Patient Preferences for Plain-Language Alternatives to Medical Jargon in Clinical Notes.

Area of Science:

• Medical Documentation
• Patient Communication
• Health Literacy

Background:

• Patient access to medical records is increasing due to legislation.
• Confusing or offensive medical terms can harm the patient-clinician relationship.
• Evidence is lacking for alternative phrasing in clinical notes.

Purpose of the Study:

• To determine adult preferences for plain-language versus traditional medical phrases in clinical documentation.
• To identify patient-preferred alternatives to medical jargon.

Main Methods:

• A cross-sectional observational survey was conducted at the 2023 Minnesota State Fair.
• Adults without healthcare training completed electronic surveys presenting clinical scenarios with jargon vs. plain language options.
• Participants selected their preferred documentation and provided qualitative feedback.

Main Results:

• 271 adults completed the survey; 56% were women, mean age 45.
• Plain language was overwhelmingly preferred over medical jargon (e.g., "did not improve" 70% vs. "failed outpatient treatment" 2%).
• Key themes included preference for clear, empathetic, and respectful communication, respecting patient autonomy.

Conclusions:

• A strong patient preference exists for plain-language medical documentation.
• Specific plain-language alternatives were identified as favorable.
• Adopting plain language can enhance patient comprehension and the therapeutic relationship.