Health Literacy and Information Exchange in Medical Settings

Keller, Debra; Sarkar, Urmimala; Schillinger, Dean

doi:10.1093/oxfordhb/9780199795833.013.007

Cited by 2 publications

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“…Furthermore, the shift toward patient participation gives rise to considerations concerning the degree and reliability of self-knowledge that patients can bring to a consultancy under the heading of ‘health literacy’ [ 14 , 15 ] which in turn makes it important to examine the conditions under which relations of trust can be established [ 16 , 17 , 18 , 19 ]. The success of reaching consensus over shared health goals and, hence, compliance with suggested treatments depends on the reciprocity of role expectations [ 20 ], which in turn are strongly influenced by sociocultural contexts that define accepted norms.…”

Section: Introductionmentioning

confidence: 99%

Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

et al. 2022

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Background: Changes in public attitudes toward “authorities” in general, as well as shifts in medical practice toward participative models of diagnosis and treatment, imply fundamental transformations in the patient–doctor relationship. However, consistency in reciprocal role expectations cannot be assumed, and this study reveals significant discrepancies in attitudes and behaviors in primary health consultations. Methods: We conducted a study in the tri-lingual northeastern Italian region of South Tyrol to determine whether perceptions of the patient’s role were congruent or differed. In a mixed method approach, the quantitative research part consisted of a survey with 34 identical questions for general practitioners (n = 109) and adult primary care patients (n = 506) on verbal communication, self-initiative and health literacy, interpersonal and social qualities of the patient–physician relationship, and formal aspects of the consultation. Patients were interviewed via telephone, and general practitioners responded online. In the qualitative part, 26 semi-structured in-depth interviews were conducted with the patients and analyzed. Results: General practitioners considered patients’ communicative efforts (p < 0.001), self-initiative (p < 0.001), compliance (p = 0.0026), and openness regarding psychosocial issues (p < 0.001) to be significantly more important, whereas patients showed a tendency to give increased importance to formal aspects such as politeness and hygiene (p < 0.001). Perception of the patient’s role differed significantly between the Italian and German linguistic groups. Conclusions: Patients and general practitioners differ in their understanding of patients’ roles. These data suggest that a considerable proportion of the population lacks a clear and tangible idea of the active role they could play in consultations. Targeted information on the identified aspects of patient–provider communication may facilitate participatory behavior and positively impact the longitudinal quality of the patient–general practitioner relationship.

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Section: Introductionmentioning

confidence: 99%

Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

et al. 2022

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Educational Challenges to the Health Care Professional in Heart Failure Care

Lambrinou

Protopapas

Kalogirou

2014

Curr Heart Fail Rep

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The purpose of this review is to discuss the educational challenges faced by health care professionals in the care and management of patients with heart failure (HF). Self-care is a vital component in HF management, and promotion of self-care through education is a fundamental aspect of patient-centered care and supports patients' right to autonomy. The ultimate goal is not simply to convey knowledge, but to promote patients' understanding and to enhance their self-care skills by assuming an active role in their care. As such, health care professionals are confronted with a number of patient-related issues as they strive to provide high-quality education. Beyond assessing patients' individual information needs and preferences, they are tasked with addressing several obstacles that impede patients' ability to engage in self-care. Factors such as cognitive impairment and low health literacy have a major impact on patients' ability to understand, absorb, and recall information. Moreover, the existence of negative beliefs, which are strong determinants of patients' attitudes towards their disease and treatment, may also influence their response to educational messages. Health care professionals must not only identify and overcome these obstacles, but they must act effectively within the limitations of their working environment and of the health care system.

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Health Literacy and Information Exchange in Medical Settings

Cited by 2 publications

References 0 publications

Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

Mutual Role Expectations by Patients and General Practitioners—A Mixed Methods Study on Complementarity

Educational Challenges to the Health Care Professional in Heart Failure Care

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