Doctor, have I got a fracture or a break?

Peckham, T

doi:10.1016/0020-1383(94)90065-5

Cited by 23 publications

(15 citation statements)

References 3 publications

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“…Much of the work in the field of understanding jargon usage has either focused on controlled settings where scenarios with standardized patients were recorded and transcribed [1-3, 13], or has relied on identifying discrepancies of perceived understanding of common medical phrases between providers and patients through surveys [4,7,9,[14][15][16]. In a controlled environment, Farrell et al showed that providers were able to improve their jargon usage in recorded standardized encounters when presented with a jargon scorecard [17].…”

Section: Discussionmentioning

confidence: 99%

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Eradicating Jargon-Oblivion—A Proposed Classification System of Medical Jargon

Pitt

Hendrickson

2019

J GEN INTERN MED

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Section: Discussionmentioning

confidence: 99%

“…In some cases, our patients will find differences in these unnecessary synonyms when none exists. For example, in one study of patients in an orthopedic clinic, eight in ten patients thought there was a difference between a fracture and a break [9].…”

Section: Medicalized English-known But Different Meaningmentioning

confidence: 99%

Eradicating Jargon-Oblivion—A Proposed Classification System of Medical Jargon

Pitt

Hendrickson

2019

J GEN INTERN MED

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“…Other studies have found similar tensions between patient-centred care and population-driven metrics. 25 26 Research on other pay-for-performance arrangements suggest these models can positively influence ‘incentivised clinical processes’, but whether they improve patient experiences or even lead to adversarial relationships is unknown. 25 27 The accounts of frustration that we heard during our interviews run the risk that Wainwright et al identified of professionals ‘failing to interact with patients as whole persons with unique expertise on their bodies, their experience of illness and their lives'.…”

Section: Discussionmentioning

confidence: 99%

How do healthcare professionals working in accountable care organisations understand patient activation and engagement? Qualitative interviews across two time points

et al. 2018

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ObjectiveIf patient engagement is the new ‘blockbuster drug’ why are we not seeing spectacular effects? Studies have shown that activated patients have improved health outcomes, and patient engagement has become an integral component of value-based payment and delivery models, including accountable care organisations (ACO). Yet the extent to which clinicians and managers at ACOs understand and reliably execute patient engagement in clinical encounters remains unknown. We assessed the use and understanding of patient engagement approaches among frontline clinicians and managers at ACO-affiliated practices.DesignQualitative study; 103 in-depth, semi-structured interviews.ParticipantsSixty clinicians and eight managers were interviewed at two established ACOs.ApproachWe interviewed healthcare professionals about their awareness, attitudes, understanding and experiences of implementing three key approaches to patient engagement and activation: 1) goal-setting, 2) motivational interviewing and 3) shared decision making. Of the 60 clinicians, 33 were interviewed twice leading to 93 clinician interviews. Of the 8 managers, 2 were interviewed twice leading to 10 manager interviews. We used a thematic analysis approach to the data.Key resultsInterviewees recognised the term ‘patient activation and engagement’ and had favourable attitudes about the utility of the associated skills. However, in-depth probing revealed that although interviewees reported that they used these patient activation and engagement approaches, they have limited understanding of these approaches.ConclusionsWithout understanding the concept of patient activation and the associated approaches of shared decision making and motivational interviewing, effective implementation in routine care seems like a distant goal. Clinical teams in the ACO model would benefit from specificity defining key terms pertaining to the principles of patient activation and engagement. Measuring the degree of understanding with reward that are better-aligned for behaviour change will minimise the notion that these techniques are already being used and help fulfil the potential of patient-centred care.

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“…2 3 Medical terms have been shown to be widely misinterpreted by the public, 4 including a perceived diVerence between the terms fracture and a break. 5 Further studies suggest that patients and doctors refer to diVerent entities when they talk of constipation 6 and back pain. 7 If patients misunderstand the term unconscious it can have serious implications.…”

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confidence: 99%

Public understanding of medical terminology: non-English speakers may not receive optimal care

Cooke

Wilson²,

Cox³

et al. 2000

Emergency Medicine Journal

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Introduction-Many systems of telephone triage are being developed (including NHS Direct, general practitioner out of hours centres, ambulance services). These rely on the ability to determine key facts from the caller. Level of consciousness is an important indicator after head injury but also an indicator of severe illness. Aims-To determine the general public's understanding of the term unconscious. Methods-A total of 700 people were asked one of seven questions relating to their understanding of the term unconscious. All participants were adults who could speak suYcient English to give a history to a nurse. Results-Correct understanding of the term unconscious varied from 46.5% to 87.0% for varying parameters. Those with English as their first language had a better understanding (p<0.01) and there was a significant variation with ethnicity (p<0.05). Conclusions-Understanding of the term unconscious is poor and worse in those for whom English is not a first language. Decision making should not rely on the interpretation of questions using technical terms such as unconscious, which may have a diVerent meaning between professional and lay people.

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Doctor, have I got a fracture or a break?

Cited by 23 publications

References 3 publications

Eradicating Jargon-Oblivion—A Proposed Classification System of Medical Jargon

Eradicating Jargon-Oblivion—A Proposed Classification System of Medical Jargon

How do healthcare professionals working in accountable care organisations understand patient activation and engagement? Qualitative interviews across two time points

Public understanding of medical terminology: non-English speakers may not receive optimal care

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