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Health literacy: the gap between physicians and patients
Richard S Safeer1, Jann Keenan
1CareFirst BlueCross BlueShield, Baltimore, MD 21201-2707, USA. richard.safeer@carefirst.com
American Family Physician
|August 17, 2005
Summary
Low health literacy skills hinder patient understanding and adherence to medical advice. Simplifying health materials to a sixth-grade level improves comprehension and reduces hospitalizations.
Area of Science:
- Health Literacy
- Patient Education
- Healthcare Communication
Background:
- Health literacy involves essential reading and numerical skills for navigating healthcare.
- Most adults read at an eighth-grade level, yet healthcare materials are often at a 10th-grade level.
- Older adults face compounded challenges due to cognitive, visual, and auditory changes affecting comprehension.
Purpose of the Study:
- To highlight the impact of inadequate health literacy on patient outcomes.
- To identify effective strategies for improving patient understanding of medical information.
- To emphasize the need for accessible health education materials.
Main Methods:
- Analysis of existing literature on health literacy and patient comprehension.
- Review of common healthcare material reading levels versus general population literacy.
- Examination of patient responses to different communication methods.
Main Results:
- Inadequate health literacy is linked to difficulties in accessing care, following instructions, and proper medication use.
- Patients with lower health literacy experience higher hospitalization rates.
- Simplified language, slower speech, and limited information enhance patient understanding.
Conclusions:
- Patient education materials should be written at a sixth-grade level or lower, incorporating visuals.
- Clear, concise language is preferred by all patients for medical information.
- Physicians must recognize and address health literacy issues, as patients often hesitate to disclose difficulties.