出院说明书中的语言和可读性障碍:呼吁改善患者后期护理
Maxwell Sahhar1, Manjot Singh1, Joseph E Nassar1
1Warren Alpert Medical School, Brown University, Providence, RI.
The American journal of medicine
|March 30, 2025
概括
许多Epic的出院说明超过了推的读数水平,影响了患者的健康结果. 提高文档可读性对于患者更好地理解和遵守医疗建议至关重要.
科学领域:
- 健康素养和患者结果.
- 医疗信息学和患者沟通
背景情况:
- 不充分的健康素养是积极健康结果的重要障碍,有助于增加住院再接收和不良事件.
- 目前的建议建议,患者材料,包括出院说明,应写在六年级阅读水平或以下.
- 许多现有的患者出院文件未能达到这一关键的可读性标准.
研究的目的:
- 评估Epic Systems电子健康记录 (EHR) 释放文件的语言可用性.
- 评估这些文件的可读性与已建立的健康素养标准相比.
- 为了确定"易读"版本是否与推的年级水平保持一致.
主要方法:
- 在2024年12月分析了1511份Epic的英语和西班牙语成人医疗条件释放文件,包括易于阅读的版本.
- 可读性被评估使用Flesch-Kincaid等级水平和简单测量Gobbledygook英语,和费尔南德斯-赫尔塔和调整简单测量Gobbledygook西班牙语.
- 统计分析包括用于比较的t测试和对修订月的趋势的线性回归.
主要成果:
- 标准的英语释放文件经常超过六年级的阅读水平 (81%在Flesch-Kincaid上,100%在Gobbledygook的简单测量上).
- 西班牙的文件也显示了超越可读性值的高率 (100%在调整后的简单测量Gobbledygook).
- 与标准版本相比,易阅读版本的阅读成绩水平明显较低,尽管修订月的趋势并不显著.
结论:
- 史诗释放指令在语言可用性方面受到限制,主要提供英语和西班牙语.
- 这些文件的很大一部分超过了推的阅读水平,可能会阻碍患者的理解.
- 提高释放文件的可读性和语言可访问性对于改善患者理解和治疗坚持是必不可少的.
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