication and clinical Outcomes
    Patient Centered Outcomes Research Institute AD-1409-23627Oct 1, 2015 - Sep 30, 2019
    Role: Principal Investigator
    Bedside Interpreter Intervention, Hospital Outcomes of Older LEP Patients
    NIH/NIA R01AG038684Apr 15, 2011 - Mar 31, 2015
    Role: Principal Investigator
    Center for Aging in Diverse Communities: Ending Health Inequities in Older Adults
    NIH/NIA P30AG015272Sep 30, 1997 - Jun 30, 2023
    Role: Principal Investigator

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    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help.
    List All   |   Timeline
    1. 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. 2019 Dec 03. PMID: 31800442.
      View in: PubMed
    2. 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. 2019 Oct 30. PMID: 31667737.
      View in: PubMed
    3. 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. 2019 Oct 22. PMID: 31641992.
      View in: PubMed
    4. Sarita Pathak, Gregory Summerville, Celia P. Kaplan, Sarah S. Nouri, Leah S. Karliner. Patient-Reported Use of the After Visit Summary in a Primary Care Internal Medicine Practice. Journal of Patient Experience. 2019 Oct 4; 237437351987928.
      View in: Publisher Site
    5. 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 Aug 26. PMID: 31452037.
      View in: PubMed
    6. 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 Sep; 34(9):1744-1750. PMID: 31236893.
      View in: PubMed
    7. 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 Jun 10. PMID: 31183687.
      View in: PubMed
    8. 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. PMID: 31199334.
      View in: PubMed
    9. 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 Jun; 45(6):395-396. PMID: 31126851.
      View in: PubMed
    10. Lowenstein M, Vijayaraghavan M, Burke NJ, Karliner L, Wang S, Peters M, Lozano A, Kaplan CP. Real-world lung cancer screening decision-making: Barriers and facilitators. Lung Cancer. 2019 Jul; 133:32-37. PMID: 31200824.
      View in: PubMed
    11. 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. PMID: 31094951.
      View in: PubMed
    12. Frigaard M, Rubinsky A, Lowell L, Malkina A, Karliner L, Kohn M, Peralta CA. Validating laboratory defined chronic kidney disease in the electronic health record for patients in primary care. BMC Nephrol. 2019 01 03; 20(1):3. PMID: 30606109.
      View in: PubMed
    13. Karliner LS, Kaplan C, Livaudais-Toman J, Kerlikowske K. Mammography facilities serving vulnerable women have longer follow-up times. Health Serv Res. 2019 Feb; 54 Suppl 1:226-233. PMID: 30394526.
      View in: PubMed
    14. Selby K, Michel M, Gildengorin G, Karliner L, Pramanik R, Fontil V, Potter MB. Disparities in Hypertension Control Across and Within Three Health Systems Participating in a Data-Sharing Collaborative. J Am Board Fam Med. 2018 Nov-Dec; 31(6):897-904. PMID: 30413545.
      View in: PubMed
    15. E Xu, M Barrientos, F Nicosia, M Steinman, M Spar, L Karliner, R Brown. WHEN FUNCTIONAL IMPAIRMENT DEVELOPS EARLY: PERSPECTIVES FROM MIDDLE-AGED ADULTS. Innovation in Aging. 2018 Nov 1; 2(suppl_1):522-522.
      View in: Publisher Site
    16. 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. 2018 Oct 08. PMID: 30303883.
      View in: PubMed
    17. Ozanne E, Karliner LS, Tice JA, Haas JS, Livaudais-Toman J, Pasick RJ, Kaplan CP. An Intervention Tool to Increase Patient-Physician Discussion of Lifestyle Risk Factors for Breast Cancer. J Womens Health (Larchmt). 2018 Sep 15. PMID: 30222505.
      View in: PubMed
    18. Chan B, Lyles C, Kaplan C, Lam R, Karliner L. A Comparison of Electronic Patient-Portal Use Among Patients with Resident and Attending Primary Care Providers. J Gen Intern Med. 2018 12; 33(12):2085-2091. PMID: 30187376.
      View in: PubMed
    19. Leah S. Karliner. 2.Three Critical Steps to Enhance Delivery of Language Services in Health Care. Providing Health Care in the Context of Language Barriers. 2017 Dec 31; 20-34.
      View in: Publisher Site
    20. Karliner L. Low Health Literacy and Transitional Care Needs: Beyond Screening. J Hosp Med. 2017 11; 12(11):941-942. PMID: 29091985.
      View in: PubMed
    21. Lee JS, Nápoles A, Mutha S, Pérez-Stable EJ, Gregorich SE, Livaudais-Toman J, Karliner LS. Hospital discharge preparedness for patients with limited English proficiency: A mixed methods study of bedside interpreter-phones. Patient Educ Couns. 2018 Jan; 101(1):25-32. PMID: 28774652.
      View in: PubMed
    22. Nguyen KH, Pasick RJ, Stewart SL, Kerlikowske K, Karliner LS. Disparities in abnormal mammogram follow-up time for Asian women compared with non-Hispanic white women and between Asian ethnic groups. Cancer. 2017 Sep 15; 123(18):3468-3475. PMID: 28603859.
      View in: PubMed
    23. Karliner LS, Pérez-Stable EJ, Gregorich SE. Convenient Access to Professional Interpreters in the Hospital Decreases Readmission Rates and Estimated Hospital Expenditures for Patients With Limited English Proficiency. Med Care. 2017 03; 55(3):199-206. PMID: 27579909.
      View in: PubMed
    24. Lee JS, Pérez-Stable EJ, Gregorich SE, Crawford MH, Green A, Livaudais-Toman J, Karliner LS. Increased Access to Professional Interpreters in the Hospital Improves Informed Consent for Patients with Limited English Proficiency. J Gen Intern Med. 2017 Aug; 32(8):863-870. PMID: 28185201.
      View in: PubMed
    25. Stewart SL, Kaplan CP, Lee R, Joseph G, Karliner L, Livaudais-Toman J, Pasick RJ. Validation of an Efficient Screening Tool to Identify Low-Income Women at High Risk for Hereditary Breast Cancer. Public Health Genomics. 2016; 19(6):342-351. PMID: 27788513.
      View in: PubMed
    26. Karliner L, Marks A, Mutha S. Reducing Health Care Disparities for Minority Women in the Era of the Affordable Care Act: Opportunities within Primary Care. J Health Care Poor Underserved. 2016; 27(2):392-415. PMID: 27180684.
      View in: PubMed
    27. Ackerman SL, Boscardin C, Karliner L, Handley MA, Cheng S, Gaither TW, Hagey J, Hennein L, Malik F, Shaw B, Trinidad N, Zahner G, Gonzales R. The Action Research Program: Experiential Learning in Systems-Based Practice for First-Year Medical Students. Teach Learn Med. 2016; 28(2):183-91. PMID: 27064720.
      View in: PubMed
    28. Nápoles AM, Santoyo-Olsson J, Karliner LS, Gregorich SE, Pérez-Stable EJ. Inaccurate Language Interpretation and Its Clinical Significance in the Medical Encounters of Spanish-speaking Latinos. Med Care. 2015 Nov; 53(11):940-7. PMID: 26465121.
      View in: PubMed
    29. Livaudais-Toman J, Karliner LS, Tice JA, Kerlikowske K, Gregorich S, Pérez-Stable EJ, Pasick RJ, Chen A, Quinn J, Kaplan CP. Impact of a primary care based intervention on breast cancer knowledge, risk perception and concern: A randomized, controlled trial. Breast. 2015 Dec; 24(6):758-66. PMID: 26476466.
      View in: PubMed
    30. Tang N, Fujimoto J, Karliner L. Evaluation of a primary care-based post-discharge phone call program: keeping the primary care practice at the center of post-hospitalization care transition. J Gen Intern Med. 2014 Nov; 29(11):1513-8. PMID: 25055997.
      View in: PubMed
    31. Kaplan CP, Livaudais-Toman J, Tice JA, Kerlikowske K, Gregorich SE, Pérez-Stable EJ, Pasick RJ, Chen A, Quinn J, Karliner LS. A randomized, controlled trial to increase discussion of breast cancer in primary care. Cancer Epidemiol Biomarkers Prev. 2014 Jul; 23(7):1245-53. PMID: 24762560.
      View in: PubMed
    32. Fehniger J, Livaudais-Toman J, Karliner L, Kerlikowske K, Tice JA, Quinn J, Ozanne E, Kaplan CP. Perceived versus objective breast cancer risk in diverse women. J Womens Health (Larchmt). 2014 May; 23(5):420-7. PMID: 24372085.
      View in: PubMed
    33. López ME, Kaplan CP, Nápoles AM, Hwang ES, Livaudais JC, Karliner LS. Satisfaction with treatment decision-making and treatment regret among Latinas and non-Latina whites with DCIS. Patient Educ Couns. 2014 Jan; 94(1):83-9. PMID: 24207116.
      View in: PubMed
    34. Parikh AR, Kaplan CP, Burke NJ, Livaudais-Toman J, Hwang ES, Karliner LS. Ductal carcinoma in situ: knowledge of associated risks and prognosis among Latina and non-Latina white women. Breast Cancer Res Treat. 2013 Sep; 141(2):261-8. PMID: 23996141.
      View in: PubMed
    35. Hubbard RA, Zhu W, Horblyuk R, Karliner L, Sprague BL, Henderson L, Lee D, Onega T, Buist DS, Sweet A. Diagnostic imaging and biopsy pathways following abnormal screen-film and digital screening mammography. Breast Cancer Res Treat. 2013 Apr; 138(3):879-87. PMID: 23471650.
      View in: PubMed
    36. Pérez-Stable EJ, Karliner LS. What do we know about patient-clinician interactions with interpreters? J Gen Intern Med. 2013 Mar; 28(3):339-41. PMID: 23229910.
      View in: PubMed
    37. López ME, Kaplan CP, Nápoles AM, Livaudais JC, Hwang ES, Stewart SL, Bloom J, Karliner L. Ductal carcinoma in situ (DCIS): posttreatment follow-up care among Latina and non-Latina White women. J Cancer Surviv. 2013 Jun; 7(2):219-26. PMID: 23408106.
      View in: PubMed
    38. Bloom JR, Stewart SL, Napoles AM, Hwang ES, Livaudais JC, Karliner L, Kaplan CP. Quality of life of Latina and Euro-American women with ductal carcinoma in situ. Psychooncology. 2013 May; 22(5):1008-16. PMID: 22678743.
      View in: PubMed
    39. Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Language barriers and understanding of hospital discharge instructions. Med Care. 2012 Apr; 50(4):283-9. PMID: 22411441.
      View in: PubMed
    40. Gupta A, Hoang DD, Karliner L, Tice JA, Heidenreich P, Wang PJ, Turakhia MP. Ability of microvolt T-wave alternans to modify risk assessment of ventricular tachyarrhythmic events: a meta-analysis. Am Heart J. 2012 Mar; 163(3):354-64. PMID: 22424005.
      View in: PubMed
    41. Tuot DS, Lopez M, Miller C, Karliner LS. Impact of an easy-access telephonic interpreter program in the acute care setting: an evaluation of a quality improvement intervention. Jt Comm J Qual Patient Saf. 2012 Feb; 38(2):81-8. PMID: 22372255.
      View in: PubMed
    42. Karliner LS, Ma L, Hofmann M, Kerlikowske K. Language barriers, location of care, and delays in follow-up of abnormal mammograms. Med Care. 2012 Feb; 50(2):171-8. PMID: 21993060.
      View in: PubMed
    43. Khanna RR, Karliner LS, Eck M, Vittinghoff E, Koenig CJ, Fang MC. Performance of an online translation tool when applied to patient educational material. J Hosp Med. 2011 Nov; 6(9):519-25. PMID: 22034196.
      View in: PubMed
    44. Price EL, Pérez-Stable EJ, Nickleach D, López M, Karliner LS. Interpreter perspectives of in-person, telephonic, and videoconferencing medical interpretation in clinical encounters. Patient Educ Couns. 2012 May; 87(2):226-32. PMID: 21930360.
      View in: PubMed
    45. Livaudais JC, Hwang ES, Karliner L, Nápoles A, Stewart S, Bloom J, Kaplan CP. Adjuvant hormonal therapy use among women with ductal carcinoma in situ. J Womens Health (Larchmt). 2012 Jan; 21(1):35-42. PMID: 21902542.
      View in: PubMed
    46. Diamond LC, Tuot DS, Karliner LS. The use of Spanish language skills by physicians and nurses: policy implications for teaching and testing. J Gen Intern Med. 2012 Jan; 27(1):117-23. PMID: 21773850.
      View in: PubMed
    47. Kulkarni SP, Karliner LS, Auerbach AD, Pérez-Stable EJ. Physician use of advance care planning discussions in a diverse hospitalized population. J Immigr Minor Health. 2011 Jun; 13(3):620-4. PMID: 20640919.
      View in: PubMed
    48. Kaplan CP, Karliner LS, Hwang ES, Bloom J, Stewart S, Nickleach D, Quinn J, Thrasher A, Nápoles AM. The effect of system-level access factors on receipt of reconstruction among Latina and white women with DCIS. Breast Cancer Res Treat. 2011 Oct; 129(3):909-17. PMID: 21533531.
      View in: PubMed
    49. Schenker Y, Pérez-Stable EJ, Nickleach D, Karliner LS. Patterns of interpreter use for hospitalized patients with limited English proficiency. J Gen Intern Med. 2011 Jul; 26(7):712-7. PMID: 21336672.
      View in: PubMed
    50. Kaplan CP, Nápoles AM, Hwang ES, Bloom J, Stewart S, Nickleach D, Karliner L. Selection of treatment among Latina and non-Latina white women with ductal carcinoma in situ. J Womens Health (Larchmt). 2011 Feb; 20(2):215-23. PMID: 21128819.
      View in: PubMed
    51. Sarkar U, Schillinger D, Bibbins-Domingo K, Nápoles A, Karliner L, Pérez-Stable EJ. Patient-physicians' information exchange in outpatient cardiac care: time for a heart to heart? Patient Educ Couns. 2011 Nov; 85(2):173-9. PMID: 21035298.
      View in: PubMed
    52. Karliner LS, Hwang ES, Nickleach D, Kaplan CP. Language barriers and patient-centered breast cancer care. Patient Educ Couns. 2011 Aug; 84(2):223-8. PMID: 20685068.
      View in: PubMed
    53. Karliner LS, Kim SE, Meltzer DO, Auerbach AD. Influence of language barriers on outcomes of hospital care for general medicine inpatients. J Hosp Med. 2010 May-Jun; 5(5):276-82. PMID: 20533573.
      View in: PubMed
    54. Walsh JM, Karliner L, Burke N, Somkin CP, Pham LA, Pasick R. Physicians' approaches to recommending colorectal cancer screening: a qualitative study. J Cancer Educ. 2010 Sep; 25(3):385-90. PMID: 20204571.
      View in: PubMed
    55. Nápoles AM, Santoyo-Olsson J, Karliner LS, O'Brien H, Gregorich SE, Pérez-Stable EJ. Clinician ratings of interpreter mediated visits in underserved primary care settings with ad hoc, in-person professional, and video conferencing modes. J Health Care Poor Underserved. 2010 Feb; 21(1):301-17. PMID: 20173271.
      View in: PubMed
    56. Karliner LS, Mutha S. Achieving quality in health care through language access services: lessons from a California public hospital. Am J Med Qual. 2010 Jan-Feb; 25(1):51-9. PMID: 19955512.
      View in: PubMed
    57. Jeffrey A. Tice, Leah Karliner, Amy J. Petersen, Mitchell D. Feldman. The Reply. The American Journal of Medicine. 2009 Jun 1; 122(6):e11.
      View in: Publisher Site
    58. Carney PA, Kettler M, Cook AJ, Geller BM, Karliner L, Miglioretti DL, Bowles EA, Buist DS, Gallagher TH, Elmore JG. An assessment of the likelihood, frequency, and content of verbal communication between radiologists and women receiving screening and diagnostic mammography. Acad Radiol. 2009 Sep; 16(9):1056-63. PMID: 19442539.
      View in: PubMed
    59. Abraham L, Geller BM, Yankaskas BC, Bowles EJ, Karliner LS, Taplin SH, Miglioretti DL. Accuracy of self-reported breast cancer among women undergoing mammography. Breast Cancer Res Treat. 2009 Dec; 118(3):583-92. PMID: 19301119.
      View in: PubMed
    60. Tice JA, Karliner L, Walsh J, Petersen AJ, Feldman MD. Gastric banding or bypass? A systematic review comparing the two most popular bariatric procedures. Am J Med. 2008 Oct; 121(10):885-93. PMID: 18823860.
      View in: PubMed
    61. Karliner LS, Napoles-Springer AM, Schillinger D, Bibbins-Domingo K, Pérez-Stable EJ. Identification of limited English proficient patients in clinical care. J Gen Intern Med. 2008 Oct; 23(10):1555-60. PMID: 18618200.
      View in: PubMed
    62. Feldman MD, Petersen AJ, Karliner LS, Tice JA. Who is responsible for evaluating the safety and effectiveness of medical devices? The role of independent technology assessment. J Gen Intern Med. 2008 Jan; 23 Suppl 1:57-63. PMID: 18095046.
      View in: PubMed
    63. Karliner LS, Kerlikowske K. Ethnic disparities in breast cancer. Womens Health (Lond). 2007 Nov; 3(6):679-88. PMID: 19803977.
      View in: PubMed
    64. Karliner LS, Jacobs EA, Chen AH, Mutha S. Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature. Health Serv Res. 2007 Apr; 42(2):727-54. PMID: 17362215.
      View in: PubMed
    65. Karliner LS, Napoles-Springer A, Kerlikowske K, Haas JS, Gregorich SE, Kaplan CP. Missed opportunities: family history and behavioral risk factors in breast cancer risk assessment among a multiethnic group of women. J Gen Intern Med. 2007 Mar; 22(3):308-14. PMID: 17356960.
      View in: PubMed
    66. Jacobs E, Chen AH, Karliner LS, Agger-Gupta N, Mutha S. The need for more research on language barriers in health care: a proposed research agenda. Milbank Q. 2006; 84(1):111-33. PMID: 16529570.
      View in: PubMed
    67. Karliner LS, Patricia Kaplan C, Juarbe T, Pasick R, Pérez-Stable EJ. Poor patient comprehension of abnormal mammography results. J Gen Intern Med. 2005 May; 20(5):432-7. PMID: 15963167.
      View in: PubMed
    68. Elizabeth A Jacobs, Alice Hm Chen, Leah Karliner, Julia Puebla Fortier, Sunita Mutha. Legal and regulatory obligations to provide culturally and linguistically appropriate emergency department services. Clinical Pediatric Emergency Medicine. 2004 Jun 1; 5(2):85-92.
      View in: Publisher Site
    69. Karliner LS, Pérez-Stable EJ, Gildengorin G. The language divide. The importance of training in the use of interpreters for outpatient practice. J Gen Intern Med. 2004 Feb; 19(2):175-83. PMID: 15009797.
      View in: PubMed