Residentsʼ Ability to Identify Patients with Poor Literacy Skills
| Autor: | Don R. Barnett, Pat F. Bass, John F. Wilson, Charles H. Griffith |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Physician-Patient Relations
medicine.medical_specialty Literacy skill Patients business.industry media_common.quotation_subject MEDLINE Internship and Residency General Medicine Literacy Education Clinic visit Patient satisfaction Patient Satisfaction Surveys and Questionnaires Family medicine Educational Status Humans Medicine business Limited health literacy media_common |
| Zdroj: | Academic Medicine. 77:1039-1041 |
| ISSN: | 1040-2446 |
| DOI: | 10.1097/00001888-200210000-00021 |
| Popis: | To determine whether residents could identify patients with poor literacy skills based on clinical interactions during a continuity clinic visit. The authors hypothesized residents would overestimate patients' literacy abilities and fail to recognize many patients at risk for poor literacy.The Rapid Estimate of Adult Literacy in Medicine-Revised (REALM-R) was administered to screen patients for potential literacy problems. Residents were asked "Do you feel this patient has a literacy problem?" and answered yes or no. Continuity adjusted chi-square was used to test for overestimation of literacy abilities by residents.REALM-R scores and residents' evaluations of literacy were available for 182 patients. The residents believed 10% of patients (18) had literacy problems based on their clinical interactions. Only three patients passing the literacy screen were incorrectly identified as at risk for literacy. Of the 90% of patients (164) the residents perceived to have no literacy problem, 36% (59) failed the literacy screen.Resident physicians overestimated the literacy abilities of their patients. A significant portion of these residents' patients may not have the skills to effectively interact with the health care system and are at increased risk for adverse outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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