Babel Babble: Physicians' Use of Unclarified Medical Jargon with Patients

Castro, Cesar M.; Wilson, Campbell; Wang, Frances; Schillinger, Dean

doi:10.5993/ajhb.31.s1.11

Cited by 193 publications

(155 citation statements)

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“…Yet, health care providers use extensive medical jargon during clinical encounters. From an analysis of audiotaped diabetes visits with adult patients, providers used medical jargon an average of 4 times per visit with 29% of the jargon used when providing health education (Castro et al, 2007). Patients struggling to understand medical jargon were unlikely to admit this to the clinician (Bennett et al, 2006) Early communication research demonstrated that patients often misunderstood medical terms or confused its meaning with more common lay definitions.…”

Section: Communication Process: General Claritymentioning

confidence: 99%

“…Patient-provider communication is essential to quality care yet research shows that many providers use medical jargon and fail to explain conditions and care in ways that are understandable (Castro, Wilson, Wang, & Schillinger, 2007). Healthy People 2020 and the National Action Plan to Improve Health communication with their clinician than those with adequate health literacy (Schillinger et al, 2004).…”

Section: Patient-provider Communicationmentioning

confidence: 99%

“…Diabetes educators work within a culture of medicine that has its own medical jargon and focus on pathophysiology that is different than the lay culture of patients and families. (Anderson et al, 2007;Swedlund et al, 2012), self-care (Heisler, Cole, Weir, Kerr, & Hayward, 2007), adherence to treatment (Zolnierek & DiMatteo, 2009), and health outcomes (Aikens, et al, 2005 (Castro, Wilson, Wang, & Schillinger, 2007;Katz, Jacobson, Veledar, & Kripalani, 2007;Sudore et al, 2009) …”

Section: Essential Assumptions Of the Modelmentioning

confidence: 99%

“…Conversely, studies with adults suggest that poor quality of patient-provider communication has been associated with limited health literacy, i.e. low literate patients are more likely to not understand words used or explanations given by the provider (Castro, Wilson, Wang, & Schillinger, 2007;Sudore et al, 2009).…”

mentioning

confidence: 99%

See 3 more Smart Citations

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Howe

Cipher

LeFlore

et al. 2015

Journal of Health Communication

View full text Add to dashboard Cite

Section: Communication Process: General Claritymentioning

confidence: 99%

Section: Patient-provider Communicationmentioning

confidence: 99%

Section: Essential Assumptions Of the Modelmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Howe

Cipher

LeFlore

et al. 2015

Journal of Health Communication

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“…Clinicians frequently use jargon (Castro, 2007) and rarely confirm if their patients understand what is being discussed (Schillinger, 2003). Consequently, patients frequently misunderstand a broad array of critical information (Fang, 2009 …”

Section: Simplification Of the Health Care System: Education And Traimentioning

confidence: 99%

Promoting Health Literacy Research to Reduce Health Disparities

Paasche‐Orlow

Wolf

2010

Journal of Health Communication

145

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Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries

Peikes

Chen²,

Schore³

et al. 2009

JAMA

687

609

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Context Medicare expenditures of patients with chronic illnesses might be reduced through improvements in care, patient adherence, and communication. Objective To determine whether care coordination programs reduced hospitalizations and Medicare expenditures and improved quality of care for chronically ill Medicare beneficiaries. Design, Setting, and Patients Eligible fee-for-service Medicare patients (primarily with congestive heart failure, coronary artery disease, and diabetes) who volunteered to participate between April 2002 and June 2005 in 15 care coordination programs (each received a negotiated monthly fee per patient from Medicare) were randomly assigned to treatment or control (usual care) status. Hospitalizations, costs, and some quality-of-care outcomes were measured with claims data for 18 309 patients (n=178 to 2657 per program) from patients' enrollment through June 2006. A patient survey 7 to 12 months after enrollment provided additional quality-of-care measures. Interventions Nurses provided patient education and monitoring (mostly via telephone) to improve adherence and ability to communicate with physicians. Patients were contacted twice per month on average; frequency varied widely. Main Outcome Measures Hospitalizations, monthly Medicare expenditures, patientreported and care process indicators.Results Thirteen of the 15 programs showed no significant (PϽ.05) differences in hospitalizations; however, Mercy had 0.168 fewer hospitalizations per person per year (90% confidence interval [CI], −0.283 to −0.054; 17% less than the control group mean, P=.02) and Charlestown had 0.118 more hospitalizations per person per year (90% CI, 0.025-0.210; 19% more than the control group mean, P=.04). None of the 15 programs generated net savings. Treatment group members in 3 programs (Health Quality Partners [HQP], Georgetown, Mercy) had monthly Medicare expenditures less than the control group by 9% to 14%

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Babel Babble: Physicians' Use of Unclarified Medical Jargon with Patients

Cited by 193 publications

References 0 publications

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Parent Health Literacy and Communication With Diabetes Educators in a Pediatric Diabetes Clinic: A Mixed Methods Approach

Promoting Health Literacy Research to Reduce Health Disparities

Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries

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