Communication Between Physicians and Spanish-Speaking Latin American Women With Pelvic Floor Disorders
| Autor: | Claudia Sevilla, Aqsa Khan, Rebecca G. Rogers, Sally L. Maliski, Gena C. Dunivan, Alexandriah Alas, Cecilia K. Wieslander, Jennifer T. Anger |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Counseling Health Knowledge Attitudes Practice medicine.medical_specialty Urology Decision Making Alternative medicine MEDLINE Urinary incontinence Health literacy Disease Pelvic Floor Disorders Article Grounded theory Urogynecology medicine Humans Aged Physician-Patient Relations business.industry Communication Obstetrics and Gynecology Hispanic or Latino Middle Aged Health Literacy Family medicine Physical therapy Female Surgery medicine.symptom Comprehension business Qualitative research |
| Zdroj: | Female Pelvic Medicine & Reconstructive Surgery. 19:90-97 |
| ISSN: | 2151-8378 |
| Popis: | Objective This study aimed to assess the effect of the initial visit with a specialist on disease understanding among Spanish-speaking women with pelvic floor disorders. Methods Spanish-speaking women with referrals suggestive of urinary incontinence (UI) and/or pelvic organ prolapse (POP) were recruited from public urogynecology clinics. Patients participated in a health literacy assessment and interview before and after their physician encounter. All interviews were analyzed using Grounded Theory qualitative methods. Results Twenty-seven women with POP (n = 6), UI (n = 11), and POP/UI (n = 10) were enrolled in this study. The mean age was 55.5 years, and most women had marginal levels of health literacy. From our qualitative analysis, 3 concepts emerged. First, was that patients had poor understanding of their diagnosis before and after the encounter regardless of how extensive the physician's explanation or level of Spanish-proficiency. Second, patients were overwhelmed with the amount of information given to them. Lastly, patients ultimately put their trust in the physician, relying on them for treatment recommendations. Conclusions Our findings emphasize the difficulty Spanish-speaking women with low health literacy have in understanding information regarding pelvic floor disorders. In this specific population, the physician has a major role in influencing patients' treatment decisions and helping them overcome fears they may have about their condition. |
| Databáze: | OpenAIRE |
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