Health literacy and patient empowerment in health communication: The importance of separating conjoined twins

Schulz, Peter; Nakamoto, Kent

doi:10.1016/j.pec.2012.09.006

Cited by 364 publications

(307 citation statements)

References 78 publications

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“…Another concept often cited together and closely interwoven with PE is 'health literacy' [19], but here the relationship with PE seems clearer. Although a high level of health literacy is necessary to enhance PE [20], it is not enough because PE requires a behavioral change too [3].…”

Section: Definition Measure Terminology and Diseasementioning

confidence: 92%

“…Although a high level of health literacy is necessary to enhance PE [20], it is not enough because PE requires a behavioral change too [3]. As a consequence, a high level of health literacy without a corresponding high degree of PE still keeps patients unnecessarily dependent on physicians, while a high degree of PE without a corresponding degree of health literacy increases the risk of patients making dangerous health choices [19].…”

Section: Definition Measure Terminology and Diseasementioning

confidence: 99%

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Patient empowerment in Europe: is no further research needed?

Garattini

2018

Eur J Health Econ

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Section: Definition Measure Terminology and Diseasementioning

confidence: 92%

Section: Definition Measure Terminology and Diseasementioning

confidence: 99%

Patient empowerment in Europe: is no further research needed?

Garattini

2018

Eur J Health Econ

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“…The goal of health literacy is to enable the patient to make informed judgments about when, for example, it is advisable to seek expert advice from a health professional, knowledge of how to find the appropriate professional, and the ability to explain the health problem and personal concerns that made the consultation necessary (Schulz & Nakamoto 2013). A study by Stevenson et al (2004) on analysis of consultations found scant evidence for the occurrence of shared decision-making, with one party often blaming the other for lack of effort.…”

Section: Health Literacy and Policymentioning

confidence: 99%

Patients’ Perception of Doctor-Patient Health Communication in a Rural Community

Moyo

Salawu

2017

Comm

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Heritage and Maynard (2006), which traced the main perspectives and lines of development that have emerged in 30 years of recorded doctor-patient interaction in the United States, concluded that it was difficult to generalise repeatedly observable medical interactions. Reasons provided were the complexities of disciplinary, methodological and ideological divisions that these authors (ibid.) viewed as relatively enduring features of the medical field. Based on the findings of that longitudinal study, it is logical to pursue effective healthcare provider-patient communication and to promote health literacy. A community approach could yield plausible solutions as patients mostly deal with the same healthcare providers and are likely to encounter similar communication challenges.In this study, the researchers sampled patients from different educational backgrounds. Considering doctors' tight schedules, often abstract health jargon on doctors' prescriptions, the volatility of oral communication in the explanation of instructions, and the fact that medicine labels in pharmacies in South Africa are written in English and Afrikaans only, there is a challenge of enhancing effective communication with patients. In addition, oral explanations by doctors and pharmacists can be inadequate or patients might forget the information. Consequently, patients are vulnerable to the incorrect interpretation of prescription instructions and medicine use that could have adverse effects on their health.It has to be acknowledged that some studies on health communication yielded positive health outcomes. Where oral communication is concerned, a study by Schillinger et al. (2003: 88), on the extent to which physicians assess patients' recall and understanding of information conveyed during an outpatient encounter, found the following: "Recall and comprehension was associated with improved glycemic control among patients with diabetes mellitus and low functional health literacy". However, Schillinger et al. (ibid.) pointed out that outcomes vary across racial, ethnic and socio-demographic lines, elaborating that "the prevalence of functional health literacy, especially among elderly persons, ethnic minorities and the socio-economically disadvantaged, coupled with the disproportionate burden that type-2 diabetes mellitus places on individuals, suggests that problems with health communication may contribute to disparities".Of interest to the current study is that evidence of positive findings in some studies include or refer to measures taken to improve communication. For example, an American study by Kennedy et al. (2014) focused on a peer-facilitated communication skills building course for service providers and patients at a clinic in Arizona. The findings indicated that service improved after the course and provider participants experienced an 18% decrease in patients' complaints. A study by Williams et al. (2013: 15), on patient reported barriers to provider-patient communication, indicated that a large number of patients co...

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“…It means a community empowerment program is a success if the recipient is capable to improve their welfare independently. Thus, the effectiveness of community empowerment program is determined by an increase of social ability to improve their welfare independently [30]. By using the established patterns, systems, mechanisms, and procedures, community empowerment program effectiveness can be achieved.…”

Section: Figure 2 the Policy Cyclementioning

confidence: 99%