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Social and Cultural Barriers: Understanding Musculoskeletal Health Literacy: AOA Critical Issues
Andrew J Rosenbaum1, Richard L Uhl2, E Anthony Rankin3
1Division of Orthopaedic Surgery, Albany Medical Center, Albany, New York andrewjrosenbaum@gmail.com.
The Journal of Bone and Joint Surgery. American Volume
|April 8, 2016
Summary
Limited health literacy, affecting half of Americans, hinders informed health decisions and worsens patient outcomes. Strategies are needed to improve communication and care, especially in orthopaedics.
Area of Science:
- Public Health
- Medical Communication
- Patient Education
Background:
- Limited health literacy is a significant public health issue, impacting roughly half of the American population.
- It creates barriers to understanding health information, complicates medical communication, and leads to poorer health outcomes and chronic disease management.
Purpose of the Study:
- To define health literacy and its implications.
- To explore risk factors and consequences of limited health literacy.
- To examine orthopaedic-specific challenges and outline strategies for improvement.
Main Methods:
- Review of existing literature on health literacy.
- Analysis of consequences and risk factors.
- Discussion of orthopaedic-specific considerations and communication strategies.
Main Results:
- Limited health literacy is linked to adverse health events, including poor health control and increased mortality.
- Physicians face challenges in identifying patients with limited health literacy, impacting the physician-patient relationship.
- Effective communication strategies are crucial for improving patient comprehension and care.
Conclusions:
- Addressing limited health literacy is essential for improving patient outcomes in all medical fields, including orthopaedics.
- Orthopaedic surgeons can implement specific strategies to enhance patient understanding and communication.
- Improving health literacy can mitigate negative health consequences and foster better patient engagement.

