A graphic elicitation technique to represent patient rights

Area of Science:

• Global Health
• Health Communication
• Patient Advocacy

Background:

• Patient charters outline patient rights in healthcare settings.
• A COVID-19 response initiative in Cox's Bazar, Bangladesh, developed a patient charter.
• The charter was inaccessible to Rohingya and host communities due to low literacy.

Purpose of the Study:

• To adapt a patient charter for low-literacy populations.
• To enhance the accessibility and understanding of patient rights.
• To explore the use of graphic elicitation for this purpose.

Main Methods:

• Conducted focus group discussions with Rohingya and host communities.
• Used graphic elicitation to visualize and contextualize the patient charter.
• Collaboratively determined illustrations for each patient right.

Main Results:

• Elicited rich descriptions of patient rights through community engagement.
• Identified key learnings regarding feedback elicitation and group composition.
• Developed culturally appropriate illustrations for the patient charter.

Conclusions:

• Culturally adapted illustrations can make patient charters accessible in low-literacy contexts.
• Graphic elicitation is a viable method for adapting health information tools.
• This approach can improve access to clinical governance and accountability tools.