.
.
HEALTH INFORMATION LITERACY :
HEALTH CARE :
MEDICAL: PATIENTS:
Hidden Variables: Why Patients May Misunderstand Written Screening Tools
.
.
Hidden Variables: Why Patients May Misunderstand Written Screening Tools
Timothy V. Johnson, MD, Jennifer DeLong, PA-C;
Viraj A. Master, MD, PhD,
FACS
September 19, 2011
Journal of the American Academy of Physicians Assistants
http://www.jaapa.com/hidden-variables-why-patients-may-
misunderstand-written-screening-tools/article/210797/
.
A shorter URL for the above link:
.
http://tinyurl.com/3mnye9v
.
.
Health literacy is defined as a patient's ability to obtain, process, and
understand basic health information in spoken, written, and numerical
forms and use this information to make appropriate health decisions.1,2 In
the United States, nearly 90 million adults have inadequate written health
literacy.1,3 While the average US adult reads below the ninth grade level,
21% of adults read below the sixth grade level.1,3 Of Medicare enrollees
with low health literacy, 42% reported that they could not understand
medication directions, 22% did not understand their appointment slips, and
62% could not understand an informed consent form.4 Additionally, both
county hospital patients and Medicare enrollees with low health literacy
are more likely to be hospitalized compared with patients who have
adequate health literacy
.
Little research has focused on numerical (quantitative) health literacy,
the ability to make sense of numbers and other mathematical concepts.
However, recent studies suggest that poor numerical literacy is
significantly more prevalent than poor written literacy because the former
affects patients with written literacy and high education level.7
.
snip
.
.
Additional Topics Covered in This Article:
NEGATIVE EFFECTS OF LOW HEALTH LITERACY?
Access and adherence
Interactions with the medical system
DRIVERS AND IMPLICATIONS OF LOW ?HEALTH LITERACY?
Evaluating the AUA-SS
Other causes of misunderstanding
HOW TO PREVENT MISUNDERSTANDING?
Assess the patient
Ask questions
Use technology
Self-assess
Timothy Johnson, Jennifer DeLong, and Viraj Master practice in the
Department of Urology, Emory University, Atlanta, Georgia. The authors
have indicated no relationships to disclose relating to the content of
this article.
REFERENCES
Content Sample of References:
.
1. Davis TC, Wolf MS. Health literacy: implications for family medicine.
Fam Med. 2004;36(8):595-598.?
2. Wilson FL. Are patient information materials too difficult to read?
Home Healthc Nurse. 2000;?18(2):107-115.?
3. Kirsch IS, Jungeblut A, Jenkins L, Kolstad A. Adult Literacy in
America: A First Look at the Findings of the National Adult Literacy
Survey. 3rd ed. Washington, DC: National Center for Education Statistics,
US Department of Education; 1993. ?
4. Schillinger D, Grumbach K, Piette J, et al. Association of health
literacy with diabetes outcomes. JAMA. 2002;288(4):475-482.?
5. Dewalt DA, Berkman ND, Sheridan S, et al. Literacy and health outcomes:
a systematic review of the literature. J Gen Intern Med.
2004;19(12):1228-1239.?
6. Howard DH, Gazmararian J, Parker RM. The impact of low health literacy
on the medical costs of Medicare managed care enrollees. Am J Med.
2005;118(4):371-377.?
7. Master VA, Johnson TV, Abbasi A, et al. Poorly numerate patients in an
inner city hospital misunderstand the American Urological Association
symptom score. Urology. 2009;75(1):148-152.?
8. Rothman RL, Housam R, Weiss H, et al. Patient understanding of food
labels: the role of literacy and numeracy. Am J Prev Med.
2006;31(5):391-398.?
9. Chao C, Studts JL, Abell T, et al. Adjuvant chemotherapy for breast
cancer: how presentation of recurrence risk influences decision-making. J
Clin Oncol. 2003;21(23):4299-4305.?
10. Sheridan SL, Pignone M. Numeracy and the medical student's ability to
interpret data. Eff Clin Pract. 2002;5(1):35-40.?
.
.
The complete article may be read at the URL above.
.
.
Sincerely,
David Dillard
Temple University
(215) 204 - 4584
[log in to unmask]
http://daviddillard.businesscard2.com
Net-Gold
http://groups.yahoo.com/group/net-gold
http://listserv.temple.edu/archives/net-gold.html
Index: http://tinyurl.com/myxb4w
http://groups.google.com/group/net-gold?hl=en
General Internet & Print Resources
http://guides.temple.edu/general-internet
COUNTRIES
http://guides.temple.edu/general-country-info
EMPLOYMENT
http://guides.temple.edu/EMPLOYMENT
TOURISM
http://guides.temple.edu/tourism
DISABILITIES
http://guides.temple.edu/DISABILITIES
INDOOR GARDENING
http://tech.groups.yahoo.com/group/IndoorGardeningUrban/
Educator-Gold
http://groups.yahoo.com/group/Educator-Gold/
K12ADMINLIFE
http://groups.yahoo.com/group/K12AdminLIFE/
The Russell Conwell Learning Center Research Guide:
THE COLLEGE LEARNING CENTER
http://tinyurl.com/yae7w79
Nina Dillard's Photographs on Net-Gold
http://tinyurl.com/36qd2o
and also http://gallery.me.com/neemers1
http://www.flickr.com/photos/neemers/
Twitter: davidpdillard
Bushell, R. & Sheldon, P. (eds),
Wellness and Tourism: Mind, Body, Spirit,
Place, New York: Cognizant Communication Books.
Wellness Tourism: Bibliographic and Webliographic Essay
David P. Dillard
http://tinyurl.com/p63whl
http://tinyurl.com/ou53aw
INDOOR GARDENING
Improve Your Chances for Indoor Gardening Success
http://tech.groups.yahoo.com/group/IndoorGardeningUrban/
http://groups.google.com/group/indoor-gardening-and-urban-gardening
SPORT-MED
https://www.jiscmail.ac.uk/lists/sport-med.html
http://groups.google.com/group/sport-med
http://groups.yahoo.com/group/sports-med/
http://listserv.temple.edu/archives/sport-med.html
HEALTH DIET FITNESS RECREATION SPORTS TOURISM
http://health.groups.yahoo.com/group/healthrecsport/
http://groups.google.com/group/healthrecsport
http://healthrecsport.jiglu.com/
http://listserv.temple.edu/archives/health-recreation-sports-tourism.html
.
.
Please Ignore All Links to JIGLU
in search results for Net-Gold and related lists.
The Net-Gold relationship with JIGLU has
been terminated by JIGLU and these are dead links.
http://groups.yahoo.com/group/Net-Gold/message/30664
http://health.groups.yahoo.com/group/healthrecsport/message/145
.
.
|