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[Text Comprehensibility of Hospital Report Cards].

U Sander1, B Kolb1, C Christoph2

  • 1Abteilung Information und Kommunikation, Hochschule Hannover, Hannover.

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|March 26, 2015
PubMed
Summary
This summary is machine-generated.

Hospital report cards often use complex language, making them hard for patients to understand. This study found that simpler texts with fewer technical terms improve patient comprehension of hospital quality data.

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Area of Science:

  • Health Services Research
  • Health Communication
  • Patient Information Literacy

Background:

  • The proliferation of hospital report cards necessitates clear communication of quality data.
  • Assessing the comprehensibility of these reports for laypersons is crucial for informed healthcare decisions.

Purpose of the Study:

  • To identify methods for evaluating hospital report card readability.
  • To assess the comprehensibility of German hospital quality reports for the general public.
  • To provide recommendations for improving report card clarity and public health actions.

Main Methods:

  • Computer-aided analysis using readability indices (Flesch, Wiener Sachtextformel).
  • Expert heuristic analysis focusing on technical terms and text simplicity (Hamburg intelligibility model).
  • Surveys assessing layperson understanding of terms, overall comprehensibility, and decision-making based on report card data.

Main Results:

  • Computer-aided readability assessments indicated poor text comprehensibility.
  • The Hamburg intelligibility model revealed low text simplicity (average -0.3).
  • Technical terms comprised 6.8% of words, with a minority of respondents understanding them (4.4%-39.1%).
  • Lower technical term frequency and better text simplicity correlated with improved understanding.

Conclusions:

  • Computer-aided readability indices and the Hamburg intelligibility model are effective for assessing hospital report card comprehensibility.
  • Current hospital report cards exhibit predominantly poor readability, highlighting a significant need for text improvement.
  • Simplifying language and reducing technical jargon are key to enhancing patient comprehension of quality indicators.