A pragmatic trial to improve adherence with scheduled appointments in an inner-city pain clinic by human phone calls in the patient's preferred language

Culturally sensitive, language-congruent, patient-centered outreach can overcome barriers to access and engage minorities in an inner-city pain clinic. On the left panel, the English-only-speaking provider fails to establish rapport and trust with his chronic pain patient. On the right panel, culturally-sensitive, language-congruent staff engages the Latina patient in a warm patient-provider relationship already in the first telephone contact.334